Dr. Annie's Blog

How to Help Your Child Overcome Fear of the Dentist

Mon, 04 May 2026 16:45:04 GMT

For many families, getting a child to the dentist feels like preparing for battle — the tears, the negotiations, the white-knuckle grip on the car door handle. Dental anxiety in children is incredibly common, and as a parent, it can feel discouraging when you know how important those checkups really are. The good news? With a little patience and the right approach, most kids can learn to feel comfortable, even confident, in the dental chair.

Why Children Fear the Dentist

Understanding where the fear comes from is the first step. For some kids, it's the unfamiliar sounds and smells of a dental office. For others, it's a fear of pain, a loss of control, or simply the unknown. Children who have had a difficult dental experience in the past may carry that anxiety forward, and some pick up on dental nervousness from parents or older siblings without ever having been to the dentist themselves.

Whatever the source, the fear is real, and dismissing it can result in a negative experience for your child before they even walk through the door. Validating your child's feelings while gently building positive associations is the most effective path forward.

Start Early and Keep It Routine

The American Academy of Pediatric Dentistry recommends a child's first dental visit by age one, or within six months of their first tooth appearing. Early visits, when there is no urgent treatment needed, allow children to experience the dental office as a friendly, familiar place rather than somewhere they only go when something hurts. Keeping appointments regular, every six months, reinforces that consistency and removes the "big scary event" feeling.

At Amaze Dental, we love when parents bring their little ones along to their own regular appointments. Letting young children watch from the sidelines before they ever sit in the chair themselves is one of the best ways to normalize the dental office as a familiar, friendly place.

Use Positive, Honest Language

The words you choose matter more than you might think. Avoid phrases like "it won't hurt" (which can backfire if there's any discomfort) or "don't be scared" (which implicitly confirms there's something to fear). Instead, try: "The dentist is going to count your teeth and help keep them strong," or "You can ask questions about anything that feels strange."

Let your child know what to expect in simple, calm terms. Kids feel more in control when they understand what's happening, and are less likely to catastrophize the unknown.

Play Dentist at Home

One of the most effective ways to prepare young children is through play. Take turns being the "dentist" and the "patient" at home, use a toothbrush to count each other's teeth, look at them with a flashlight, and narrate what you're doing in a gentle voice. This kind of role-play demystifies the experience and gives children a script they can mentally follow during the real visit.

Ask your dentist for book recommendations. There are wonderful children's books that walk through a dental visit step by step, helping little ones know exactly what to expect before they ever arrive.

Choose a Dental Team That Prioritizes Comfort

Not all dental offices feel the same to a child. Look for a practice that takes time to explain each step, welcomes questions, and never rushes a nervous patient. At Amaze Dental Kirkland, we work at your child's pace. We believe that a calm, unhurried first experience lays the foundation for a lifetime of better oral health, and we're genuinely committed to making each visit feel safe.

If your child has significant anxiety, ask about a "tell-show-do" approach, where the dentist explains and demonstrates each tool before using it. This simple technique makes a meaningful difference for many kids.

For some children, a more specialized setting makes all the difference. If your child's anxiety is significant or their needs require extra attention, we're happy to refer you to a trusted pediatric dentist who is specifically trained to create a comfortable, child-centered experience.

Celebrate the Visit — Not Just the Outcome

After a dental appointment, focus on your child's bravery rather than on whether everything went perfectly. A small reward, a favorite meal, or simply enthusiastic praise goes a long way. You're building a narrative: going to the dentist is something I can do, and I feel proud after.

Over time, those small wins accumulate into confidence.

Dental fear doesn't have to follow your child into adulthood. With the right environment, language, and support, the dentist can become one of the least scary places on their calendar. We're here to help make that happen, one visit at a time.

Have questions about preparing your child for their first visit? Give us a call ↗ at Amaze Dental Kirkland — we'd love to help.

Why do my gums bleed when I brush or floss?

Mon, 06 Apr 2026 15:15:00 GMT

If you notice pink in the sink after brushing, you're not alone — but bleeding gums are never something to ignore. Let’s discuss what your body is trying to tell you. Occasional gum bleeding can feel alarming, but for many patients, it's also easy to dismiss. The truth is somewhere in between: bleeding gums are common, but they're not normal. It is a signal that something is off, and the good news is that most causes are very treatable when caught early.

The most common reason: gingivitis

By far the leading cause of bleeding gums is gingivitis, the earliest stage of gum disease. When plaque, a sticky film of bacteria, builds up along the gumline, your immune system jumps into action by responding with inflammation. Inflamed gum tissue becomes tender, puffy, and much more likely to bleed at the slightest contact.

The encouraging thing about gingivitis is that it's completely reversible with proper care. It hasn't yet affected the bone or deeper structures supporting your teeth. Early detection and action will have the best long-term results.

Other common causes

Brushing too hard or using the wrong type of toothbrush: Aggressive scrubbing and stiff bristles tooth brush head can irritate and damage delicate gum tissue. A soft-bristle brush and gentle, circular strokes are all you need.
Flossing irregularly: If you only floss occasionally, your gums will soften and have more plaque accumulation. Daily flossing — yes, every day — allows the tissue to adapt, become more resilient, and reduce plaque around the gumline. A little initial bleeding usually resolves within 1–2 weeks of consistent flossing.
Certain medications: Blood thinners, some blood pressure medications, and even aspirin can increase bleeding in the mouth. Always let your dentist know about any medications you're taking.
Hormonal changes: Pregnancy, puberty, and menopause can all make gums more sensitive and reactive. "Pregnancy gingivitis" is a well-recognized condition. Routine dental visits during pregnancy are safe and especially important during this time.
Nutritional deficiencies: Low levels of vitamins C and K, in particular, have been linked to gum fragility and bleeding. A balanced diet supports healthy gum tissue from the inside out. Your provider may recommend a blood panel to rule out nutrient deficiencies.
Ill-fitting dental appliances: Dentures or retainers that don't fit well can create chronic irritation at the gumline.

If your gums bleed regularly, are swollen or receding, or if you notice persistent bad breath, these are signs that it's time for a professional evaluation — not just a reminder to floss more.

What you can do at home

A few simple habits make a significant difference:

Brush twice a day for two minutes with a soft-bristle brush, using gentle pressure
Floss once daily. Be consistent, even if there's initial discomfort
Use an antiseptic or fluoride mouthwash as directed (avoid any alcohol-based mouthwash)
Stay hydrated and eat a diet rich in leafy greens and fresh vegetables
Avoid smoking, which significantly worsens gum health and slows healing
Schedule routine dental appointments and cleanings (at least every 6 months)

When to see your dentist

Home care is essential, but it's only half the picture. A professional cleaning removes the hardened plaque (tartar) that no toothbrush can reach. If gum disease has progressed beyond gingivitis into periodontitis, deeper treatment may be needed to protect the bone and connective tissue supporting your teeth.

Don't wait to find out. Gum disease is often painless in its early stages, which is exactly why regular checkups are your most powerful tool for catching problems before they become serious.

Notice bleeding gums or due for a checkup? We’d love to see you at Amaze Dental Kirkland. Our team will evaluate your gum health and give your teeth a thorough cleaning, and walk you through a personalized prevention plan. Request an appointment now ↗

Dental Implants vs. Bridges: Choosing the Best Option

Mon, 02 Mar 2026 16:00:23 GMT

If you are missing one or more teeth, modern dentistry offers several reliable solutions to restore your smile and oral function. Two of the most common options are dental implants and dental bridges. While both treatments can improve appearance and chewing ability, they differ in structure, longevity, and overall approach. At Amaze Dental in Kirkland, we believe patient education is essential to making confident decisions about dental care. Understanding the key differences between dental implants and bridges can help you determine which option may be right for your needs.

Why Replacing Missing Teeth Matters

Some patients delay treatment if the missing tooth is not visible. However, replacing missing teeth is important for more than just appearance.

When a tooth is missing:

Neighboring teeth may shift out of position
Bite alignment can change
Jawbone loss may occur
Chewing efficiency may decrease

Early treatment often helps prevent more complex dental issues in the future.

What Is a Dental Bridge?

A dental bridge is a fixed restoration used to replace one or more missing teeth by “bridging” the gap between two healthy teeth. The process typically involves placing crowns on the teeth adjacent to the missing space (called abutment teeth), with an artificial tooth (pontic) attached between them.

Dental bridges are a well-established treatment option and can usually be completed within a few weeks. Because they rely on existing teeth for support, bridges do not require surgery, making them a practical choice for patients who prefer a less invasive procedure.

Benefits of dental bridges include:

Faster treatment timeline compared to implants
No surgical procedure required
Effective restoration of chewing and appearance

However, bridges do have some limitations. Preparing the surrounding teeth requires removing a portion of healthy enamel to place crowns. Additionally, because the bridge does not replace the tooth root, the jawbone in that area may gradually shrink over time.

What Are Dental Implants?

Dental implants are a more advanced and long-term solution for replacing missing teeth. A dental implant consists of a small titanium post that is surgically placed into the jawbone, acting as an artificial tooth root. Once the implant integrates with the bone through a natural process called osseointegration, a custom crown is placed on top to restore the visible portion of the tooth.

Because implants replace both the root and crown of the tooth, they closely mimic natural tooth structure and function.

Benefits of dental implants include:

Preservation of jawbone structure
No need to alter neighboring healthy teeth
Exceptional stability and durability
Natural look and feel

Dental implants generally require a longer treatment timeline due to healing periods between stages. However, when properly maintained, they can last for decades.

Key Differences Between Implants and Bridges

While both options effectively replace missing teeth, several factors distinguish dental implants from bridges:

Longevity: Dental implants are designed to be a long-term solution and often last significantly longer than bridges. Bridges may need replacement after 10–15 years, depending on wear and oral health.
Impact on Surrounding Teeth: Bridges rely on adjacent teeth for support, which requires modifying otherwise healthy tooth structure. Implants stand independently and do not affect neighboring teeth.
Bone Health: Because implants replace the tooth root, they stimulate the jawbone and help prevent bone loss. Bridges do not provide this benefit.
Treatment Timeline: Bridges typically require fewer appointments and no surgical healing time. Implant treatment takes longer due to the integration process but offers long-term structural advantages.
Cost Considerations: Implants often involve a higher upfront investment, while bridges may have a lower initial cost. However, the long-term durability of implants may make them more cost-effective over time.

Which Option Is Right for You?

There is no one-size-fits-all solution when it comes to replacing missing teeth. The best choice depends on several factors, including bone health, the condition of surrounding teeth, overall medical history, and personal preferences regarding treatment timeline and budget.

Some patients are excellent candidates for dental implants, while others may benefit more from a dental bridge. In certain cases, additional treatments such as bone grafting may be recommended to support implant placement.

The most important step is a personalized evaluation. Digital imaging and a comprehensive exam allow your dental team to assess your oral health and discuss the advantages of each option based on your unique situation.

Schedule a Consultation to Learn More

Every smile is unique, which is why a personalized consultation is the best way to determine the right solution. Factors such as bite alignment, bone levels, existing restorations, and long-term goals all influence treatment recommendations.

At Amaze Dental in Kirkland, we use digital imaging and comprehensive exams to help patients fully understand their options. If you are exploring options to replace missing teeth, our team is here to help guide you through the process. We focus on providing clear information, personalized recommendations, and comfortable care so you can feel confident in your treatment decisions.

Contact our office today to schedule a consultation ↗ and learn whether dental implants or a dental bridge may be the best solution for restoring your smile.

Teeth Whitening: When One Shade Doesn’t Fit All

Sun, 01 Feb 2026 01:15:00 GMT

A bright, white smile is often associated with health, confidence, and youth. It’s no surprise that teeth whitening remains one of the most popular cosmetic dental treatments today. While many people seek whitening to address overall yellowing or staining, a common and sometimes more concerning issue is discoloration affecting just one tooth. Understanding why this happens, how whitening works, and which treatment options are appropriate is key to achieving safe, predictable results.

How Teeth Become Discolored

Tooth discoloration generally falls into two categories: extrinsic and intrinsic stains.

Extrinsic stains affect the outer enamel and are commonly caused by foods and drinks such as coffee, tea, red wine, and berries, as well as tobacco use.
Intrinsic stains occur within the tooth structure itself and may be related to trauma, infection, certain medications, or developmental issues.

When multiple teeth darken evenly over time, whitening treatments often work very well. However, when only one tooth is discolored, the cause is frequently different and deserves special attention.

How Teeth Whitening Works: The Science Behind a Brighter Smile

Professional teeth whitening uses peroxide-based agent, most commonly hydrogen peroxide or carbamide peroxide, to safely lighten tooth color. These whitening agents penetrate the enamel and move into the dentin, where discoloration often resides.

Once inside the tooth, the peroxide breaks down into oxygen molecules. These molecules interact with the dark-colored stain compounds, breaking them into smaller, less visible particles. As a result, the tooth appears lighter and brighter without removing tooth structure.

It’s important to note:

Whitening does not change the natural structure of your teeth
Results depend on the type of stain, tooth health, and consistency of use
Sensitivity during whitening is a common concern and can be remedied through various techniques such as less contact time, taking break between treatments, and using sensitivity products throughout treatment
Whitening works best on natural tooth structure and will not change the color of fillings, crowns, or veneers

Because intrinsic stains and single-tooth discoloration may respond differently, professional oversight ensures whitening is both safe and effective.

Why Is Only One Tooth Discolored?

A single darkened tooth can signal an underlying issue. Some common causes include:

Dental trauma: A past injury (even years earlier) can damage the tooth’s nerve, leading to internal discoloration.
Previous dental work: Old fillings or root canal treatments can sometimes change a tooth’s appearance.
Infection or nerve damage: A tooth that has lost vitality may turn gray, brown, or yellow.
Developmental differences: Occasionally, one tooth forms differently than the others.

Because of these possibilities, a single discolored tooth should always be evaluated by a dentist before whitening. Whitening alone may not address the root cause and, in some cases, may not be effective.

Teeth Whitening Options

Professional whitening remains the safest and most effective way to improve your smile. Our office offers two convenient at-home whitening options, allowing patients to whiten on their own schedule while still benefiting from professional guidance.

Custom Professional At-Home Whitening

This option includes custom-made trays designed specifically for your teeth. The precise fit allows the whitening gel to contact the tooth surfaces evenly, providing:

More consistent whitening
Reduced gum irritation
Better control over shade changes

Custom trays are ideal for patients with uneven discoloration or those looking for optimal, long-lasting results.

Non-Custom At-Home Whitening

Non-custom whitening trays offer a more affordable and convenient option. While they do not provide the same level of precision as custom trays, they can still be effective for mild, generalized staining when used as directed.

Whitening a Single Discolored Tooth: Special Considerations

When only one tooth is darker than the rest, traditional whitening may lighten surrounding teeth faster, making the contrast more noticeable. Depending on the cause of discoloration, treatment options may include:

Targeted whitening techniques
Internal bleaching for teeth that have undergone root canal treatment
Cosmetic bonding
Veneers or crowns for more severe or resistant discoloration

Your dentist will recommend the most appropriate option to ensure the discolored tooth blends naturally with your smile.

The Importance of a Professional Evaluation

Teeth whitening is not one-size-fits-all, especially when uneven discoloration is involved. A professional exam ensures your teeth and gums are healthy, identifies the cause of discoloration, and helps select the most effective treatment option for safe, natural-looking results.

If you’re considering whitening or are concerned about a single discolored tooth, our team is happy to help you find the best path to a brighter, healthier smile! Schedule a consult today ↗ .

New Year, New Smile: Why a Dental Checkup Should Be Your Resolution

Mon, 05 Jan 2026 16:00:12 GMT

The start of a new year is a natural time for fresh starts. We set goals to eat healthier, exercise more, and take better care of ourselves overall. But one resolution that often gets overlooked — and can have a major impact on your health — is scheduling a dental checkup.

At Amaze Dental Kirkland, we believe a healthy smile is more than just cosmetic. It’s closely connected to your overall well-being, confidence, and long-term health. Making a dental visit part of your New Year’s resolutions is one of the simplest yet most powerful steps you can take for yourself.

Why Dental Checkups Matter More Than You Think

Many dental issues don’t cause pain in their early stages. Cavities, gum disease, enamel erosion, and even cracks in teeth can quietly progress without obvious symptoms. By the time discomfort appears, treatment is often more complex.

Routine dental cleanings allow us to catch problems early — when they’re easier, less invasive, and more affordable to treat. Early detection can mean the difference between strengthening enamel versus needing a filling, or managing gum inflammation instead of advanced periodontal treatment.

In other words, preventive care saves teeth.

Prevention Is the Foundation of a Healthy Smile

Modern dentistry has shifted away from simply “fixing” problems and toward preserving natural tooth structure whenever possible. Regular checkups are the cornerstone of this approach.

During your visit at Amaze Dental Kirkland, we evaluate your teeth, gums, bite, and overall oral health. Professional cleanings remove plaque and tartar that brushing and flossing can’t reach, helping prevent cavities and gum disease before they start.

These visits also allow us to recommend personalized preventive treatments — such as fluoride therapies, enamel-strengthening solutions, or early interventions like Curodont — based on your unique risk factors and oral health needs.

Your Mouth Reflects Your Overall Health

Oral health is closely linked to systemic health. Research continues to show connections between gum disease and conditions like heart disease, dementia, diabetes, and inflammation throughout the body. Chronic oral infections can place added stress on your immune system.

By prioritizing regular dental care, you’re not just protecting your smile — you’re supporting your overall health.

For patients managing medical conditions, stress, or lifestyle changes, dental checkups become even more important. A new year is the perfect time to reset and get back on track.

A Confidence Boost That Lasts All Year

A clean, healthy smile has a powerful effect on confidence. Whether you’re starting a new job, meeting new people, or simply feeling more motivated to take care of yourself, knowing your oral health is in good shape can make a real difference.

Dental checkups also give you the opportunity to discuss cosmetic goals, such as whitening, straightening, or improving worn or chipped teeth — all with a preventive mindset.

Why Now Is the Perfect Time

The beginning of the year often aligns with refreshed dental insurance benefits, making it an ideal time to schedule your visit. Many plans reset annually, allowing you to take full advantage of your coverage before the year gets busy.

Rather than waiting until something hurts, starting the year proactively helps prevent surprises later on.

What to Expect at Amaze Dental Kirkland

Your checkup is designed to be comfortable, thorough, and stress-free:

A comprehensive exam to assess teeth, gums, and existing restorations
Digital imaging if needed to identify early concerns
A professional cleaning to remove buildup and polish your smile
Personalized recommendations for preventive care and long-term oral health

Our goal is to help you maintain a strong, healthy smile — not just fix problems when they arise.

Make Your Smile a Priority This Year

New Year’s resolutions don’t have to be complicated to be meaningful. A simple dental checkup can set the tone for better oral health, fewer dental issues, and greater confidence all year long.

At Amaze Dental Kirkland, we’re here to support you with modern, preventive-focused care designed around your comfort and long-term health. Make 2026 the year you invest in your smile — it’s a resolution you’ll benefit from every single day.

Schedule your dental checkup today and start the new year with a healthier, brighter smile.

Reverse Early Tooth Decay without Drills? Meet Curadont

Mon, 08 Dec 2025 15:00:37 GMT

Most people hear the word “cavity” and immediately picture injections, drilling, and a filling, but what if tooth decay could be stopped before it ever reached that stage? At Amaze Dental Kirkland, we are proud to offer Curadont. Curodont is an innovative treatment that enables dentists to intervene early and even reverse enamel damage before it becomes permanent without needles, drills, or discomfort.

What is Curodont?

Curodont is a breakthrough, minimally invasive dental treatment that helps reverse early tooth decay before a cavitation forms. It is not a traditional preventative application like fluoride, toothpaste, or mouthwash. It uses a scientifically developed self-assembling peptide that encourages the tooth to rebuild its own mineral structure naturally.

Think of it as giving your enamel the boost it needs to heal itself.

Curodont comes in two forms:

Curodont Repair Fluoride Plus — an in-office treatment we apply here at Amaze Dental Kirkland to target early decay below the tooth surface.
Curodont Protect — a home-care gel to strengthen and protect enamel after professional treatment.

Together, they provide a powerful approach to preventative dentistry, by keeping teeth strong, healthy, and cavity-free.

How Does Curodont Work?

Early decay begins when acids weaken the enamel surface, creating “white spot lesions” or softening the tooth. Traditionally, dentists would “watch and wait” until the breakdown worsened enough to justify a filling.

Curodont changes that.

Here’s what happens during treatment:

We apply the Curodont liquid directly to the early decay area.
Peptides in the formula seep into the enamel and create a natural scaffold within the weakened tooth structure.
This scaffold attracts minerals from your saliva — calcium and phosphate — the building blocks of healthy enamel.
Over the following weeks and months, these minerals harden and restore the enamel from the inside out.

No drills. No fillings. No discomfort. Just your tooth repairing itself.

Why Dentists and Patients Like It

There are several reasons Curodont stands out compared to conventional caries management and restorative dentistry:

Minimally invasive and pain-free : No drilling, no shots, no fillings!
Early intervention : rather than waiting for a cavity to become “big enough” to treat, Curodont stops the process early and often eliminates the need for future fillings.
Proven effectiveness : Clinical studies and real-world use have shown a high success rate with over 90% of early lesions treated with Curodont Repair have been reported to arrest or regress.
Great for orthodontic patients or high-risk cases : People with braces, high acidic diet, dry mouth, or other caries risk factors may benefit particularly from the extra enamel support provided by Curodont.
Supports long-term oral health: because it rebuilds natural enamel, Curadont helps preserve tooth structure with added layer of protection for many years.

Limitations and Considerations

Despite its promise, Curodont isn’t a magic bullet and there are some caveats/limitations worth noting.

Technique-sensitive application : For optimal results, the application protocol must be followed correctly, including proper lesion isolation, surface preparation, and good oral hygiene after treatment. Deviations may impair the peptide’s ability to integrate and remineralize enamel.
Not for advanced cavities : Curodont is designed for early, non-cavitated lesions. Once enamel breakdown is deeper, or a cavity has formed, traditional restorative treatments (fillings, crowns) remain necessary.
Patient factors matter : Success depends not only on the treatment but also on salivary flow, diet, ongoing oral hygiene, and lifestyle. In people with poor oral hygiene, high sugar intake, or dry mouth, results may be less favorable.
Emerging / limited long-term data for newer versions : While older peptide-only formulations have been studied extensively, some newer formulations have less long-term clinical data.
Doesn’t rebuild tooth shape : Even if it remineralizes enamel, Curodont won’t restore lost structural volume or correct cavity shapes. It simply strengthens and repairs mineral content.

Is Curodont Right for You?

Curodont works best for:

Early-stage decay (before a cavity has formed)
White spot lesions from orthodontic treatment
Areas of enamel wear or weakness
Patients who prefer minimally invasive dentistry
Children, teens, and adults who want to avoid fillings

It is not a replacement for traditional fillings when a cavity is already deep. But the earlier we catch weakened enamel, the more likely Curodont can help avoid drilling altogether.

What to Expect at Your Appointment

Your Curodont visit at Amaze Dental Kirkland is simple:

We’ll perform an exam and identify areas of early decay.
The tooth surface is gently prepared so the solution can absorb properly.
Curodont is applied — the entire process takes just a few minutes.
Over time, the enamel naturally remineralizes and strengthens.

You can return to normal eating and drinking right away.

A Promising Shift Toward Preventive & Conservative Dentistry

Curodont represents a shift in dentistry from “drill-and-fill” toward a more conservative, preventive model, one that seeks to preserve as much natural tooth structure as possible. At Amaze Dental Kirkland, we believe in preserving as much natural tooth structure as possible, and this technology allows us to intervene long before a drill is ever needed.

That said, like all dental treatments, its success relies heavily on timely diagnosis, correct application, and ongoing oral care. For the right patient, in the right circumstances, Curodont can be a valuable tool: a chance to stop decay early, strengthen enamel, and avoid the drill. Schedule a consultation with Amaze Dental Kirkland to discuss Curadont as an option for your dental oral health.

Diabetes and Oral Health: The Mouth-to-Body Connection

Tue, 04 Nov 2025 08:49:50 GMT

When we think about diabetes, we often focus on how it affects blood sugar, heart health, or circulation. But did you know that diabetes also has a direct impact on your oral health ? The relationship between your mouth and your body is closer than you might think—and maintaining healthy teeth and gums can actually help you manage your diabetes more effectively.

At Amaze Dental Kirkland, we believe that understanding the mouth-to-body connection is key to preventing complications and supporting your overall wellness.

How Diabetes Affects the Mouth

Diabetes affects your body’s ability to process glucose, commonly called sugar. When blood sugar levels are poorly controlled, it can weaken your immune system and reduce your body’s ability to fight bacteria and infection. This has a major impact on your mouth, where hundreds of species of bacteria naturally live.

Here are some of the most common oral health issues linked to diabetes:

1. Gum Disease (Periodontal Disease)

People with diabetes are at a much higher risk for gum disease. Gum disease is an infection of the gums and bone that hold your teeth in place. Elevated blood sugar levels create an environment where harmful bacteria thrive, leading to inflammation, bleeding gums, and eventually, bone loss around the teeth.

In fact, studies show that people with diabetes are two to three times more likely to develop periodontal disease than those without diabetes. In turn, severe gum disease can make it harder to control blood sugar levels, creating a cycle where each condition worsens the other.

2. Dry Mouth (Xerostomia)

High blood sugar levels can reduce saliva flow, leaving the mouth feeling dry and uncomfortable. Saliva plays an important role in washing away food particles and neutralizing acids produced by bacteria. When your mouth is dry, bacteria can multiply more easily, increasing the risk of cavities, bad breath, and mouth infections.

3. Oral Infections and Slow Healing

Diabetes can slow down your body’s healing process, including inside the mouth. This means that after dental procedures—or even minor cuts on your gums—healing may take longer than usual. People with diabetes are also more prone to fungal infections like thrush , which appears as white patches or redness on the tongue and inner cheeks.

4. Burning Mouth Syndrome

Some individuals with diabetes experience a burning sensation in the mouth, often caused by nerve changes or reduced saliva flow. This condition can make eating and speaking uncomfortable if not addressed.

The Two-Way Street: How Oral Health Affects Diabetes

The connection between diabetes and oral health isn’t one-sided. Poor oral health can actually make diabetes harder to manage. The inflammation caused by gum disease releases harmful bacteria and inflammatory substances into the bloodstream, which can raise blood sugar levels and worsen insulin resistance.

In other words, a healthy mouth supports a healthier body . By treating gum disease and keeping your mouth clean, you can help improve blood sugar control and reduce your risk of diabetes-related complications.

Signs to Watch For

If you have diabetes, it’s important to be aware of early warning signs that something may be wrong in your mouth. Contact your dentist if you notice any of the following:

Red, swollen, or bleeding gums
Persistent bad breath or a bad taste in your mouth
Loose or shifting teeth
Dry mouth or burning sensations
White patches on your tongue or cheeks
Delayed healing after dental treatment or injury

Catching problems early helps prevent them from becoming more serious—and can make a significant difference in your overall health.

Tips for Maintaining Oral Health with Diabetes

Keeping your mouth healthy is a vital part of managing diabetes. Here are some practical steps you can take:

Brush and floss daily – Use a soft-bristled toothbrush and fluoride toothpaste at least twice a day. Floss once daily to remove plaque between teeth.
Control your blood sugar – Work with your doctor to keep your glucose levels within a healthy range. Stable blood sugar helps reduce your risk of gum infections.
Stay hydrated – Drink plenty of water to help relieve dry mouth and wash away bacteria.
Avoid tobacco – Smoking increases your risk of gum disease and interferes with healing.
Visit your dentist regularly – Schedule professional cleanings and exams at least twice a year—or more often if recommended.
Share your medical information – Always let your dentist know if you have diabetes and what medications you take. This helps them tailor your care and detect issues early.

A Healthy Smile Is Part of a Healthy Life

Diabetes doesn’t just affect your blood sugar, it affects your entire body, including your mouth. By staying on top of both your medical and dental care, you can break the cycle between diabetes and gum disease and protect your smile for years to come.

At Amaze Dental Kirkland , our team is experienced in caring for patients with diabetes. We take a whole-health approach to dentistry, focusing on prevention, education, and gentle, personalized care.

If you have diabetes or suspect you might be at risk, schedule an appointment with us today. Together, we can keep your mouth and your body healthy.

Comfort First: How We Help Patients with Dental Anxiety Feel at Ease

Mon, 06 Oct 2025 15:00:09 GMT

For many people, visiting the dentist can feel intimidating. Whether it’s a fear of needles, sensitivity to sound, or past experiences that created unease, dental anxiety is more common than you may think. At Amaze Dental in Kirkland, we believe that every patient deserves compassionate, personalized care that prioritizes comfort and trust. That’s why we offer a wide range of sedation options and thoughtful comfort measures to ensure your visit is as stress-free as possible.

Understanding Dental Anxiety

Dental anxiety can show up in many different ways. Some patients may feel their heart racing before an appointment, while others may avoid scheduling necessary care altogether. Left untreated, this can create a cycle where small dental concerns become bigger problems over time.

The good news? Anxiety in the dental chair is not something you need to face alone. We approach every patient with open communication, empathy, and a customized plan designed to address your unique concerns. By working together, we can help you feel safe, relaxed, and in control.

Sedation Dentistry Options

One of the most effective ways to ease dental anxiety is through sedation dentistry. Our Kirkland office provides two safe and proven sedation options:

Oral Sedation

Oral sedation involves taking a prescribed medication before your appointment. This option is ideal for patients who experience moderate anxiety, need longer procedures, or simply want to feel more at ease during treatment. Oral sedation allows you to remain conscious and able to respond, but in a deeply relaxed, almost dream-like state. Many patients find that time passes quickly, and they remember very little of the procedure afterward.

Nitrous Oxide (“Laughing Gas”)

Nitrous oxide is one of the most common and trusted methods for reducing anxiety in the dental chair. Delivered through a small mask placed over your nose, nitrous oxide helps you feel calm and light while still remaining alert. The effects wear off quickly after the procedure, which means you can safely drive yourself home once treatment is complete.

Both oral sedation and nitrous oxide are safe, effective, and carefully monitored by our experienced dental team. Together, we’ll decide which option best fits your needs and the type of care you’re receiving.

Comfort Measures Beyond Sedation

We understand that comfort is not one-size-fits-all. That’s why we also offer thoughtful amenities to make your visit more relaxing:

Earplugs – to minimize sound sensitivity from dental instruments.
Weighted blankets – to help reduce tension and create a sense of calm.
Dark sunglasses – to shield your eyes from bright dental lights.
Neck pillows and lumbar support – to help you stay physically comfortable throughout your visit.
Pre-visit tours and meet-and-greets – to give new patients or children the chance to see the space and meet the team before treatment.
Gentle desensitization – scheduling step-by-step appointments for very anxious patients, starting with short visits that build confidence and trust.
Clear signal system – a simple “raise your hand” signal ensures you’re always in control if you need a break.

These options may seem simple, but they can transform your experience in the dental chair. Our goal is to help you feel grounded and cared for at every step of your visit.

A Personalized Approach to Your Care

Every patient’s comfort level is unique, which is why we take the time to listen to your concerns before beginning any treatment. We encourage you to share your fears openly so we can create a plan tailored specifically to you.

For some patients, this may mean combining sedation with comfort measures like a weighted blanket and neck support. For others, it may mean scheduling shorter appointments, providing desensitization visits, or simply knowing they can stop the procedure at any time with a hand signal. Clear communication is always our priority. We will explain each step before it happens, check in with you often, and adjust as needed.

By crafting an intentional plan together, we help you take back control of your dental experience.

Exceptional Care, Every Time

Our mission is to provide not only excellent dentistry, but also peace of mind. You deserve to feel comfortable, respected, and cared for during every visit. Whether you need a routine cleaning, restorative care, or a more complex procedure, our Kirkland dental team is here to support you with the right combination of sedation, comfort measures, and compassionate communication.

If dental anxiety has been holding you back from scheduling an appointment, we invite you to take the first step toward a healthier smile. With the right approach, you may be surprised at how comfortable a dental visit can be.

Call our Kirkland office today to learn more about sedation options and personalized comfort planning. We are here to help you feel at ease and achieve the healthy smile you deserve.

Frequently Asked Questions About Sedation Dentistry

Is sedation dentistry safe?
Yes. Both oral sedation and nitrous oxide are widely used, safe, and effective when administered by trained dental professionals. We carefully review your medical history and monitor you throughout your visit to ensure your safety.

Will I be asleep during sedation?
With oral sedation and nitrous oxide, you remain conscious and able to respond, but you’ll feel deeply relaxed. Many patients describe the experience as dream-like and remember very little of the procedure. If you would like to be asleep, we can discuss alternative treatment options that will best fit your needs.

Can I drive home after sedation?
If you receive nitrous oxide, the effects wear off quickly, and you can safely drive yourself home after your appointment. If you take oral sedation, however, you’ll need a trusted friend or family member to drive you home.

Is sedation only for major procedures?
Not at all. Sedation is available for any appointment where you feel anxious—whether it’s a cleaning, a filling, or a longer restorative procedure. Your comfort is our priority.

What if I have severe dental anxiety?
We understand that some patients experience higher levels of anxiety. In addition to sedation, we offer comfort measures such as weighted blankets, noise reduction, pre-visit tours, and a clear stop-signal system. For patients with severe phobias, we can also create a step-by-step desensitization plan to help build trust and confidence over time or discuss an alternative option with a trusted dental professional who performs procedures under general anesthesia.

How do I know which sedation option is right for me?
Every patient is different. During your consultation, we’ll discuss your medical history, your level of anxiety, and the procedure you’re having. Together, we’ll choose the sedation and comfort options best suited to your needs.

Fresh Breath, Fresh Confidence: How to Treat Halitosis

Sun, 07 Sep 2025 22:19:07 GMT

There are few things as uncomfortable, or as socially awkward, as realizing you have bad breath. While everyone experiences it occasionally after some garlic fries or first thing in the morning, persistent bad breath can signal a more serious issue known as halitosis . This condition affects millions of people and is one of the most common reasons patients seek advice from their dentist. The good news is that with proper care, halitosis can usually be managed or even eliminated.

What Is Halitosis?

Halitosis is the medical term for chronic bad breath. Unlike temporary odor caused by food or morning dryness, halitosis lingers despite brushing, rinsing, or chewing gum. It can affect confidence, relationships, and even professional interactions. Because people often aren’t aware of their own breath odor, the condition may go unnoticed until a friend, coworker, or family member points it out.

Common Causes of Halitosis

There are several reasons why halitosis develops, and identifying the root cause is the first step toward treatment.

Poor Oral Hygiene: Food particles left between teeth, around the gums, or on the tongue can break down and release unpleasant odors. Without regular brushing and flossing or routine dental cleanings, bacteria multiply, producing sulfur compounds that smell foul.
Gum Disease: Infections of the gums, such as gingivitis or periodontitis, are major contributors to chronic bad breath. The bacteria responsible for gum disease thrive in pockets around the teeth and release strong-smelling toxins.
Dry Mouth (Xerostomia): Saliva plays an essential role in washing away bacteria and food debris. When the mouth is dry; whether from dehydration, certain medications, or mouth breathing; bacteria flourish, leading to odor.
Dietary Factors: Foods like garlic, onions, and spices contain volatile compounds that enter the bloodstream and are expelled through the lungs, causing noticeable breath odor. Coffee and alcohol can also contribute to dryness and lingering smells.
Medical Conditions: Sometimes, halitosis is a symptom of underlying health issues such as sinus infections, acid reflux, diabetes, or liver and kidney disorders.
Tobacco Use: Smoking and chewing tobacco not only dry out the mouth but also leave a distinct, unpleasant odor that is difficult to mask.
Tonsil Stones : A commonly overlooked condition that affects the tonsils on the back of the throat. Small, hardened despoils of bacteria and dead cells become trapped in the crevices of the tonsils which can result in bad breath, metallic or bitter taste in the mouth, through irritation, or spots on the tonsils.

Preventing Bad Breath

The most effective way to manage halitosis is through prevention. Here are practical steps to keep your breath fresh and your mouth healthy:

Brush and Floss Daily : Brush your teeth at least twice a day and floss once daily to remove trapped food and plaque. Don’t forget to gently brush your tongue, where bacteria often accumulate.
Stay Hydrated : Drinking water throughout the day helps stimulate saliva production and rinse away food particles.
Schedule Regular Dental Visits : Professional cleanings and exams allow your dentist to catch early signs of gum disease or other issues that may cause odor.
Use Mouthwash Wisely : Antibacterial rinses can help, but they should not replace brushing and flossing. Alcohol-free rinses are best for avoiding dry mouth.
Chew Sugar-Free Gum : Chewing gum encourages saliva flow and provides a quick way to freshen breath on the go. Xylitol is a great sugar alternative.
Quit Smoking : Giving up tobacco improves not just your breath, but your overall oral and general health.
Tonsil Stone Removal : Expression of the trapped deposits by you with salt water rinses, water flossed, or cotton swab.

When to See a Dentist

Occasional bad breath is normal, but if the problem persists despite good oral hygiene, it’s important to schedule a dental checkup. Your dentist can determine whether gum disease, cavities, or another oral condition is at play. If your mouth is healthy, they may refer you to a physician to rule out other medical causes.

Treatment Options

Depending on the cause, treatment for halitosis may include:

Deep cleaning procedures for gum disease
Fluoride treatments or fillings for cavities
Saliva substitutes or special rinses for dry mouth
Medical management if an underlying health condition is discovered
Professional Tonsil Stone Removal for chronic tonsil stones that persist or cause irritation

Fresh Breath and Confidence Start Here

Halitosis is more than a minor inconvenience—it can affect your quality of life and may point to health concerns that require attention. The good news is that with consistent oral hygiene and professional dental care, most cases of halitosis are easily treatable.

At Amaze Dental in Kirkland , we understand how important a confident, healthy smile is to your everyday life. Our caring team offers comprehensive exams, gentle cleanings, and personalized treatment plans to address the root causes of bad breath. If you’ve been struggling with persistent halitosis, don’t wait any longer—fresh breath and peace of mind are just one appointment away.

Call Amaze Dental today or book your appointment online to take the first step toward a fresher, healthier smile.

Teeth Whitening: What You Need to Know Before Brightening Your Smile

Tue, 12 Aug 2025 00:18:09 GMT

Teeth whitening is one of the most common cosmetic questions that come up during dental visits. A whiter smile can boost your confidence, enhance your appearance, and give you a fresh, clean look. With so many whitening options available, from store-bought kits to professional treatments, it’s important to understand how whitening works, which option is best for you, and how to achieve safe, lasting results.

How Does Teeth Whitening Work?

Most whitening products use hydrogen peroxide or carbamide peroxide as active ingredients. These chemicals penetrate the enamel, the outermost layer of your tooth, and initiate an oxidation process. This reaction breaks apart the staining molecules within your enamel, dissolving or lifting them away to leave behind a whiter appearance.

The effectiveness of any whitening treatment depends on:

The strength of the peroxide
The duration of contact with your teeth
The depth of penetration into the tooth structure

What Causes Tooth Staining?

Tooth discoloration falls into two main categories:

1. Extrinsic Stain

These are surface-level stains caused by external factors such as:

Coffee, tea, wine, or dark-colored foods
Smoking or vaping
Poor oral hygiene
Extrinsic stains typically respond well to whitening treatments.

2. Intrinsic Stains

These originate within the tooth and are often caused by:

Natural aging
Trauma to the tooth
Certain medications (e.g., tetracycline)
Excessive fluoride exposure in childhood

Intrinsic stains are more resistant to whitening and may require more advanced cosmetic options, such as veneers or dental bonding.

Your Whitening Options: Pros and Cons

1. Over-the-Counter Whitening Products

Includes: Whitening strips, gels, toothpaste, or generic trays

Pros: Affordable, widely accessible, easy to use at home
Cons: Lowest peroxide concentrations; limited stain removal ability; no professional supervision; may cause uneven results or sensitivity

2. In-Office Professional Whitening

Performed by your dentist using high-concentration peroxide and often enhanced with a light or laser

Pros: Immediate, dramatic results in one visit; safe and supervised
Cons: Higher cost; potential for temporary sensitivity

3. Take-Home Professional Whitening Kits

Custom trays made by your dentist with prescription-strength gel

Pros: Gradual whitening with reduced sensitivity; customized fit; professional guidance
Cons: Requires consistent at-home application over 1–2 weeks

Important Considerations Before Whitening

Dental Restorations Don't Whiten

Whitening products do not change the color of crowns, veneers, fillings, or bonding — only natural enamel. If you have visible dental work, whitening can result in mismatched shades. Talk to your dentist about the best approach.

Who Should Avoid Whitening?

Children under 16
Pregnant or nursing women
Individuals with active tooth decay, gum disease, or extensive restorations
People with severe sensitivity or a history of enamel erosion

Always consult your dentist before starting any whitening treatment to ensure it’s safe and appropriate for your oral health.

Does Whitening Cause Sensitivity or Damage?

Teeth whitening is considered safe when supervised and performed correctly. However, temporary tooth sensitivity and mild gum irritation are common. This occurs due to temporary exposure of dentinal tubules during the whitening process.

Whitening also causes minor demineralization of enamel , which typically reverses quickly with saliva and fluoride exposure. Overuse or frequent bleaching, however, can weaken enamel over time — which is why it’s crucial to whiten in moderation.

How Long Do Whitening Results Last?

Whitening results can last anywhere from 6 months to 2 years , depending on your habits and oral care. To extend the effects:

Avoid staining foods and drinks
Practice excellent oral hygiene
Schedule or perform touch-up treatments as needed

Care Tips for Best Results

To reduce sensitivity and keep your smile bright:

Use sensitivity toothpaste 1 week before, during, and 1 week after treatment
Avoid staining agents (coffee, tea, wine, colored sauces) during and 48 hours after treatment — or use a straw
Do not smoke or vape
Maintain excellent oral hygiene
Rinse with water after meals or beverages
Avoid other dental procedures during your whitening period

Final Thoughts

Whitening can significantly improve tooth color, but results vary based on the original shade, type of staining, and your natural tooth anatomy. It won't turn teeth "Hollywood white," but it can brighten and refresh your smile noticeably.

Teeth whitening is a safe, effective way to enhance your smile when done properly. Whether you're considering an in-office procedure, a dentist-prescribed take-home kit, or a store-bought solution, understanding the differences — and the risks — will help you make an informed decision.

Always discuss whitening options with your dental provider to ensure it’s the right fit for your individual needs and to minimize any potential complications.

Ready to brighten your smile? Contact our office to schedule a whitening consultation — we’ll help you choose the right path to a whiter, healthier-looking smile.

Understanding Root Canals: What You Need to Know

Mon, 07 Jul 2025 17:33:51 GMT

A root canal is a common dental procedure designed to treat infected or damaged pulp tissue (the soft inner core of a tooth). Though it may sound intimidating, modern root canal therapy is a safe, effective way to preserve a tooth that might otherwise need to be extracted. It focuses on removing infection, relieving pain, and maintaining the natural structure of your tooth. Let’s explore what root canals are, when they’re needed, and how you can avoid them.

What Is a Root Canal?

At the center of each tooth is a pulp chamber filled with nerves, blood vessels, and connective tissue. When this tissue becomes infected or inflamed—often due to decay, trauma, or previous dental procedures—it can cause significant pain and compromise the health of the tooth.

A root canal involves removing the infected or damaged pulp tissue, cleaning and disinfecting the empty canals, and then sealing them with a special filling material, followed by a full or partial coverage crown. This process helps stop the spread of infection, eliminates pain, and extends the life of your natural tooth.

Why Would Your Dentist Recommend a Root Canal?

Your dentist may recommend a root canal if the pulp of your tooth is infected or irreversibly inflamed. This infection can stem from a variety of causes:

Deep Tooth Decay : When cavities are left untreated or when a previously treated tooth becomes reinfected, bacteria can invade the pulp tissue.
Trauma or Injury : Even without visible cracks or breaks, trauma to the tooth can damage the pulp and prevent the body from healing it naturally.
Previous Dental Procedures : Repeated treatments on the same tooth, overheating during dental work, or new infections can lead to pulp damage that requires intervention.

Common Symptoms That May Indicate a Need for a Root Canal

It’s important to recognize the signs of a potential infection before it worsens. Symptoms that may lead your dentist to recommend a root canal include:

Severe pain when chewing or biting
A pimple-like bump on your gums (often a sign of infection)
Chipped or cracked teeth, or unexplained tooth discoloration
Lingering sensitivity to hot or cold (especially if it lasts more than a few seconds)
Swollen or tender gums
Persistent pain, especially one that wakes you up at night or won’t go away during the day

If you're experiencing any of these symptoms, it’s essential to consult your dentist promptly.

Are Root Canals Painful?

One of the biggest myths about root canals is that they’re painful. In reality, the pain from an infected tooth is often far worse than the procedure itself. With modern anesthesia and techniques, a root canal is no more uncomfortable than getting a dental filling or a crown. You may experience some mild soreness afterward, but this is typically manageable and short-lived. Most patients report significant relief once the source of infection is removed.

Alternatives to a Root Canal

If your dentist determines that the pulp tissue cannot be saved, and you opt not to undergo a root canal, the only alternative is tooth extraction. While extraction removes the source of infection, it also creates the need for replacement options like dental implants, bridges, or dentures—each with their own cost and maintenance considerations. Preserving your natural tooth, when possible, is generally the best long-term option.

How to Avoid Needing a Root Canal

Prevention is the best medicine. Here’s how to reduce your risk:

Practice good oral hygiene : Brush twice daily and floss daily.
Visit your dentist regularly : Routine cleanings and X-rays help catch problems early before they reach the pulp.
Avoid dental trauma : Wear a protective mouth guard during contact sports or activities that risk injury to your teeth.

Final Thoughts

While the idea of a root canal might seem daunting, it’s considered a routine, highly successful treatment that can save your tooth and relieve serious discomfort. With proper care and attention to your oral health, you can minimize your risk—and keep your natural smile intact for years to come. Please do not hesitate to contact our office today if you have any related symptoms described above.

Our practice officially changed its name from Richard Bienenfeld, DDS to Amaze Dental

Sun, 01 Jun 2025 04:30:12 GMT

After an amazing journey as Richard Bienenfeld DDS with over 48 years of dedicated and exceptional dental care, we are beyond excited to reintroduce ourselves as Amaze Dental. It has been 8 months since the wonderful addition of Dr. Annie Mazure-Schmidt to our practice, and we could not be more excited for this transition!

Effective June 1st, 2025 , our practice officially changed its name from Richard Bienenfeld, DDS to Amaze Dental .

While the name changed, everything you’ve come to trust and love will stay the same — the same exceptional care, the same friendly team, and the same commitment to your dental health. This new name reflects our continued dedication to YOU and a constant reminder of how amazing you are to us.

O ur website, social media, email addresses, and other materials are reflecting these changes. We’re making this transition with the same care and consideration that we brought to Dr. Bienenfeld’s retirement — ensuring everything goes smoothly for our dental community.

So I am pregnant. How will this affect my dental appointments

Mon, 05 May 2025 15:00:00 GMT

First of all, congratulations! Pregnancy is a transformative time, filled with excitement, anticipation, and a whole lot of questions—especially when it comes to your health. Amidst all the prenatal appointments and baby preparations, one aspect that is sometimes overlooked is oral health. However, dental care during pregnancy is not just safe—it’s essential.

Pregnancy brings about a cascade of hormonal changes, many of which can directly impact your oral cavity. Understanding what to expect and how to adapt your dental care routine can help ensure a healthy mouth and a healthy pregnancy.

Hormones and Your Gums: Pregnancy Gingivitis

One of the most common oral health concerns during pregnancy is pregnancy gingivitis, which affects approximately 60–75% of pregnant women. This condition is primarily driven by hormonal changes that increase blood flow to the gum tissues, making them more sensitive and reactive to plaque and bacteria.

Symptoms of pregnancy gingivitis include:

Swollen or puffy gums
Bleeding during brushing or flossing
Gum tenderness or irritation
Gingival overgrowth in some cases

Although these symptoms can be concerning, pregnancy gingivitis is usually temporary and resolves after childbirth as hormone levels stabilize. However, to manage and minimize the effects, your dentist may recommend:

More frequent cleanings during pregnancy
Daily use of antimicrobial or fluoride rinses (check with your dentist before use)
Increased brushing and flossing diligence

If you notice symptoms like bleeding gums or persistent gum irritation, don’t ignore them—discuss them with your dental provider. Left untreated, gingivitis can progress into more serious gum disease, potentially affecting both your oral health and your overall well-being.

Dealing with Morning Sickness and Acid Exposure

Morning sickness is another hallmark of pregnancy, and for many women, it can persist well beyond the morning hours. Vomiting increases the amount of acid in your mouth, which can erode tooth enamel over time.

Dental Tip: Avoid brushing your teeth immediately after vomiting. The acidic environment softens enamel, and brushing too soon can lead to enamel erosion. Instead, rinse your mouth with water or a mild mouth rinse first, and wait at least 30 minutes before brushing.

Navigating Dental Appointments During Pregnancy

Routine dental care—including cleanings and exams—is completely safe during pregnancy and is even encouraged. However, there are some important precautions and modifications to consider:

Inform your dentist that you are pregnant and how far along you are.
X-rays are generally postponed unless absolutely necessary. If they are needed for proper diagnosis, your provider will ensure the lowest possible radiation exposure. Modern digital X-rays emit very low levels of radiation—comparable to the amount of radiation you’d receive on a short airplane flight.
Avoid elective treatments (like cosmetic procedures or teeth whitening) during the first and third trimesters unless they’re urgent.
Nitrous oxide (laughing gas) is typically avoided, especially during the first trimester.

Your dentist will tailor your treatment plan based on your individual risk factors and needs.

Vitamin D and Calcium Consumption During Pregnancy for Dental Health

Maintaining adequate levels of vitamin D and calcium during pregnancy is essential not only for fetal bone development but also for protecting the mother’s dental health. These nutrients play a critical role in maintaining the strength of teeth and bones.

Calcium helps build the baby’s teeth and bones, and if dietary intake is insufficient, the body may draw calcium from the mother’s bones and teeth, potentially weakening them and increasing the risk of tooth decay and gum disease.
Vitamin D enhances calcium absorption and contributes to mineralization of the teeth. It also has anti-inflammatory properties that may help reduce the risk of periodontal (gum) disease, which pregnant women are more susceptible to due to hormonal changes.

Recommended intake:Calcium:

1,000 mg/day for pregnant women aged 19–50.
Vitamin D: 600 IU/day, though some healthcare providers may recommend more depending on blood levels.

Good dietary sources include:

Calcium: Dairy products, leafy greens, fortified plant milks, almonds.
Vitamin D: Fatty fish (like salmon), fortified foods (milk, cereals), and moderate sun exposure.

In some cases, supplements may be necessary to meet these nutritional needs—always consult a healthcare provider before starting any supplementation.

What About Fluoride?

The use of fluoride during pregnancy often sparks questions. Fluoride plays a key role in strengthening enamel and preventing decay. Even more, the fluoride that a mother ingests can reach the developing baby through the placenta, potentially contributing to the strength of your child’s future teeth.

However, fluoride needs can vary depending on your local water supply and your personal dental health. It’s best to discuss fluoride intake with your dentist, especially if you’re considering supplements or if your water source lacks adequate fluoride levels.

Premature Birth and Gum Disease

Emerging research has highlighted a significant connection between gum disease (periodontal disease) and pregnancy complications, particularly premature birth. Pregnant individuals with moderate to severe gum disease may have an increased risk of delivering prematurely (before 37 weeks of gestation) or having a baby with low birth weight.

The suspected mechanism involves the bacteria responsible for gum infections entering the bloodstream and triggering systemic inflammation. This inflammation may affect the placenta and contribute to early labor. Additionally, elevated levels of inflammatory markers like prostaglandins and cytokines—often present in periodontal disease—are also known to be involved in the labor process.

Why Dental Health Matters More Than Ever

During pregnancy, your immune system shifts and your body becomes more vulnerable to infections—including oral infections. The mouth is a gateway to your body, and unchecked gum disease or decay can potentially affect your overall health and even pregnancy outcomes.

That’s why regular dental cleanings and addressing issues like decay or infection are more important than ever. These steps can reduce harmful bacteria in your mouth and help prevent complications.

Conclusion

Pregnancy is a beautiful and busy time, and taking care of your smile is a vital part of your overall health. Stay on top of your dental appointments, communicate openly with your provider, and don’t hesitate to ask questions. Your oral health affects both you and your baby, and a healthy mouth is one more step toward a healthy pregnancy.

Congratulations again—we’re here to support you every step of the way!

Sleep Apnea: The silent threat to your health

Tue, 08 Apr 2025 16:24:00 GMT

In recent years, sleep apnea has become a highly discussed topic in the medical community. With the growing body of evidence showing its potential long-term effects and life-threatening risks, sleep apnea is a condition that more people need to be aware of.

This common but often undiagnosed disorder refers to a range of sleep-related conditions where the body’s ability to receive adequate oxygen during sleep is impaired. This can occur due to a blockage in the airway or a failure in the brain’s signaling to breathe properly. There are three main types of sleep apnea: obstructive sleep apnea, central sleep apnea, and complex sleep apnea.

Types of Sleep Apnea

Obstructive Sleep Apnea (OSA) is the most prevalent form of sleep apnea, accounting for a significant percentage of cases. This type occurs when there is a physical obstruction or restriction in the airway, which may be partial or complete. The blockage prevents the free flow of air into the lungs, resulting in breathing interruptions throughout the night. These disruptions, known as apneas, can last for several seconds or even minutes, depriving the brain of oxygen and causing the individual to wake up temporarily to reopen the airway. While the person may not remember waking up, the fragmented sleep severely impacts their ability to reach deep, restorative stages of sleep, particularly REM (rapid eye movement) sleep.
Central Sleep Apnea is a rarer form, and it occurs when the brain fails to send the proper signals to the muscles responsible for breathing. Unlike OSA, where the airway is blocked, central sleep apnea is a result of the brain’s inability to detect low oxygen levels and activate the respiratory muscles. This can lead to irregular breathing patterns and intermittent periods of apnea during sleep.
Complex Sleep Apnea is a combination of both obstructive and central sleep apnea. Individuals with complex sleep apnea experience both a blocked airway and a failure in brain signaling, making their condition more complicated to diagnose and treat.

Prevalence and Risk Factors

It is estimated that at least 25% of the population may have some form of sleep apnea, with Obstructive Sleep Apnea (OSA) being the most common. This form of sleep apnea can be triggered or worsened by various factors such as aging, obesity, smoking, and nasal congestion. In addition, enlarged tonsils or adenoids, a narrow dental arch, tongue tie, and a deviated septum can also contribute to airway restriction. When these factors combine, they reduce the space in the upper airway, leading to apneic events and disrupted sleep.

Obstructive Sleep Apnea is particularly concerning because it not only deprives the brain of vital oxygen, but it also causes intermittent arousals throughout the night, which can severely hinder the body’s ability to enter restorative sleep cycles. As a result, people suffering from OSA may experience chronic fatigue and other health issues, including high blood pressure, heart disease, stroke, type 2 diabetes, and a significantly shortened lifespan.

Common Symptoms of Sleep Apnea

Recognizing the symptoms of sleep apnea is crucial for early detection and treatment. Many people with sleep apnea are unaware of the severity of their condition, as the most disruptive events occur during sleep. However, there are several common symptoms that can indicate the presence of sleep apnea. If you or someone you know experiences any of the following, it’s important to consult with a healthcare provider for a proper diagnosis:
Loud Snoring: One of the most recognizable symptoms of obstructive sleep apnea is loud, persistent snoring. This occurs when the airway becomes partially blocked, causing vibrations in the throat tissues. While not everyone who snores has sleep apnea, loud snoring is often a red flag, especially if it is followed by periods of silence or gasping.
Pauses in Breathing: People with sleep apnea often experience pauses in their breathing while asleep. These pauses can last for several seconds or even minutes and are followed by gasps or choking sounds as the body attempts to restart breathing. These interruptions may not always be noticed by the person experiencing them but are often observed by a bed partner.
Excessive Daytime Fatigue: Due to the frequent interruptions in sleep caused by breathing pauses, individuals with sleep apnea often feel excessively tired during the day, even after what seems like a full night’s rest. This persistent fatigue can affect concentration, memory, and overall cognitive function.
Morning Headaches: Waking up with a headache is another common symptom of sleep apnea. The lack of oxygen during sleep can lead to changes in blood pressure and carbon dioxide levels in the blood, contributing to morning headaches.
Difficulty Staying Asleep: People with sleep apnea may have trouble staying asleep due to the frequent waking episodes caused by apneas. This leads to fragmented sleep, making it difficult for the body to achieve restorative deep sleep stages.
Dry Mouth or Sore Throat: Waking up with a dry mouth or sore throat is common among those with sleep apnea, especially if they breathe through their mouth during sleep. The airflow restriction and dry environment can irritate the throat, leading to discomfort in the morning.
Irritability or Mood Changes: Poor sleep quality and constant fatigue can lead to mood swings, irritability, or even depression. When the brain is deprived of essential restorative sleep, emotional regulation can be significantly affected.
Difficulty Concentrating: Chronic sleep deprivation from sleep apnea can impair focus, memory, and overall cognitive function. This can make everyday tasks, like work or driving, more challenging and potentially dangerous.
Frequent Nighttime Urination (Nocturia): Some individuals with sleep apnea may experience the urge to urinate frequently during the night, known as nocturia. This can disrupt sleep further and may be related to changes in hormone levels or increased stress on the cardiovascular system caused by apneic events.

Potential Health Consequences

When left untreated, sleep apnea can cause a wide range of serious long-term health complications. Studies have linked untreated OSA to a higher risk of cardiovascular diseases, including hypertension, heart attack, and stroke. Furthermore, sleep deprivation due to disrupted breathing can weaken the immune system, affect cognitive function, and contribute to mental health conditions such as depression and anxiety. The lack of oxygen during sleep can also exacerbate existing conditions like diabetes, making it more difficult to manage blood sugar levels effectively.

Treatment Options

Fortunately, sleep apnea is a treatable condition, and there are various options available depending on the severity and cause of the disorder. Common treatments for obstructive sleep apnea include:
Tonsil and adenoid removal: This may be recommended for individuals with enlarged tonsils or adenoids that are obstructing the airway.
Laser tissue surgery: Used to remove excess tissue that might be blocking the airway.
Orthodontics: For patients with a narrow dental arch, orthodontic treatments can help reposition the jaw and improve airflow.
Sleep appliances: Devices such as mandibular advancement devices (MADs) can reposition the lower jaw to keep the airway open.
CPAP therapy: The most widely used treatment for OSA, Continuous Positive Airway Pressure (CPAP) uses a machine to deliver a steady stream of air into the airway to keep it open during sleep.
Tongue release surgery: For patients with tongue tie that may be restricting airflow, a tongue release procedure may be recommended.
- Septal surgery: This is an option for those with a deviated septum contributing to airflow obstruction.
Weight management: Maintaining a healthy weight can significantly reduce the severity of sleep apnea, as excess weight can worsen airway restriction.

Each individual’s treatment plan will depend on the underlying cause of their sleep apnea. It’s essential to consult with your healthcare provider to determine the most appropriate course of action.

Diagnosis of Sleep Apnea

If you suspect you may have sleep apnea, the first step is to talk to your medical or dental provider. Diagnosis typically involves a sleep study , which can be done at home or in a sleep clinic. During the study, doctors monitor various factors such as oxygen levels, heart rate, and brain activity to assess the severity of the condition. Based on their findings, more imaging may be required to evaluate possible anatomical concerns. A diagnosis is crucial in determining the best treatment options.

Conclusion

Sleep apnea is a serious condition with potentially life-threatening consequences if left untreated. However, with proper diagnosis and treatment, individuals can improve their quality of life and reduce the risks associated with this sleep disorder. If you or someone you know is struggling with symptoms of sleep apnea—such as loud snoring, daytime fatigue, or difficulty concentrating—consulting with a healthcare provider is the first step toward finding relief. Don’t wait to ask about your risk today!

Why do I wake up with Headaches? Understanding TMJ and TMD

Mon, 10 Mar 2025 17:00:00 GMT

The Temporal Mandibular Joint (TMJ) is a vital part of your jaw that allows movement of the lower jaw. It is a hinge that connects your lower jaw to the temporal bones of your skull, located in front of your ears. This joint is essential for functions like chewing food, speaking, and other everyday activities. However, when something goes wrong with this joint or the surrounded muscles or ligaments, it can lead to a condition known as Temporal Mandibular Dysfunction (TMD), which can significantly affect your daily life. It is estimated to affect 5-12% of the general adult population, with women having 2x prevalence to men.

What is TMD?

TMD is an ailment caused by chronic or acute inflammation of the TMJ. Several factors can lead to TMD, including general wear and tear, overuse of the jaw, clenching, grinding, malocclusion (misalignment of the teeth), injury, arthritis, autoimmune disease, stress, or trauma. TMD can prevent your jaw from functioning correctly, making it difficult to speak, chew, or perform other essential activities.

The most common cause of TMD is overuse of the jaw, often linked to unconscious jaw movement during sleep. Many people with TMD only experience jaw movement while they’re sleeping, as a means of releasing tension. In cases involving sleep apnea, it may also be the body’s response to trying to increase oxygen intake during apneic events (periods of breathing cessation during sleep). Because these occurrences are often at night, many people go undiagnosed for years, unaware that they’re unknowingly contributing to the issue.

Common Symptoms of TMD

If you are suffering from TMD, you may experience a variety of symptoms, including:Pain while chewing or soreness in the jaw
Clicking or popping sounds when opening or closing the mouth
Locked jaw or difficulty opening your mouth
Tension headaches or migraines

Since many people only experience symptoms while asleep, TMD often goes undiagnosed until significant damage has already occurred to the joint, teeth, or overall jaw function. If you are experiencing any of these symptoms, it’s crucial to consult with a dental professional.

Diagnosis and Treatment

Every person diagnosed with TMD requires a thorough evaluation by a professional to determine the best course of action for reducing symptoms and preventing further damage to the TMJ. For some patients, it’s essential to evaluate for sleep apnea, as clinical studies have shown that undiagnosed sleep apnea can lead to an increase in episodes when using a night guard appliance. This happens because the appliance can restrict space in the mouth, potentially making it harder to breathe adequately during sleep.

First Line of Defense

The first steps in managing TMD include:Night Guard Appliance: A custom-fitted guard worn at night to reduce grinding and clenching.
Day Guard: Similar to a nightguard but worn during the day to protect the jaw during daytime stress.
Soft Food Diet: Reduces the pressure on jaw muscles by minimizing the effort required to chew food.
Cold Compress: Applying a cold compress to the TMJ area can reduce inflammation. Use for 20 minutes on and off.
Muscle Relaxers: These can help reduce muscle tension but should only be used under the supervision of a doctor. (Avoid operating heavy machinery while on these medications.)
Nonsteroidal Anti-inflammatory Drugs (NSAIDS): An effective over-the-counter medication to manage inflammation and relieve pain.

Second Line of Defense (Non-Surgical Approach)

If the initial treatments do not resolve the symptoms, you may need further interventions:Physical Therapy: Helps patients perform daily exercises to reduce symptoms and change habits that may be exacerbating the problem.
Acupuncture: Inserting thin needles into muscles around the TMJ to reduce inflammation and promote circulation.
TMD Specialist: If necessary, a specialist may evaluate you for potential surgical options.
Sleep Apnea Appliance: Similar to a nightguard, this appliance positions the jaw to reduce apneic events during sleep, improving breathing.
Trigger Point or Botox Therapy: Injections that reduce the muscles' ability to contract, which can help alleviate pain and discomfort. The effects usually last 3-4 months, depending on usage.
Transcutaneous Electrical Nerve Stimulation (TENS): low-level electrical currents to relax muscles.

Third line of Defense (Surgical Approach)

If non-surgical treatments are unable to resolve symptoms, surgical interventions may be necessary:Arthrocentesis: In-Direct Fluid removal and cleansing of the Jaw Joint through a needle injection.
TMJ Arthroscopy: In-Direct reshape bone, remove scar tissue, or reposition disk through a tiny tube with light and a camera
Open-Joint Surgery: Direct access to the jaw joint to reshape bone, remove scar tissue, or reposition the disk.

Take Action!

If you’re experiencing any symptoms of TMD, it’s essential to talk to your dental professional for a proper diagnosis and treatment plan. Early intervention can help prevent further damage to your TMJ and ensure that you can continue to enjoy the essential functions of speaking and chewing without pain. TMD is a manageable condition, and with the right treatment, you can lead a pain-free life!
Remember, the sooner you seek help, the easier it will be to manage the symptoms and protect your jaw from permanent damage. Don’t wait—talk to your dentist about TMD today!

Oil Pulling: An Ancient Remedy for Modern Oral Health?

Mon, 10 Feb 2025 02:58:00 GMT

In recent years, oil pulling has gained popularity, largely thanks to social media influencers who document their experiences with the practice. While the trend is relatively new in the public eye, oil pulling itself is far from a modern phenomenon.

Originating thousands of years ago in ancient India, oil pulling was used as a natural remedy to improve oral health by whitening teeth, freshening breath, and reducing the buildup of harmful bacteria in the mouth. In today’s world of modern medicine and advanced dental care, oil pulling is seen as a homeopathic approach to maintaining oral hygiene, one that avoids the synthetic ingredients commonly found in mass-market products. But does it actually work? Let’s dive into the history, practice, and potential benefits of oil pulling to find out whether it’s a valuable addition to your daily dental routine.

The History of Oil Pulling: An Ancient Indian Remedy

Oil pulling is not a new concept. It has deep roots in Ayurvedic medicine, a system of traditional medicine that dates back over 3,000 years in India. In Ayurveda, oil pulling was practiced as a way to balance the body’s elements, reduce toxins, and improve overall health. This method was thought to purify the body by pulling impurities from the mouth and helping detoxify the bloodstream, thus supporting overall wellness.

While the primary focus was oral health, oil pulling was also believed to support general well-being by stimulating the production of saliva, which contains enzymes that assist with digestion and immunity. Over time, the practice evolved into an important part of daily hygiene in some cultures.

How Does Oil Pulling Work?

The process of oil pulling is simple, yet effective. To begin, you place about one tablespoon of oil into your mouth. Popular oils for this practice include olive oil, coconut oil, sesame oil, and sunflower oil. While any oil can technically be used, coconut oil is often favored for its mild taste, natural antimicrobial properties, and the added benefit of being rich in antioxidants.

Once the oil is in your mouth, you gently swish it around, making sure it coats your teeth, gums, and the roof of your mouth. You should aim to do this for 15-20 minutes, swishing and pushing the oil through the gaps between your teeth and all around your mouth. It’s best to perform oil pulling first thing in the morning on an empty stomach, as this maximizes the effect of the oil on bacteria and plaque buildup.

After 15-20 minutes, you should spit the oil out into the garbage. It’s crucial not to spit it into the sink, as the oil can solidify and cause a clog over time. It’s also important to avoid swallowing the oil, as it will have absorbed bacteria and impurities from your mouth during the process.

Once the oil is out, you should follow up with brushing your teeth to ensure that any remaining bacteria and oil residue are thoroughly cleaned from your mouth.

Why Oil Pulling?

The main idea behind oil pulling is that the oil helps to remove harmful bacteria, plaque, and other debris from the teeth and gums, promoting a healthier mouth. During the swishing process, the oil mixes with saliva and is believed to "pull" bacteria from the mouth. The act of swishing also stimulates the production of saliva, which helps to neutralize acids in the mouth and supports overall oral health.

Most importantly, oil pulling provides a more natural alternative to chemical-laden mouthwashes and oral care products. This has made it a popular option for those looking to avoid artificial additives, preservatives, and sweeteners commonly found in commercial dental products.

The Oils Used in Oil Pulling

While the process itself remains the same, the type of oil you choose can vary. Here's a quick look at the most popular oils used in oil pulling and the benefits associated with each:

Coconut Oil: Known for its antimicrobial properties due to the presence of lauric acid, coconut oil is a favorite among those practicing oil pulling. Its mild taste and soothing texture make it easy to swish around the mouth. Studies have shown that coconut oil can reduce levels of Streptococcus mutans , a bacteria associated with tooth decay.
Olive Oil: Olive oil is another popular choice due to its anti-inflammatory and antioxidant properties. It also has the added benefit of being rich in vitamins and minerals that support oral and overall health.
Sesame Oil: Traditional Ayurvedic medicine often recommends sesame oil for oil pulling. It's known for its antibacterial properties and high vitamin E content, which helps to promote gum health.
Sunflower Oil: Like sesame oil, sunflower oil is a natural choice for oil pulling. It’s a mild option and contains vitamin E, which contributes to healthier gums and teeth.

Oil Pulling and Its Potential Benefits

Oil pulling, as mentioned earlier, is a practice with ancient roots, and modern enthusiasts claim a range of benefits. But do these benefits hold up under scientific scrutiny? While there is still limited research on the long-term effects of oil pulling, early studies suggest that it may indeed offer some advantages for oral health.

Reduction in Oral Bacteria: Several studies have found that oil pulling can reduce the presence of harmful bacteria in the mouth, including Streptococcus mutans , which is closely linked to tooth decay and cavities. Research published in the Journal of Clinical and Diagnostic Research found that oil pulling with coconut oil resulted in a significant reduction in the number of bacteria in the mouth after just two weeks of regular use.
Gum Health: Oil pulling may also support healthier gums. The practice of swishing oil around in your mouth helps stimulate the production of saliva, which contains enzymes that aid in the healing of irritated or inflamed gums. Some people have reported improvements in gum health after incorporating oil pulling into their daily routine.
Fresh Breath: Because oil pulling reduces bacteria in the mouth, it can also help freshen your breath. By minimizing the growth of bacteria that cause bad breath (halitosis), oil pulling can leave your mouth feeling cleaner and fresher.
Alternative to Chemical Mouthwashes: Many over-the-counter mouthwashes contain alcohol, which can dry out the mouth and cause irritation, especially for those with sensitive oral tissues. Oil pulling provides a natural alternative that avoids these harsh chemicals, offering a gentler, more holistic way to maintain oral hygiene.

What Does Oil Pulling NOT Do?

Despite the positive findings in some studies, oil pulling should not be considered a miracle cure for all oral health issues. There is no significant evidence to suggest that oil pulling can whiten teeth in a way that is comparable to professional treatments or whitening products.
Additionally, while oil pulling can reduce the bacterial load in your mouth, it is not a substitute for professional dental care. It has not been shown to remove or treat infections, and it should not be used as a treatment for gum disease or other serious oral conditions.

Oil Pulling in Your Dental Routine

So, should you incorporate oil pulling into your daily oral hygiene routine? While it’s not a replacement for brushing and flossing, oil pulling can be a beneficial addition to your routine, especially if you are looking for a natural, homeopathic option to improve oral health.

It’s important to note that oil pulling is not a substitute for regular visits to your dentist. Professional cleanings, fluoride treatments, and check-ups are essential for maintaining optimal oral health. However, for those looking for a gentle, natural way to enhance their oral hygiene regimen, oil pulling can provide benefits in terms of bacterial reduction, fresher breath, and healthier gums.

The Verdict: Is Oil Pulling Right for You?

In conclusion, oil pulling is an ancient practice that can certainly play a role in promoting oral health when used alongside regular brushing and flossing. While more research is needed to fully understand its long-term effects, current studies show that oil pulling may offer benefits such as reducing bacteria in the mouth and promoting gum health. However, it should not be relied upon as the sole method for maintaining oral hygiene or treating dental problems.

If you're considering trying oil pulling, it’s always a good idea to consult with your dentist first to ensure it's a safe and beneficial addition to your routine. Whether you choose coconut oil, sesame oil, or any other oil, make sure to follow the process correctly, and continue to maintain a comprehensive dental care routine that includes regular brushing, flossing, and professional cleanings.

Next time you’re in for your dental cleaning, be sure to ask your dentist about their thoughts on oil pulling and whether it could be a good fit for you. They can provide personalized advice based on your oral health needs and help guide you toward the best options for a healthy smile.

Understanding Dental Resorption: What You Need to Know

Mon, 06 Jan 2025 16:00:00 GMT

Resorption is a natural but sometimes problematic process where the body's own cells break down and absorb the hard tissues of the tooth. While it’s often linked to trauma, infection, or orthodontic treatments, resorption can also occur spontaneously.

There are two primary types of resorption: external and internal. Both can lead to significant dental issues if not detected and managed early. The rate of resorption can vary widely, but can progress rapidly, making routine dental visits and radiographs all that more important. In this blog post, we’ll explore the differences between these two types and what they mean for dental health.

What Is Resorption?

Resorption refers to the progressive destruction of the tooth’s root structure, which can compromise the tooth’s integrity and function. The process involves the abnormal activation of specialized cells called osteoclasts, which are responsible for resorbing (or breaking down) bone and tooth structure. In normal circumstances, resorption helps in the natural shedding of deciduous (baby) teeth to make way for permanent teeth. However, when it occurs in permanent teeth, it can lead to serious dental problems, such as weakening or early tooth loss.

External Resorption

External resorption occurs when the resorptive process originates from the outside of the tooth. This type of resorption is often linked to external factors, such as:

Trauma or injury: A blow to the tooth can cause damage to the periodontal ligament and the surrounding bone, leading to resorption of the root from the outside. Think sport trauma, car accident, or fall.
Orthodontic treatment: Although rare, prolonged or aggressive orthodontic treatment can cause pressure on the tooth, leading to external resorption.
Infection or inflammation: When a tooth becomes infected or inflamed, the body’s immune response can result in the activation of resorptive cells, which start breaking down the root.
Cyst or tumor: The presence of a cyst, tumor, or abnormal growth near a tooth can also lead to external resorption.

Externally resorbed teeth are often asymptomatic, but may show visible signs, such as a shortened root, irregular root or hallowed-out root, often detected by radiographs. In some cases, the resorption process may be so advanced that the tooth may become loose or even fall out. Treatment typically involves addressing the underlying cause (e.g., infection, trauma), and in severe cases, the tooth may need to be extracted.

Internal Resorption

In contrast, internal resorption begins within the tooth itself. This type of resorption is less common but can be just as serious. Internal resorption occurs when the pulp tissue (the soft inner part of the tooth) becomes inflamed or infected, leading to resorption of the tooth’s dentin and sometimes even the cementum.

Several factors can trigger internal resorption, including:

Trauma or injury: A blow to the tooth may not just affect the root externally; it can also cause internal damage to the pulp, leading to resorption.
Infection or abscess: Bacterial infection that reaches the pulp tissue can initiate an inflammatory response, causing internal resorption to progress.
Tooth decay: Advanced cavities can eventually reach the pulp, causing infection and, ultimately, internal resorption.
Orthodontic forces: Though less common, excessive or improper pressure from orthodontic braces may cause internal resorption.

Internal resorption is often painless in its early stages, but it can result in the tooth becoming structurally compromised and prone to breaking. Patients can sometimes see a pinkish hue due to the vascularization of resorptive tissue from the pulp. Dentists can often detect resorption through routine X-rays. In some cases, the resorption may progress rapidly, leading to the need for root canal treatment or even tooth extraction if the damage is severe.

Conclusion

Both external and internal resorption can lead to serious dental complications if not addressed promptly. While external resorption is often caused by trauma, infections, or external forces like orthodontic treatment, internal resorption tends to be a consequence of internal injury or infection to the pulp. Early detection through regular dental check-ups and X-rays is key to managing both types of resorption. One fundamental aspect providers look for to identify resorption is through changes in the tooth’s structure overtime to distinguish resorption from unique tooth structure or a carious lesion.

If you notice any signs such as tooth discoloration, discomfort, or loose teeth, it’s important to consult with your dentist for evaluation and appropriate treatment.

By understanding the causes and treatment options for both types of root resorption, patients can be better prepared to preserve their teeth and maintain good oral health for years to come.

Sudden Tooth Pain? Learn How to Treat Sensitive Teeth Effectively!

Fri, 06 Dec 2024 20:46:00 GMT

Experiencing a sudden flash of pain or a mild tingling sensation when biting into sweet or sour foods or sipping hot or cold beverages? You may be dealing with sensitive teeth. This discomfort can be intermittent; however, if you’re experiencing constant pain, it could indicate a more serious underlying issue. It’s essential to discuss your symptoms with your dentist to identify the cause and find the appropriate treatment.

What Causes Tooth Sensitivity?

Sensitive teeth are often a result of exposed dentin. In healthy teeth, this porous tissue is protected by the gums and the hard enamel layer. Microscopic holes in the dentin, known as tubules, connect to the nerves within the tooth. When these tubules are exposed to certain foods or beverages, irritation occurs, triggering pain. Common causes of dentin exposure include:

Receding Gums: Often caused by improper brushing techniques or gum disease.
Fractures or Chipped Teeth: Damage can expose sensitive areas of the tooth.
Teeth Clenching or Grinding: These habits wear down enamel, exacerbating sensitivity.

If you’re experiencing tooth sensitivity, consult your dentist about the various treatment options available to help alleviate discomfort.

The Role of Fluoride in Preventing Tooth Decay and Sensitivity

Tooth enamel, the hard outer layer of your teeth, is composed of tightly packed mineral rods. When you consume food, acids can form and seep into the enamel’s pores, leading to demineralization. This process creates weak spots in the enamel, which, if left unaddressed, can result in tooth decay and cavities. When a cavity forms, a dental filling may be required. Allowing decay to progress can lead to nerve penetration, potentially resulting in an abscess and necessitating root canal treatment.

How Fluoride Helps

Fluoride is a vital mineral that helps prevent tooth decay by:

Slowing Enamel Breakdown: It strengthens the enamel and makes it more resistant to acid attacks.
Enhancing Remineralization: Fluoride speeds up the process of remineralizing weakened enamel, helping to repair early signs of decay.

Common sources of fluoride include

Fluoridated Drinking Water
Toothpaste with Fluoride
Fluoride Mouthrinse

If you drink non-fluoridated water, inform your dentist, as they can recommend prescription fluoride alternatives to ensure you’re receiving adequate protection against tooth decay.

Concerns About Fluoride

Like many nutrients, fluoride is found naturally in soil, water, and various foods. While fluoride is generally recognized as safe for dental use when applied correctly and in appropriate quantities, some concerns exist. Excessive use of fluoride has been linked to dental fluorosis, skeletal fluorosis, neurological issues, and thyroid problems. Studies have shown that with proper technique and use, fluoride can effectively reduce cavity prevalence. However, it is crucial to avoid regularly swallowing fluoride mouth rinse or toothpaste, as these products contain higher concentrations of fluoride.

It is recommended to limit fluoride levels to 0.7 mg per liter of water. As with any substance, excess intake or exposure can be harmful. Drinking fluoridated water and using prescription fluoride have been proven beneficial in reducing cavities especially in young children or adults with high risk for cavities. As dental providers, we respect our patients' choices regarding fluoride use, but we also recognize the positive effects it can have on long-term dental health when utilized properly. If you have any questions or concerns, your dentist will be able to provide you in-depth information.

Conclusion

Sensitive teeth can be a frustrating issue, but understanding the causes and seeking appropriate treatment can help alleviate discomfort. Additionally, incorporating fluoride into your dental care routine is essential for maintaining strong enamel and preventing tooth decay. Regular visits to your dentist are crucial for monitoring your oral health and addressing any concerns early on. If you experience tooth sensitivity or have questions about fluoride, don’t hesitate to reach out to your dental provider!

Understanding Mouth Sores: Types, Causes, and Relief

Fri, 08 Nov 2024 06:57:00 GMT

Mouth sores are a common issue that many people face, leading to pain and uncomfortable feelings. It is important to understand the various types and causes to ensure individuals can manage them effectively. We’ll delve into the most prevalent types of mouth sores—canker sores and cold sores—along with some additional causes and tips for relief.

Canker Sores

Canker sores, or aphthous ulcers, are small, painful sores that develop inside the mouth, typically on the cheeks, tongue, gums, or the floor of the mouth. They are usually identified as small circular reddish swellings covered by a thin white layer. Their size can vary from a pinhead to a pea, and they are often quite tender.

Causes:

Canker sores can be triggered by a variety of factors, including:

Stress: Emotional or physical stress is a significant contributor.
Tissue Damage: Any injury to the mouth can result in an outbreak.
Dietary Choices: Certain foods—especially spicy, acidic, or abrasive ones—can exacerbate symptoms.

While canker sores are not contagious, they can recur frequently, with about 20% of the population experiencing recurrent episodes. Generally, the healing period typically takes 8-10 days.

Prevention and Management:

Dietary Adjustments: Avoid nuts, chocolates, citrus juices, and abrasive snacks like potato chips and pretzels, which can irritate the sore.
Gentle Oral Care: Be cautious while brushing teeth or using utensils to avoid further irritation. A gentle non-alcohol based mouth rinse or warm salt water rinse can help to remove plaque or debris without causing added discomfort.
Pain Relief: Consult your dentist or pharmacist for recommendations on topical treatments or over-the-counter pain relief options.

Cold Sores

Cold sores, also known as fever blisters, appear as fluid-filled blisters around the lips and can sometimes extend to the chin or under the nose. Many people experience a tingling or burning sensation before the sore becomes visible. Unlike canker sores which develop inside the mouth, cold sores usually appear around the lips, or outside of the mouth.

Causes:

Cold sores are caused by the Herpes simplex virus type 1 (HSV-1), which can remain dormant in the body. Factors that can trigger a breakout include:

Stress and Illness: Physical and emotional stress can activate the virus.
Sunlight Exposure: Excessive sun can lead to outbreaks.
Hormonal Changes: Menstruation or hormonal fluctuations may also play a role.

About 80% of the population has been infected with the virus at some point, leading to occasional outbreaks. Once a person has had an outbreak the virus will remain dormant until a trigger causes the virus to cause an outbreak.

Prevention and Management:

Sun Protection: Limit sun exposure and use lip balm with SPF.
Hygiene Practices: Keep the area clean and avoid sharing utensils or engaging in close contact during an outbreak to prevent transmission.
Pain Relief: Similar to canker sores, consult with a healthcare professional for suitable pain relief options.

Other Mouth Sores

Mouth sores can also arise from injuries or trauma, such as those caused by braces or ill-fitting dentures. These sores may not fit neatly into the categories of canker or cold sores but can still be quite painful.

Management:

To alleviate discomfort from these types of sores:

Use protective oral gels or mouth rinses that can help soothe irritation and promote healing.
Maintain good oral hygiene to prevent secondary infections.

Oral Cancer Awareness

It’s crucial to monitor mouth sores, much like you would track a fever. Pay special attention to any sores that develop, particularly those located under the tongue or on the sides of the tongue. While many sores will heal within a couple of weeks, if you notice a sore that persists for more than 14 days without signs of healing, it’s important to seek an evaluation from your dental provider.
Oral cancer can present as sores or lesions that do not improve, and early detection is key to successful treatment. Regular self-exams and being aware of changes in your mouth can make a significant difference in outcomes.

Conclusion

While mouth sores can be a nuisance, understanding the differences between canker sores and cold sores, along with recognizing other potential causes, can empower you to manage and mitigate discomfort effectively. Additionally, staying vigilant about any persistent sores can aid in early detection of more serious conditions like oral cancer. If you experience frequent or particularly painful sores, or if you notice a sore that doesn't heal, it’s advisable to consult a healthcare professional for tailored advice and treatment options. Remember, a proactive approach to oral health can go a long way in preventing and managing mouth sores!

Building Healthy Oral Hygiene Habits as a Family

Mon, 07 Oct 2024 15:00:00 GMT

Oral hygiene is more than just brushing your teeth; it’s a cornerstone of overall health that benefits everyone in the family. With billions of bacteria residing in our mouths—some good and some harmful—it’s crucial to establish and maintain effective oral care routines. By fostering healthy habits together, families can create a culture of wellness that lasts a lifetime.

Why Family Involvement Matters

Instilling good oral hygiene habits early can set the foundation for lifelong health. Children learn best by following adults, so incorporating oral care into family routines not only makes brushing fun but also reinforces the importance of these practices. Engaging in this daily ritual as a family can strengthen relationships while ensuring everyone is on the same page regarding dental health.

Creating a Fun Routine

Set a Schedule. Establishing specific times for brushing—ideally twice a day, after breakfast and before bed—helps turn oral care into a routine. Make it a family event! Consider singing a song or using a timer to ensure everyone brushes for the recommended two minutes.
Brush Together. Use family brushing time to model proper techniques. Encourage kids to watch and mimic your movements. Make it enjoyable by choosing colorful toothbrushes or fun-flavored toothpaste. This makes the experience less of a chore and more of a bonding activity.
Use Tools Wisely. Teach your family how to brush effectively:

Angle and Motion: Position your electric toothbrush at a 45-degree angle toward the gum line, or if using a manual brush, use gentle circular motions.
Light Pressure: Emphasize using light pressure to avoid damaging enamel or gums. Explain that brushing harder doesn’t mean cleaner teeth.

Educating on Oral Health

Discuss the Importance of Oral Hygiene. Talk to your children about why oral health matters. Explain how bacteria can lead to cavities and gum disease, and the role of brushing in keeping their smiles healthy. This not only educates them but also empowers them to take responsibility for their own oral care.
Introduce Additional Practices. Beyond brushing, integrate other oral hygiene practices into your family routine which are essential for removing food particles and plaque between teeth where toothbrushes cannot reach:

Flossing: Teach kids how to floss properly, emphasizing its importance in removing food particles and plaque between teeth.
Water Flosser: It can be a fun and effective alternative to traditional flossing.
Mouth Rinse: Consider using a gentle mouth rinse, especially at night, to further enhance oral health.
Tongue Scraping: Introduce tongue scraping as part of the night routine to remove bacteria and improve freshness.

Be Mindful of Timing

Avoid Brushing After Acidic Foods. Remind everyone to wait 30 minutes after consuming acidic foods or drinks before brushing to protect tooth enamel. This includes after nausea or vomiting. Rinsing with water or a gentle mouth rinse can help balance pH levels.
No Rinsing After Brushing. Encourage family members to avoid rinsing their mouths immediately after brushing. This allows the beneficial minerals in toothpaste to absorb into the enamel, enhancing its protective benefits.

Celebrate Progress

Track and Reward. Consider creating a family oral hygiene chart to track brushing and flossing habits. Celebrate milestones with small rewards to motivate and encourage everyone.

Conclusion

By making oral hygiene a family affair, you can foster a culture of health that promotes strong teeth and gums for everyone. Together, you’ll not only improve dental health but also create lasting memories and strengthen family bonds. Start today—brush together, learn together, and watch your family’s smiles flourish.

Can The Medications You Are Taking Affect Your Oral Health?

Wed, 30 Nov 2022 20:14:00 GMT

Side effects can be common even when taking these medications properly under medical supervision. It is important to keep our staff informed of any medications you are taking and to update us if your medication protocol has changed. We are currently updating all our medical records using our new systems whenever patients come in for an appointment to ensure we stay current with this important information.

Some of the common side effects of medications that can affect your oral health include:

Abnormal Bleeding: Excessive bleeding is a common side effect of some medications. The clotting factors commonly relied on are compromised and can cause excessive bleeding during oral surgery, periodontal surgery and even a deep cleaning. We need to know if you are taking any medications where bleeding can be an issue prior to treating you.

Fungal Infection: Oral Candidiasis, commonly known as Thrush, is a whitish coating of the mouth tissues that can also bleed when rubbed. This is a result of excessive antibiotic use or the use of oral inhalers for asthma. It is important to rinse your mouth out with water after using an inhaler so as not to leave a residue on the soft tissues of the mouth that cause this condition.

Gum Tissue Swelling: Certain medications can cause fibrosis or thickening of the gums around the teeth. The thickening itself is not a problem, but it may lead to decay and inflammation as the teeth cannot be cleaned properly. If your gums are thick and swollen from meds, special attention must be given to avoid problems. If we see this condition at your dental cleaning appointments, we will counsel you on the best course of action.

Dry Mouth: One of the greatest concerns caused by many medications can result in this condition. Dry mouth caused from decreased saliva production can cause severe decay, periodontal disease and infection. Often one might notice a cotton like feel in the mouth and frequent difficulty eating as saliva is needed. There are products we can offer patients that can help with this problem. When acute, dry mouth must be addressed as excessive, deep decay results from this condition.

Burns: Some people will place Aspirin on their tissue around a tooth if there is pain. Aspirin does not work this way and will cause even more pain when the tissue burns and sloughs. Aspirin is meant to be digested only. Never place meds directly on your mouth tissue unless specifically directed by your health provider.

We are here to help with these issues and answer your questions about any specific intraoral problems. Our goal is to help you maintain optimal oral health.

Half of all Americans are taking prescription medications of some kind according to the Centers of Disease Control (CDC), which also reports that more than half are also taking vitamins or other dietary supplements.

How Vaping Affects Dental Health

Wed, 09 Oct 2019 02:10:00 GMT

Reasons individuals vape include the following :

Smoking cessation
Believing that vaping is less harmful than cigarettes
Circumvention of smoke free areas
Recreational enjoyment

The liquid ingredients and their actions are:

Propylene glycol - the main inhalant “carrier” that breaks down in the mouth to lactic and acetic acid which is toxic to tooth structure. It also is hygroscopic which bonds to saliva drying out the mouth frequently leading to gum disease
Vegetable glycerin and flavorings - Slightly sweet products that actually decrease enamel hardness and increase biofilm formation on teeth . Normal decay producing bacteria in the mouth sticks to this biofilm and with the softer enamel causes decay.
Nicotine - Although the percentage of nicotine is lower than traditional tobacco products, one electronic cartridge (200-400 puffs) can equal the smoking of two to three packs of regular cigarettes. Nicotine is well known to cause soft tissue damage resulting in a higher chance of developing gum disease and tooth loss.

The bottom line to all this is vaping can be just as dangerous to your oral health , if not more dangerous, when compared with smoking. The problem is vaping is thought to be a safer alternative to traditional tobacco products, and companies are adding flavorings to attract younger generations.

We are available to answer your questions and begin the process in making you a beautiful smile! Call us today at: (425) 821-9600

Using e-cigarettes, referred to as vaping, works by heating a liquid to generate an aerosol that the user inhales.

Are Dental Veneers For You?

Fri, 12 Oct 2018 00:00:00 GMT

Veneers are thin pieces of porcelain that are “bonded” onto the front surfaces of your front teeth. Depending on what is needed and desired, it may include from four to eight of your front teeth. With a veneer we can change the size, color, position or the shape of your teeth. When done correctly your teeth will look very natural resulting in a beautiful smile. Veneers are technically difficult to do perfectly and time and experience make a very big difference in the outcome. We have been doing them for many years and they are one of the disciplines I teach at the UW Dental School.

Veneers are commonly used to correct the following:

Teeth with gaps between them
Cracked, chipped or broken teeth
Poorly shaped teeth
Teeth that are discolored from age, childhood medication, wear, etc.
Poor smile lines

Dental Veneers will last 10-15 years and sometimes longer when proper care is practiced Permanent veneers are typically made of thin porcelain, but can also be made of a composite type material that is less expensive and faster to apply as it is not lab made, but instead applied directly onto the teeth. This alternative material does not last as long and is not as cosmetically perfect, but can be a temporary treatment.

Cases where Dental Veneers are not indicated:

People with habits such as chewing ice, biting their nails, grinding their teeth, etc.
Large defects or fractured areas where crowns are needed as veneers do not provide the necessary strength
Evidence of gum disease or chronic, poor homecare as decay can occur at the margins if not brushed or flossed like other natural teeth
Weak enamel that makes bonding difficult

Only about 1 mm of tooth structure must be removed to apply veneers which is less than crowns so it is a more conservative approach.

Are you unhappy with your smile and considering something that can improve your appearance? Your smile is what people notice first and that first impression can be very important.

I Can Get What From Gum Disease?

Thu, 11 Jan 2018 00:00:00 GMT

Few people realize the extent to which the human body can be affected by periodontal disease. Here are a few types of problems associated with poor oral health:

Pancreatic Cancer - Research* shows that two types of oral bacteria, if left to proliferate, will lead to a higher chance of this acute disease.
Lung Cancer and Pulmonary infection - While more prominent in people with smoking issues, diabetes and excessive alcohol consumption, it is also more common in patients with poor oral health.
Rheumatoid Arthritis - While many causes exist, excess oral bacteria aggravates this condition.
Mercury poisoning - Old leaking fillings lead to gum disease and having more than eight, old amalgam (silver) fillings increases the chance of mercury poisoning.
Pneumonia - Bacteria in the bloodstream increases the possibility of lung infection.
Low testosterone - Periodontal problems cause a decrease in this hormone.
Cognitive decline - This impairment tends to accelerate among people affected by mid- or late-term Alzheimer's when periodontal disease is present. These patients often have poorer home care which exacerbates an unhealthy oral condition.

Your best defense is prevention. Remember to maintain a healthy, clean mouth with efficient home care and regular dental cleanings and checkups. We are here to help!

Most people are aware that periodontal (gum) disease is a serious condition requiring specialized treatment. It can create problems ranging from bad breath to bleeding gums and even tooth loss if left untreated or if treatment is not finished.

Can I Blame My Parents For My Tooth Decay?

Tue, 03 Oct 2017 00:00:00 GMT

Recently, a study was done to determine whether or not decay could also be inherited. It is possible to have a tendency to have weak or thin enamel, but when the bacteria factor was looked into, which really causes tooth decay, it was determined that “external factors play a larger role in tooth decay than genes”.

Researchers reporting in the journal Cell Host and Microbes examined the role genes, environment and an individual’s oral microbiology have in determining one’s fate in the dental chair. They found that genetic factors really do not come into play when it comes to the bacteria associated with cavities. Their results were pretty basic. “Bacteria associated with cavities, like Streptococcus mutans, were in higher abundance in the kids that consumed more sugar.”

It was interesting to note that microbes inherited from Mom and Dad decreased as children age. In comparison, microbes from the environment increased with age.

It all comes down to the following points about decay:

Sugar in one's diet is the greatest cause of decay
Brushing and flossing decreases decay
Bacteria in the mouth feeds on carbs and sugar
And as much as we'd like to blame someone else:Bacteria is not the fault of our parents

Remember, regular dental cleanings and checkups will help curb decay and allow us to address small problems before they become large ones. Preventive care is essential and that is why it is a top priority for our patients.

When I tell patients that they have an area of decay or even a diagnosis of gum disease, they sometimes will say “Well, I got that from my parents and it's in the family”. There is indeed a bit of truth to that comment regarding gum disease. Fragile and weak gum tissue can be inherited to an extent.

Fast And Easy Treatment For Annoying White Spots

Fri, 05 May 2017 00:00:00 GMT

These spots or areas can exist at the gum-line or in the middle of the teeth which are visible and mar the appearance of one’s smile. Reasons why white spots occur include:

Post orthodontic treatment where brushing was not as thorough as it could have been Sometimes when the brackets are removed, a white "square" may be visible on the front teeth.
Less than adequate brushing along the gum-line where plaque has eroded and weakened the enamel (otherwise known as decay or early stage cavities).
Damage that was done to the developing teeth when still erupting into the mouth (Usually from some type of trauma at an early age)
Genetic tendency
Highly acidic diet (which can include carbonated sodas)

In the past the only choice we had to eliminate these unsightly defects was to restore them with tooth-colored fillings. These worked quite well, but are somewhat invasive. However, if the white areas are not too deep, there is a new product and technique we can now use that does not involve getting numb or taking tooth structure away.

This three-step patented process is convenient, totally comfortable and very successful. The results are amazing and the entire treatment only takes about 15 minutes per tooth. We are happy to answer any questions you might have about the procedure and to determine if you are a good candidate. Contact us today and we will get you closer to that gorgeous smile you deserve!

There are several reasons why white spots may develop on front teeth.

What Tooth Sensitivity To Hot And Cold Means

Thu, 19 Jan 2017 00:00:00 GMT

When you drink a cup of coffee or a bowl of soup and your tooth hurts it is usually from a nerve inside the tooth that is dying or has died. The heat expands gas inside the tooth and it is painful. This informs us that for some reason, like decay, a fracture or trauma, the nerve and blood flow inside the tooth is compromised and a root canal is needed to fix the situation. This procedure can actually be done quite easily.

Reasons for cold sensitivity are

Gum recession ( age related or from brushing too hard) that has exposed the root of the tooth normally covered by gum. The root becomes highly sensitive.
Fracture of a filling or a leaky filling
Fracture of the tooth itself
Wearing away of the enamel on the biting surface of a tooth that allows cold to reach the middle part of the tooth called the dentin
Leaking margin of a crown
Open contacts ( spaces) between teeth
Periodontal disease that causes gums to shrink and expose root surfaces
The nerve inside the tooth is dying or injured in some way
New, deep filling or crown that temporarily has caused nerve hypersensitivity
Decay in the tooth

These are the main reasons a tooth may be cold sensitive. The good news is that treatment at our office can alleviate all of these conditions. First we must diagnose the problem, then we will discuss the best treatment plan for you.

Teeth can be sensitive to cold and hot for many reasons. An important distinction is that if a tooth is sensitive to heat, it is more of a problem than if sensitive to cold.

To Floss Or Not To Floss

Thu, 11 Aug 2016 00:00:00 GMT

The people on the side of "not flossing" have said there is no statistical evidence that flossing helps. There have been no studies proving the worth of flossing. I can tell you from many years of experience that flossing DOES indeed help keep teeth and gums healthy in a comprehensive dental regime of brushing, flossing and regular dental visits. I have seen firsthand where patients with several levels or gum disease were helped immensely as their home care started to include flossing. That same observation occurred with a decrease of tooth decay in patients who had never flossed.

On the negative side:

It takes extra time to do
Some people have difficulty doing it correctly
The gums might bleed as you floss (but this stops when the gums become healthy with good home care)
You do have to keep a supply of floss around
There may be some contours of the teeth that flossing does not reach

On the positive side

It does clean the sides of the teeth which decreases acid buildup from plaque that causes cavities
Reduction in plaque keeps gums healthy and strong
Keeping the sides of the teeth clean decreases gum swelling which will spread teeth apart and create spaces
Gums will bleed much less, if at all, when done correctly
Esthetics are much better as swelling and bleeding are kept to a minimum
As more plaque is removed between the teeth there is less mouth odor

So as can be seen, we as dental professionals are firm believers in flossing. It is indeed true that brushing and flossing on their own will not do it all. Every dental care program MUST include regular visits to the dentist at 3 to 6 month intervals to clean those areas that can't be reached by brushing or flossing alone. We are here to help all our patients attain and then maintain a very healthy mouth!

Photo by The Clear Communication People

There has been a lot of hype these last two weeks about flossing. We have all heard from several sources that flossing really isn't as advantageous as we have been told by our dental professionals.

Fundamental Differences Between Veneers And Crowns

Wed, 27 Apr 2016 00:00:00 GMT

Crowns, often called "caps", are a dental restoration that covers the entire tooth for protection and to make esthetic changes. They are used in both the posterior section, premolars and molars, and the anterior, front teeth, of the mouth. A veneer is only used in the anterior and generally to enhance the beauty of a smile.

Compare the two procedures:

 Crown

Used to protect or restore a broken tooth, a tooth with very deep decay or a tooth with a history of a root canal or very large filling
Designed to entirely cover the involved tooth front and back
Cemented in with a very low sensitivity, high quality product
Materials used may differ but at our office, we prefer to use the latest ceramic materials called Zirconia or Lithium Disilicate
Very strong and durable
Lasts 15-20 years if cared for properly
Insurance almost always covers the procedure—percentage depends on the employer contract

Veneer

Used in most cases to enhance a smile due to teeth that are unacceptable in color, crooked and/or misshaped
Applied in multiples to affect the entire smile; typically six to eight veneers
Covers the front of the tooth and over the incisal (biting) edge
Bonded in with a high translucency, light cured, multi-step material resulting in a very strong and sealed adhesion
Made of very thin porcelain or pressed Lithium Disilicate
Not as strong as a crown, but long lasting. Typically lasts 12-15 years
Most beautiful anterior, lab-made restoration
Should not be placed over any existing fillings to ensure longevity
Insurance usually does not cover as it is an esthetic treatment

We would be glad to discuss these procedures with you and to help determine the best course of treatment for a beautiful and functional result. Call us today to make an appointment.

What are the distinctive characteristics of a veneer and a crown? Both of these treatments result in a very aesthetic and natural looking restoration.

Long In The Tooth?

Fri, 18 Dec 2015 00:00:00 GMT

Sometimes sayings have little relationship to what they are describing, but actually this is very descriptive of a dental condition that is called "gingival recession". Gingival recession leads to excess root exposure that is normally covered by gum tissue. The root of the tooth is what stabilizes the visible crown in your mouth. If your gums begin to recede and expose the root surfaces, quite a few things may happen.

Your teeth will become very sensitive to cold or sweets
Your teeth will lose their youthful appearance as spaces will develop between the teeth where the gum used to be
Because the root surfaces are much softer than enamel, they are very prone to decay
For the same reason these root surfaces will wear down quickly even from brushing one's teeth
Many times the root surfaces are darker than the enamel and will appear discolored. They are also more porous than enamel and they will pick up stains faster from things like tea and coffee and especially smoking.

What causes gum recession?

Teeth that are crooked and out of alignment
Aggressive brushing of one's teeth
Grinding your teeth either during the day or at night
Lip piercings that rub against teeth
Habits like picking at your gums with your fingernail or a file
There is also a genetic component and if your parents have recession, unfortunately you might be more prone
Poor dental work where crowns or fillings have gaps that lead to bacteria buildup

Recession can be treated and sometimes completely corrected. We can place topical agents on the root surfaces to desensitize them. If the surfaces are very worn or decayed we can bond tooth colored filling material to them and make them almost as hard and esthetic as healthy enamel. When the recession is highly unaesthetic; but the root surfaces are healthy, we can sometimes surgically change the level of the gum and cover the roots. Many things can be done surgically from covering the roots completely to simply placing some "tough" gum in these areas to stop further recession.

So don't let someone calling you "long in the tooth" or just feeling that way cause you despair because there usually is something we can do to help you gain your comfort and confidence back.

We've probably all heard the saying "long in the tooth" which is usually a way of describing getting on in years.

So What Really Is A Cosmetic Dental Procedure?

Tue, 31 Mar 2015 00:00:00 GMT

We specialize in several ways to create a smile "makeover" that our patients have loved. There are quite a few ways we can accomplish the result we and our patients desire.

Dental Implants - we can replace missing teeth with these and can also hold down loose dentures with them. They are comfortable and when done correctly look just as natural as an original tooth.
Bonding - We can improve the look of broken or discolored teeth . Also we can make teeth longer or close gaps between the teeth.
Dental Veneers - these are custom lab fabricated thin shapes of porcelain that are bonded to the surface of anterior teeth to change the color or shape of damaged or misaligned teeth. The result is a bright beautiful natural looking smile.
Dentures - These are also used to replace missing teeth, but unlike implants they can be removed. We can replace just a few teeth or an entire arch of teeth depending on the needs of our patient. If more support or retention is needed we can hold them tight with implants under the denture.
Minor tooth movement - This is a very popular way to move anterior teeth without braces. We can fix or realign tipped or twisted teeth. We can also close spaces or eliminate crowding with this procedure. It takes more or less time depending on the severity of what we are trying to accomplish.
Crowns or bridges - These are used to completely restore teeth that are severely broken or decayed and to replace missing teeth. Similar to implants they are permanent and look very natural. We can do one at a time or multiple teeth depending on what is needed to restore beauty and function.
Teeth Whitening - A wonderful easy way to lighten teeth up with amazing results.

Cosmetic dentistry is a great service to restore the effects of wear and tear, aging, trauma, diet, and poor genetics. We can improve your smile in many ways. Take a look at our Smile Gallery to see a few transformations. Photo by Denise P.S.

Cosmetic dentistry is a dental procedure that enhances the appearance of a patient's teeth or gums and always results in a more enhanced smile.

New Concepts In Tooth Whitening

Tue, 20 Jan 2015 00:00:00 GMT

There are several options available, each having pros and cons to consider. I'll overview the possibilities and my recommendation of the optimal choice.

Purchase over the counter products at a drugstore or some grocery stores. Although these items such as Crest Strips do work moderately well, they are difficult to keep on the teeth. Due to the adhesive strip, it often shifts and the formulation is quite weak. Therefore, taking longer to work than other options.
Use whitening toothpastes. Within the dental community it is generally considered skeptical as to its claim for making teeth whiter; however, the products tends to keep teeth their present color.
In Office bleaching. This procedure works both quickly and well; but, due to the mechanics of the procedure, the teeth may end up being quite sensitive for a period of time.
Take Home bleaching. I believe these offer the best all-around result plus the best value. This option also is the best for removing deep stains due to the increased contact time.

There are several types of take home bleaching available:

Day time bleaching: Patients wear a clear, flexible tray where bleach is applied for a total of one hour each day. The whitening agent applied in the day time wear method is effective for about 30 minutes so patients usually apply twice daily for up to eight days.
Night time bleaching: The trays used for this procedure are similar to the day time bleaching method; however, the trays are worn for the entire night while the patient is asleep. This formulation is good for six hours lasting most of the sleep duration.

Even the take home bleaching agents can cause some sensitivity. Our practice now uses a formulation that includes desensitizing agents that balance the pH levels and increases patient comfort. Some products will even make the teeth "harder". If the gum tissue gets irritated, healing will occur with temporary limited use of trays and the application of topical vitamin E oil.

Usually, the take home bleaching procedure should be accomplished within 7-8 days and an initial result will be noticed after the first day or night of wear. Bleaching is very safe and the results can be amazing; but, as with anything else it should not be used for a very long period of time as the teeth may become rather "translucent" actually picking up a blueish tint.

Our office is happy to answer your questions about bleaching and to determine the best approach for you to get those pearly whites even whiter!

Photo by Cros Dental

Most people are aware that it is possible to bleach one's teeth to make them more esthetically pleasing.

Enhancing Your Smile

Tue, 02 Sep 2014 00:00:00 GMT

Here I will be talking about Minor Tooth Movement to make your crooked or misaligned teeth look better. Many people have teeth that are not in the ideal position due to many reasons. Some are:

Diastemas or spaces between the teeth
midline discrepancies where the upper and lower anterior midline do not match up
teeth that are too crowded which could have been there before or just occurred as we age
teeth that are too far out or too far in and just do not line up
trauma which has moved teeth

In the past we have employed wire braces to move these teeth back into an ideal position. Due to advancements in computer design and materials we now have a way to move teeth without braces.

Here at the office we utilize a procedure called MTM Aligners. We are certified in this treatment and can show you how well the process works.

We take extremely accurate impressions and photos and use this information to develop a series of clear trays that accurately move the teeth little by little into correct position.

We have picked this technique to specialize in for several reasons

improved effectiveness of tooth movement
improved predictability
bonded attachments to the teeth are eliminated
improved esthetics
improved comfort
It is great for moving teeth into position prior to esthetic crown placement

The process takes several months to complete and each patient's case is treated individually for the best result in the least amount of time. The results are truly amazing.

The clear trays are worn 24/7 except for when brushing your teeth or eating. We also include the retainers you will wear nightly after your teeth are in an ideal position.

Call our office for a free analysis and explanation on how this can help you to get that smile you have always wanted!

There are many ways to make your smile more attractive including bleaching, tooth veneers, esthetic crowns and such.

Dental Implants: Are They For You?

Sat, 05 Jul 2014 00:00:00 GMT

Another solution is to fabricate a “removable” partial denture that replaces one or more teeth at the same time and is able to come in and out of your mouth as it is held in with metal clasps.

The third method, which I will describe here, is to do a titanium implant that is held tightly by the bone in the jaw and has a tooth attached to it. There has been a lot of discussion about implants and their high relative cost and “how they actually work”.

Here are some specifics about implants:

The implant is placed in the bone of either the upper or lower jaw and must be placed exactly in the right place to not damage nerves, to not perforate the bone, to be at the correct angle so the dentist can restore the tooth without weak areas and to allow the gum to heal around it. Usually an oral surgeon or periodontist places it and the cost includes their expertise in placing them.
The portion that goes into the bone is all titanium. The parts are very expensive and this adds to the fee.
The implant when placed in the bone is done with very little discomfort and the gum tissue heals in a couple days. The bone “bonds” to the implant and that is what takes the time; about 3 to 4 months.
The general dentist will do all the remaining work of placing the abutment ( the attachment between the implant and the new crown) and the crown itself. There are many different options to replace the tooth and we will completely discuss this with you.
The implant when done properly will last many years.
We can also anchor a denture into place using implants that increase the fit and stability of the denture amazingly well.

We are here to answer any of your questions about implants and help you decide what is best for your particular situation.

You may already know that there are several ways to replace a tooth or teeth when they are lost. A fixed cemented bridge is one way where the teeth on either side are crowned and a “replacement porcelain tooth” is connected between them.

Secrets That Can Devastate Your Teeth

Tue, 15 Apr 2014 00:00:00 GMT

Do you know that some eating disorders can have devastating effects on your teeth? The American Dental Association has determined that there are upwards to 10 million people that have serious eating disorders.

The three of these that affect teeth are:

binge eating
anorexia
bulimia

Most people are aware of these disorders, and have some understanding of their ramifications, but did you know that each one of these can affect teeth and gums to such degree that immediate dental work is needed to save them?

Two common components of these illnesses include chronic nutritional weakness and an acidic reaction causing physical damage. People who have anorexia or bulimia often have an ongoing nutritional weakness that can become acute.

Some occurrences include:

Dry mouth. This very serious situation can occur from medication, but also from being undernourished to the extent that your salivary glands swell and cease to function correctly. There is a lot of bacteriostatic activity in saliva and when it is decreased or eliminated, decay and bleeding gums occur very quickly. This is also seen in "meth mouth".
Poor homecare. While this can occur any time, in these cases it is critical to stay hydrated and keep your teeth clean. As mentioned previously, the gums are affected in dry mouth and will bleed. As they dry out, disease sets in so it is not only decay, but also gum disease that happens.
Vitamin deficiency. A balanced diet is needed to keep vitamin intake up. If vitamins, especially vitamin B and C are compromised, the gums will not repair themselves and periodontal disease spreads swiftly.

Additionally, there is an acidic component to these illnesses. Your stomach acids are extremely strong. The hydrochloric acid in your stomach is strong enough to eat through bone. In your stomach it is safe, but when people with anorexia or bulimia force themselves to throw up, the stomach acids bathe the teeth and will cause the enamel to be destroyed changing the tooth color and shape. I have seen this many times and will never forget seeing a case where the entire inside of the upper teeth were dissolved from throwing up and the acids attacked the upper teeth.

It is important to be aware of these symptoms and know that there are many reasons, including social, emotional and physical ones that will cause these illnesses to surface. It is imperative to get professional help to resolve these issues and to realize that until the actions are controlled:

DO NOT brush after throwing up as this will cause the enamel to erode further. Rinse with baking soda and lots of water to neutralize the acids.
Maintain meticulous homecare and seek dental help to ward off serious conditions.

We are here to advise, help and support your dental needs as part of your team. If you have any questions, please contact our office 425-821-9600.

Photo by: Jen and Tony Bot

We all know that some secrets can be beneficial, but there are others that may be harmful. This is also true as it relates to your teeth.

I Thought My Tooth Wasn't Supposed To Hurt After A Root Canal!!

Mon, 10 Feb 2014 00:00:00 GMT

While this is not the norm, it can happen occasionally. Usually a patient will come to see us with moderate to severe pain and we diagnose a dying or infected nerve inside a tooth. For a tooth to need nerve treatment, commonly referred to as a root canal, one of the following is almost always present:

Deep decay that has gone into or close to the pulp of the tooth which is the live tissue inside a tooth filled with blood vessels and a nerve.
Trauma that has affected the tooth even though the tooth was not broken
Fracture from trauma exposing the inside of the tooth
An existing deep filling or crown was placed very close to the nerve of the tooth due to the extent of the decay present at the time
Resorption ( dissolving) of the inside of the tooth due to many reasons
Older age may compromise blood flow to the tooth and subsequently, the nerve will die

Root canals are needed in all of the these examples cited above.. Eliminating pain is the goal and it is achieved 95% of the time. The sick nerve is removed, the tooth is disinfected and a pure material is placed in the canal replacing the nerve and causing healing. But why does the tooth still sometimes hurt after the work is done? There are many reasons, some are quite technical, but overall the main reasons are:

The tooth was treated with formaldehyde or the material placed had lead in it. This is typically seen with dentists who use a cheaper and quicker fill process. Our office and the specialists we refer to use only the most advanced and certified materials.
The nerve was not completely removed from the inside of the tooth. If the process is done correctly this does not happen.
There are tiny fibers that hold the tooth into the bone. Sometimes these get irritated during treatment and it is like a tooth "bruise". They may stay sore for a while, but the inflammation and any associated pain usually settles down in a few days.
The top of the tooth will have a small temporary placed to fill the hole where the root canal was accessed. If this temporary material is not trimmed enough you can hit the tooth a little early when you close. It does not take much to make the tooth sore. It is easily fixed by smoothing the temp a bit more so the bite is fine.
Sometimes the infection from the dead nerve is very stubborn. Antibiotics might be needed to help the body deal with the infection and the resulting pain.
A root fracture is possible either before treatment was done or very rarely during treatment. This must be evaluated after the root canal is done and sometimes, again rarely, the tooth must be removed if the pain does not go away with other conservative treatment.

These are a few reasons why a root canal can still bother someone after it is done. But root canal treatment is 98% effective and when done properly it is almost painless and relatively fast and does indeed take away the pain! The tooth will always need a crown to protect it with the exception of a front tooth with no fillings in it or fracture lines. It is good to know that the treated tooth will last for many many years.

photo by SuperFantastic

Have you ever experienced or know someone who has experienced a root canal to relieve pain and after the procedure is done the pain is just as bad or worse?

Is There A Relationship Between Root Canals And Cancer?

Thu, 09 Jan 2014 00:00:00 GMT

This was a report done by a non dental oriented website called "realfarmacy.com" that alluded to this fallacy. The problem with this report was the same that has caused many other experiments and theories to fail. That is the lack of controls and accounting for variables. A "variable" is simply an unknown in an experiment. We need to manipulate variables in research to warrant that a statement is true and cannot be proved wrong. Controls are a group that is separated from the rest of the experiment where the variable being tested cannot affect the results.

This simply means that we know there are a lot of people that have root canals. There are 25 million root canals performed each year. There are many people that have, unfortunately, been diagnosed with terminal cancer. But on the other hand there are many people that are near sighted, many people that have had Lasix eye surgery, many people that eat red meat,etc. Is there a relationship there? I doubt it. If you look at the amount of people that have these items or eat red meat and compare them to the MUCH lesser amount of people that have terminal cancer you will see that probably there also is a 97% relationship of terminal cancer and being near sighted or wearing glasses.

In short, it is false and unscientific to say that there is a correlation between nearsightedness and terminal cancer as many many variables were not taken into consideration.

The same goes for Root Canals and terminal cancer.

When we perform root canals we use disinfectants and fillings materials and cements that kill the majority of bacteria in the canals. Yes, the report stated that there are many "accessory canals" that are tiny microscopic canals in the walls of the roots. Actually many of these are also filled at the same time the major root canal is done.

This is all to say that over 99% of the bacteria is remove or killed when a root canal is PROPERLY done. The body can handle the rest and kill them over a period of time.

We take great effort to make sure a root canal is sterilized and done in a proper time tested manner. Our results are overwhelmingly positive.

VERY RARELY is there a problem with a Root Canal Treatment after it is done, BUT there always is a slight chance such as a fractured root or a very stubborn infection where further treatment is necessary such as extraction.

Bottom Line? If your tooth indeed needs a root canal treatment, get it done and save the tooth. The chance of it causing any type of cancer from "bad bactieria left in and around the tooth" is almost non-existent. Keeping a tooth by performing a root canal is a treatment proved to be effective and safe over many years and is a great service that retains an important part of our bodies for chewing and compared to extraction and replacement it is also financially smart.

Please contact our office with any questions. The doctor would be happy to explain this further !

photo by wonderlane

It has been going around the internet that there is a direct relationship between having root canal treatment and the likelihood of coming down with terminal cancer.

Is Your Toothpaste Doing What You Want It To?

Wed, 02 Oct 2013 00:00:00 GMT

It is important to know that what really does the work at cleaning teeth is the toothbrush whether it be an electric one or a manual one. The toothpaste simply is a lubricant and a detergent that also provides fluoride. It is the scrubbing action of the toothbrush or the vibrating action of the electric toothbrush that really cleans the teeth. As we all know the cleaner the tooth is the less chance for decay.

Decay needs three things to occur; tooth structure, bacteria and plaque (which is the remnants of food left after eating). All three of these need to be evident to cause decay. Everyone has bacteria in their mouths and some of it is good. But there is bad bacteria that has little benefit than to cause decay. We can not do too much about this as even if we rinse with a strong antibacterial wash the bacteria comes back relatively quickly. Obviously the teeth are there for good so they stay. The only thing we can effect is the plaque.

Plaque removal is the cornerstone of brushing and everyone knows the benefit of this. Here at the office we go over home care if we see a problem during patient recare cleanings.We also give brushing aids and do all we can to advise the most effective way to keep those pearly whites sparkling !

It is also important to understand that the toothpastes that advertise they are tooth whitening or tartar control might do more damage than good. They do not have the same material we use for professional bleaching in them such as carbamide peroxide or other oxygenating liquids . All they really have are more abrasive elements that will take off surface stain BUT they also can create scratches in the enamel and especially on the softer root surface of teeth.

They can also cause sensitivity which is usually seen as temperature sensitivity. We can usually repair these defects and decrease the problem when we see them at our office exams. These toothpastes also do not reach into the microscopic voids in the tooth structure where darkening sometimes occurs. Professional bleaching agents do this well as the gel can find its way into these defects and actually lighten tooth structure from "within".

Just remember that toothpaste is definitely an aid to brushing as it does make everything "taste better", but stay away from the ones that promise tartar control and bleaching if you experience any type of sensitivity and generally ones that only contain fluoride will do a wonderful job. Happy brushing!!

Photo by Dmitry Chertousov

There are many toothpastes on the market and generally they all do a good job of aiding in cleaning your teeth.

What Is A Dental Hygienist?

Fri, 17 May 2013 00:00:00 GMT

There is actually quite a difference and the both have very important jobs on the dental team. This blog might also help young adults to figure whether or not they would like to train to be a dental asst or a dental hygienist.

A dental assistant (DA)works directly with the dentist. They help me when I am doing procedures on patients and are invaluable in delivering needed instruments when I need them. They handle the suction to keep the patients from drowning and keep the working area clean and dry so I can see what I am doing. The assistant also is responsible for making temporary crowns when a crown prep is done and taking xrays as requested by the dentist.

They also can do cleanings on children where no "scraping " on the tooth is needed. Putting in molar sealants on children and keeping the office sterilization program running and up to date also are part of their responsibilities. Many times I will delegate several jobs to the assistant that will free up my time as their role can be very widespread. The normal dental assistant school program runs around 13 months, but on the job training is extremely important . The assistant must have very good people skills and be efficient, kind and understanding to keep the patients comfortable.

A dental hygienist (DH)goes to school for at least 2 years after a prerequisite program usually at a community college. They can give anesthetic to the patient as needed to numb areas to be worked on. Many times they will also numb the patients for the dentist to save him time.

Their main role is professionally cleaning teeth of adults. They can do simple cleanings on people who have great homecare and also do very deep difficult cleanings over several hours for patients who have inadequate homecare. They are trained to place fillings after the dentist preps the tooth for the filling. They can take patient histories and work on their own very well. They are trained to take xrays as are the assistants. They are in great demand and usually work by themselves.

Both the DA and the DH are very important to the dental team and our office relies on both of their expertise to fulfill their jobs and keep our office running smoothly and for extensive patient comfort. We are a great team here and I am thankful for the talent we have that treats our wonderful patients like family.

Several people have asked me what the difference is between a dental assistant and a dental hygienist.

How Much Better Is A White Filling Than A Silver One?

Fri, 08 Mar 2013 00:00:00 GMT

If there was not enough tooth structure left a crown was placed and that is still the case though. Crowns will be the subject of a later blog. The white fillings done many years ago in the front teeth were simply placed and "sealed" into place with a resin. About 30 years ago a process was developed to seal these fillings in with visible light that "cured" the resin. This made the filling much more dependable and hard and after many years of advancement led to the present day white filling material we use now. These materials are so effective and strong that we can even use them in high stress areas such as back teeth. This was an area that for years only silver metal fillings would hold up.

Now the dental world has changed such that very very few silver fillings are placed in lieu of the much more esthetic white fillings. These "composite" fillings have several advantages over the old silver fillings. They are "bonded" into place which will hold together the tooth after it has had decay removed. A silver filling simply sits and fills the void, but actually weakens the tooth. There is no mercury in the composite fillings. The white filling, when properly placed, is as hard and durable as a silver filling. If part of the tooth breaks somehow the white filling can be used as a "base" for a crown. A silver filling needs to be completely removed . The old silver fillings actually stain the tooth so it turns dark or a blueish tint after a while. The white fillings are stable enough to stay esthetically pleasing for many years.

It is more difficult and time consuming to place a white filling so they are a bit more expensive, but the results and durability are such that this small increase is well worth it.

Our patients are constantly amazed when they see the results of these white fillings and how much more pleasing they are than the old silver ones. We do not reinforce removing an old silver filling just to put in a white one, but if the old filling is breaking down or there is another reason to replace it, we strongly recommend these new high tech white fillings. Of course, we also recommend any new fillings to be the new "bonded" white type. They are beautiful and very long lasting.

Our office can show you before and after photos also so you can see the amazing difference. They are also on our website under "services". We will be glad to answer any questions you may have about them.

Photo by tallasiandude

Years ago the basic silver filling was the workhorse of the dentist's armamentarium to fill defects in teeth or areas left after decay was removed from a tooth.

When Do I Need My Wisdom Teeth Out?

Wed, 28 Nov 2012 00:00:00 GMT

The jaw is small at this time, but usually there is plenty of room for these teeth.As one grows older these baby teeth are replaced by adult teeth and later the permanent "molars" come in behind the baby teeth. Obviously this takes more room in the mouth. There are ultimately 32 permanent teeth which means there are three molars at each corner of the mouth. We dentists name them, but also refer to them by numbers.

Wisdom teeth, which most people have heard of and which resonates with " I need to remove them" are the third molars and the furthest back of all the teeth. You now can understand that these third molars sometimes are so far back that the jaw is not big enough to allow them to come in correctly. It is like a two gophers trying to come up thru the same hole. One will win and the other one is stuck below. Well, the wisdom tooth is always the last one to come in and 80% of the time it is stuck to some degree. That is the scenario we as dentists deal with and will come up with a disgnosis and a plan to either remove the third molars or leave them.

The philosophy at our office is that if there is room for the third molars and they can be cleaned effectively, we will simply leave them as is. Sometimes the wisdom teeth quit erupting and are so deeply and firmly inbedded in the jaw it does not make sense to take them out. Again, we leave them. They will do little damage to any other teeth.

Usually though, the wisdom teeth come in at an angle and are caught or "impacted" behind the second molar which will be damaged in time by the force of the eruption of the wisdom teeth. These third molars now must be removed. We will determine the severity of the problem and the best time to remove the offenders . The earlier they can be removed ( 16 or after) usually the better as they come out much more easily, but only if they are not too deep. Sometimes we have to wait until early twenties if they erupt slowly and it will make the surgery easier because of their proximity to the surface.

We have removed hundreds of wisdom teeth at our office and have stereo headphones and nitrous oxide ( laughing gas) to make the treatment as pleasant as possible. Sometimes if there is a bad gum infection from the wisdom teeth being in too long or they are way too deeply impacted we will refer the case to a board certified oral surgeon. Please feel free to call my office and we will be happy to discuss any questions you have or aid in the diagnosis of why "my wisdom teeth hurt".

Adults will generally grow two sets of teeth. The first set called "deciduous' or baby teeth start coming in soon after birth and usually by age two there is a full compliment of 20 baby teeth.

Fluoride, Is It Valuable For Adults Too?

Fri, 14 Sep 2012 00:00:00 GMT

Fluoride is an important mineral also in the development of permanent teeth. Through a chemical process in the body, fluoride in the water is absorbed and tiny amounts actually make their way to the structure of the young adult tooth. This also makes the permanent teeth more resistant to decay.

Most cities have fluoride in the water supply because of this and as a matter of fact Portland, Oregon finally came on board and approved fluoride in their water supply also. It is an important element for tooth "toughness". It has been argued that the higher than normal children decay prevalence in Portland is due to no added fluoride in the water. This is a hot topic to be sure, but from a scientific approach there is reason to do this.

This is really not a problem usually as it is a slow process and usually without discomfort. Sometimes , though, the recession becomes moderate or severe. This is how the term "long in the tooth" came into our language as a representation of getting older. The teeth actually looked longer as the gums receeded. As the gums receed the root of the tooth is exposed. This root is much softer than enamel. It is much more possible to decay or be sensitive to sweets, cold or sometimes heat. If this does happen, we have several treatments that will reduce the discomfort, but the simplest is applying fluoride.

Most adults do have some degree of recession from slight , about 1mm, to severe at up to 8mm. Because of this, we offer fluoride treatments to our adult patients in addition to all of our child patients immediately after their 6 month cleanings. We are always looking for better ways to serve our client patients and fluoride is a simple , but highly effective way to keep teeth stronger , more beautiful and with less decay. Everyone is a winner! Feel free to contact our office for more information.

Everyone knows that fluoride treatment for children is important. Fluoride actually is "soaked up" by baby teeth and makes them harder. Fluoride is an important mineral also in the development of permanent teeth. Through a chemical process in the body, fluoride in the water is absorbed and tiny amounts actually make their way to the structure of the young adult tooth.

This also makes the permanent teeth more resistant to decay . Most cities have fluoride in the water supply because of this and as a matter of fact Portland, Oregon finally came on board and approved fluoride in their water supply also. It is an important element for tooth "toughness". It has been argued that the higher than normal children decay prevalence in Portland is due to no added fluoride in the water. This is a hot topic to be sure, but from a scientific approach there is reason to do this.

But what many people do not know is that fluoride placed on adult teeth also can be very effective. The portion of the tooth that you normally see in someone's mouth is covered by enamel. It is the hardest structure in the human body. It is 25% harder than the hardest bone. As adults age and thru normal brushing over a period of time our gums "receed" or shrink a little bit. This is really not a problem usually as it is a slow process and usually without discomfort. Sometimes , though, the recession becomes moderate or severe. This is how the term "long in the tooth" came into our language as a representation of getting older. The teeth actually looked longer as the gums receeded.

As the gums receed the root of the tooth is exposed. This root is much softer than enamel. It is much more possible to decay or be sensitive to sweets, cold or sometimes heat. If this does happen, we have several treatments that will reduce the discomfort, but the simplest is applying fluoride. Most adults do have some degree of recession from slight , about 1mm, to severe at up to 8mm. Because of this, we offer fluoride treatments to our adult patients in addition to all of our child patients immediately after their 6 month cleanings.

We are always looking for better ways to serve our client patients and fluoride is a simple , but highly effective way to keep teeth stronger , more beautiful and with less decay. Everyone is a winner! Feel free to contact our office for more information.

Everyone knows that fluoride treatment for children is important. Fluoride actually is "soaked up" by baby teeth and makes them harder.

Oral Appliances To Control Snoring

Mon, 23 Jul 2012 00:00:00 GMT

It is very hard on the heart and brain as the oxygen levels in your system fluctuate repeatedly and this lack of oxygen can actually lead to heart fibrillation and tiredness due to poor sleep quality. Many more Americans snore with a lessor amount of sleep apnea.

More than 38,000 Americans die in their sleep because their uncontrolled sleep apnea has worsened a heart condition causing a heart attack or stroke. It is a very serious problem that due to the low oxygen levels usually leads to daytime sleepiness, high blood pressure and several circulatory system failures.

The most common type of apnea is obstructive sleep apnea (OSA) that causes a cessation of breathing due to the closing off of the airway from a sagging throat and tongue. As we get older or gain weight or simply from genetics, this occurs very commonly.

A sleep study is almost always done, which now can be done very easily with a take home monitor. This is a very important first step so we know the degree of apnea. This is determined and either it is just monitored if minor or treatment is necessary if more severe.

Until lately the standard treatment for OSA has been a cumbersome CPAP machine which uses tubing and a nose mask to put positive pressure onto the soft palate keeping it from sagging which decreases snoring. This machine really does work, but some people just cannot wear it as it is bulky and relatively uncomfortable. Many people just quit wearing their CPAP machine ( almost 50%) after a while and just hope that a systemic problem does not develop. But between being a loud bed partner, having excessive daytime sleepiness and just worrying about their condition most people need another avenue for help.

Several types of custom oral appliances have been designed to treat OSA. Here at our office we can have fabricated the best type of oral appliance for you to treat snoring with amazing results. At present we offer three types depending on many factors and it is surprising how fast the problems subside of OSA or snoring. Also the costs are less for an oral appliance than a CPAP. We have treated dozens of patients with this appliance and the results are pretty amazing. That first really good night of sleep is truly wonderful.

We can diagnose what works best for you and we have more info on our website about this extremely successful appliance.

Twenty eight million Americans have sleep apnea, a sleep disorder in which breathing starts and stops, leading to gasping for air and body jerking.

Implant Versus A Fixed Bridge

Tue, 12 Jun 2012 00:00:00 GMT

It is imperative to keep the natural occlusal (biting) balance in your mouth. If the tooth is an anterior tooth esthetics also come into play. There are many decisions that need to be made when a tooth is lost. The patient and I will discuss concerns and needs and come up with a plan. One of those decisions is to determine which is a better route..an implant or a fixed bridge.

Years ago a bridge was really all that was available and could be relied on. The teeth on either side of the lost tooth had to be trimmed down to accept a crown and the lost tooth was replaced with a center crown attached to both outside crowns. Effectively it looked like three crowns in a row where the center one spanned the empty space. A bridge is highly effective ,comfortable and looks great. The downside is the teeth on either side need to be carefully "prepped" or trimmed down. If there are already old crowns on these teeth or if the teeth are filled with old restorations (fillings) a bridge is a good idea as the outside teeth probably need new crowns anyway. It is a simple decision.

On the other hand if a lost tooth is between two healthy teeth an implant USUALLY is the better choice. In the last years implants have become the gold standard of replacing teeth lost to trauma,fracture,decay or whatever. They are conservative, esthetic and most likely will last for years . The patient will almost forget it is there. It is just like putting a new tooth where the old one was lost. It is technically challenging to place a perfect implant, but it has now become the norm..just like complex heart surgery has been simplified with "thru the vein microsurgery".

You , the patient, and I will come up with the best treatment plan to replace a lost tooth with an amazing result.

When a tooth is lost it is very important to replace it to decrease the chance or other teeth drifting, to maintain occlusion in that area and to keep excess biting forces off the remaining teeth.

Is Bleaching Right For Me?

Thu, 10 May 2012 00:00:00 GMT

Everyone seems to be bleaching their teeth these days. Esthetics is incredibly important to everyone ( well most everyone) and straight white teeth are the first things other people see .They say so much about you and your self respect. Bleaching can be done professionally by our office staff for a great result. It does not harm the teeth when used as directed. The results are amazing. Teeth can also be straightened with veneers over a two week time span and will look wonderful when done. Orthodontic tooth straightening can also be done if the crookedness or crowding is severe. Over the counter bleaching works also, but just not as well and not as fast.

Anything done to enhance one's appearance, starting with the teeth, will make you feel and look younger and boost your self image. We can help a great deal .

Grinding and the damage It can do

Fri, 20 Apr 2012 00:00:00 GMT

Several patients have come in with painful TMJ's ( Jaw Joints) and several painful teeth. The usual culprit is added stress in their lives and they are grinding their teeth. If one tooth hurts it usually is from decay or gum disease that is located right at that site. If several teeth all of a sudden start to hurt it usually is from grinding ( bruxism) or clenching.

We can treat this condition with a nightguard which is like the guard sports players wear, but lighter, thinner and less bulky. It will protect the teeth from damage done while sleeping or from a daytime habit that the patient is unaware of. It is always smart to see a dentist regularly before pain occurs, but if pain does start do not ignore it. It will usually get worse and more complex to fix.