The COVID-19 pandemic has changed a lot of things about our daily lives. Your regular visits to the dentist have changed, too. The American Dental Association has developed science-based guidance to our dentists on extra steps we take, in addition to the infection control procedures we’ve always followed, to help protect our patients and staff. Here’s what you can expect at your next appointment at Issaquah Dental Care.

Before Your Appointment

To help make sure that you are healthy when visiting our office, we may call you before your appointment and ask you some questions about your current health. We may also repeat these questions when you arrive to make sure nothing has changed.

Your dentist’s office staff may also ask that you limit the number of people you bring to the appointment. That could mean leaving your children at home or allowing older children to go into the office alone while their parent waits outside during their appointment.

At Your Appointment

Please be sure to wear a face mask to your appointment. When you arrive at our dental office, you may be asked to wait outside until we’re fully ready for you. This will reduce the number of people in the office and reduce the amount of time you’re close to other people. When you enter the office, you may have your temperature taken.

Inside the office, you may notice things people often touch in the waiting room – like toys or magazines – have been removed. We will have hand sanitizer available for you to use and may wipe down items you touch, such as pens, clipboards or furniture.

When you’re in the dental chair, you may notice some things look different from the last time you were there. Our dentist may have covered the computer’s keyboard with a disposable cover so it can be easily cleaned between patients, for example. Your dentist may also be using different protective equipment than they’ve used at previous appointments. This could include different masks, face shields, gowns and goggles. These additional precautions help protect both you and our dentists at Issaquah Dental Care.

It is important to know what kinds of injuries require emergency dental care, so you can make sure that your family's teeth are taken care of, while avoiding unnecessary trips to the emergency room. Accidents can happen at all times of the day or night. Some oral injuries may need immediate treatment, while others can wait until your dentist's normal business hours.

Some common types of mouth injuries include cracked, broken, or knocked out teeth, which can be a result of biting on a piece of food that is too hard, a sports-related injury, a fall, or any other type of accident. Depending on the severity of the injury and where the tooth is located, it is possible that a chipped tooth or minor fracture can wait for a call to the dentist during normal business hours.

However, if the crack is severe, there is a large piece of the tooth missing, or the tooth has nerve damage or is knocked out completely, you should seek immediate medical attention.

While you are waiting, if the tooth is knocked out, try to handle it as little as possible. See if you can put the tooth back in the socket, biting down on moistened gauze or a wet tea bag can help. Be very careful not to swallow the tooth.

If you can't get the tooth to stay in the socket for the journey to the dentist or emergency room, rinse it off to get rid of any visible dirt and keep it in a container of milk or your saliva until a professional can see you. You can apply a cold, wet compress to help with any bleeding coming from the tooth socket.

Sometimes the problem won't be as clear-cut as a knocked out or broken tooth; you may find yourself dealing with severe tooth pain, from an abscess tooth, for example. If you think you need emergency dental care, call our Issaquah dental office. We will be able to get you in for an appointment quickly. Although our office is closed for regular dental procedures during this uncertain times, our Issaquah dental team will try to see you on the same day.

As you age, it becomes even more important to take good care of your teeth and dental health. One common misconception is that losing your teeth is inevitable. This is not true. If cared for properly, your teeth can last a lifetime.

Your mouth changes as you age. The nerves in your teeth can become smaller, making your teeth less sensitive to cavities or other problems. If you don’t get regular dental exams, this in turn can lead to these problems not being diagnosed until it is too late.

If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Tips for Maintaining and Improving Your Oral Health

• Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
• Clean between your teeth once a day with floss or another flossing tool.
• If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
• Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
• Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay and tooth loss.
• Visit your dentist in Issaquah, Issaquah Dental Care regularly for a complete dental check-up.

By adopting healthy oral habits at home, making smart choices about diet and lifestyle, and seeking regular dental care, you can help your teeth last a lifetime—whether you have your natural teeth, implants or wear dentures.

If you need any further assistance, please call our Issaquah dentists' office today!

Happy New Year! Your dental health is an important part of your overall wellness, and the New Year is a great time to create resolutions for improving your health.

Many people have dental health resolutions that range from improving their toothbrushing habits to completing delayed dental treatment. Understanding the benefits of your particular resolutions can be motivating and rewarding. Whatever your goals might be, it is important to take small steps to achieve them. Consistency is key with any resolution that you make.

Improving Toothbrushing and Flossing Habits

Perhaps you would like to improve your oral health. Daily toothbrushing and flossing is a sure and simple way to improve your oral health. For successful bacterial plaque removal, it is important to brush at least twice a day using an appropriately sized, soft-bristle, manual or electric toothbrush and fluoridated toothpaste. When you brush your teeth, gently position the toothbrush bristles at a 45-degree angle toward the gum line and move the toothbrush across the teeth to effectively remove bacterial plaque. It is also important to floss at least once per day to remove bacterial plaque and food that has accumulated throughout the day. Your toothbrush should be replaced every 3 to 4 months, as well as after you have a cold or flu or if the bristles are frayed. Daily toothbrushing and flossing help to prevent gingivitis (gum disease), tooth decay and halitosis (bad breath). The daily use of antimicrobial and fluoride mouth rinses also helps to improve your oral health.

Healthier Food and Beverage Choices

An important part of achieving your dental health resolutions is making healthier food and beverage choices, especially for snacks. Frequent consumption of food and beverages containing carbohydrates and acids contributes to tooth decay, so it is important to brush after snacking. Using a Xylitol-containing gum or lozenge after a meal will also help to neutralize acids and reduce cavity-causing bacteria and plaque buildup.

Restorative Dentistry

The New Year may be the right time to start or complete deferred restorative dental work, such as CEREC One-Visit crowns, implants or fillings. Completing these types of procedures will help you to preserve the tooth structure and to maintain proper tooth alignment, which could ultimately improve your oral health.

Quit Using Tobacco Products

Quitting cigarette smoking and smokeless tobacco use is important for improving your oral and overall health. There is no better time than the present to make a resolution to stop tobacco use. Consider free online tools, smoking cessation groups, progress-tracking apps and support from friends and family to assist you with tobacco cessation.

Routine Dental Visits

A resolution to make routine visits to our Issaquah dentist office may help prevent oral disease or reveal an existing disease in its early stage. Dental visits should take place every 6 months to allow your dentist in Issaquah and dental hygienists to monitor the condition of your oral cavity and develop an appropriate treatment plan to meet your wants and needs. Your dentist can refer you to a specialist for a treatment that is beyond the scope of his practice.

You may be able to prevent two of the most common diseases of modern civilization, tooth decay (caries) and periodontal disease, simply by improving your diet. Decay results when the teeth and other hard tissues of the mouth are destroyed by acid products from oral bacteria.

Certain foods and food combinations are linked to higher levels of cavity-causing bacteria. Although poor nutrition does not directly cause periodontal disease, many researchers believe that the disease progresses faster and is more severe in patients whose diet does not supply the necessary nutrients.

Poor nutrition affects the entire immune system, thereby increasing susceptibility to many disorders. People with lowered immune systems have been shown to be at higher risk for periodontal disease. Additionally, research shows a link between oral health and systemic conditions, such as diabetes and cardiovascular disease. So eating a variety of foods as part of a well-balanced diet may not only improve your dental health, but increasing fiber and vitamin intake may also reduce the risk of other diseases.

How can I plan my meals and snacks to promote better oral health?

Eat a well-balanced diet characterized by moderation and variety. Develop eating habits that follow the recommendations from reputable health organizations such as the American Dietetic Association and the National Institutes of Health. Choose foods from the five major food groups: fruits, vegetables, bread and cereals, milk and dairy products and meat, chicken, fish or beans. Avoid fad diets that limit or eliminate entire food groups, which usually result in vitamin or mineral deficiencies.

If you have any questions about healthy meals for your oral health, please contact our Issaquah dental office today!

What Is It?

Periodontitis is a term used to describe a group of conditions that involves inflammation of the gums and other structures that support the teeth. Periodontitis is caused by bacteria found in dental plaque and often, but not always, starts as gingivitis.

In trying to eliminate the bacterial infection, your body produces substances that destroy the structures that hold the teeth in the jaw, including the periodontal ligament and underlying bone. As this process continues, the teeth become loose. Pockets form between the teeth and gums, allowing more bacteria to accumulate. Left untreated, periodontitis can result in tooth loss.

Periodontitis usually is relatively painless. The onset of significant pain may signal the development of an abscess.

Older adults are more likely to have periodontitis.

People who smoke are four to seven times more likely than nonsmokers to get periodontitis. Smoking may impair the body's defense against bacteria.

Symptoms

Symptoms include:

• Reddened, swollen or bleeding gums
• Receding gums
• Loose Teeth
• Bad breath
• An unpleasant taste in the mouth

However, many people are unaware of these symptoms or do not believe they are signs of a serious problem.

Diagnosis

Your Issaquah dentist will examine your mouth, paying special attention to your gums and teeth. If you have periodontitis, a dental probeinserted between your tooth and your gums will penetrate deeper than it normally would.

Your dentist may also test for loose teeth. Teeth have a normal range of mobility, but in people with periodontitis, the teeth are looser due to the destruction of the fibers and bone supporting the teeth.

Your dentist may also order X-rays to help diagnose periodontitis. These can be compared with older X-rays to see if changes have occurred in your teeth and gums.

Expected Duration

Unlike gingivitis, periodontitis cannot be completely reversed. In some situations, the supporting fibers and bone that have been lost can be regenerated. In most cases, however, particularly in advanced stages of the disease, the effects are permanent. However, treatment and improved oral hygiene at any stage can improve the health of your gums and prevent further destruction.

Prevention

Daily brushing and flossing (morning and night) and regular visits for professional cleaning can help prevent periodontitis or allow you to have it treated during its earliest stages. If you smoke, quitting will reduce your risk significantly.

Treatment

Treatment depends on how severe your periodontitis is. Dentists classify the disease as mild, moderate or severe.

Mild periodontitis is usually treated first with a thorough cleaning called scaling and root planing. Scaling removes plaque or calculus that has accumulated on the crowns of your teeth (the parts that show) and slightly below the gum line. Root planing has two purposes: 1) to remove plaque or calculus from the roots of your teeth and 2) to smooth the roots of the teeth, making it more difficult for bacteria to cling to them. This, combined with good oral hygiene at home, often is enough for successful treatment.

Moderate periodontitis may require more than scaling and root planing. Typically, your dentist will scale and root-plane your teeth. If this does not take care of the problem, he or she may decide that you need surgical treatment. Surgery can involve reshaping the gums to fit the teeth (resective surgeries) or encouraging lost bone to regrow (regenerative surgeries). Your dentist will decide whether you will need surgery and what type you need.

Severe periodontitis likely will require surgical intervention and, in some instances, antibiotics. At this stage of disease, tooth loss is a distinct possibility.

No matter which treatment you undergo, you should start a strict regimen of brushing and flossing to help restore your teeth to health.

When To Call Your Issaquah Dentist

The best course of action is to get regular dental checkups. If you have persistent bleeding or swelling of your gums or notice loose teeth, call your dentist.

Prognosis

The outlook is good if the disease is recognized early and treated aggressively. Once bone loss occurs, the prognosis depends on the severity of the loss. Quitting smoking is very important for periodontal therapy to be successful. Lifelong maintenance will be required once the disease is controlled.

In order to achieve a sparkling smile, you’ll need to treat your teeth to more than just regular brushing. Healthy teeth start with healthy habits — from your brushing routine to the foods you should and shouldn’t eat.

"Your mouth is your body’s initial point of contact with the nutrients you consume," says Kimberly A. Harms, DDS, a spokesperson for the American Dental Association (ADA). "So naturally, what you put in your mouth impacts not only the health of your teeth and gums, but also your overall health." That includes beverages, the type and frequency of snacks, and even the gum you chew.

It’s important to go beyond brushing and change your daily habits to get the bright, healthy smile you want. Here's how:

• Avoid enamel damage. The layer of protective enamel on your teeth is your first defense against cavities, but certain foods and drinks strip it away, putting your smile at risk. Opting for sugar-filled sodas, sticky sweets (such as taffy), sweetened fruit drinks, and sugary snacks promotes tooth decay, Dr. Harms says. "When you eat sugary foods or sip sugary drinks for long periods of time, plaque bacteria use that sugar to produce acids that attack your enamel." Be sure to read food labels and choose foods that are lower in sugar.
• Eat nutrient-rich foods. Your teeth need nutrients to stay strong, white, and cavity-free. "For good dental health, it’s important to eat a variety of foods from each of the five major food groups," Harms says. This ensures that your teeth get the essential nutrients they need. Calcium, found in dairy products and leafy greens, is especially important for your teeth. Phosphorous, which can be found in proteins such as eggs, fish, poultry, meat, and dairy, is also essential. Both of these nutrients help protect and restore the enamel on your teeth, according to the ADA.
• Limit snacks. Too much snacking isn't only bad for your waistline; it's bad for your smile, too. "Foods eaten as part of a meal cause less harm to teeth than eating lots of snacks throughout the day do because more saliva is released during a meal," Harms says. "Saliva helps wash foods from the mouth and lessens the effects of acids, which can harm teeth and cause cavities." Some snacking is inevitable, so make sure to opt for something healthy such as cheese, veggies, nuts, or fruit, the ADA recommends.
• Don’t smoke or use tobacco. Smoking and using any kind of tobacco stains your teeth, but it also affects your whole mouth, the ADA says. It causes gum disease, which can lead to tooth loss as well as oral cancer. If you have oral surgery or a tooth extraction, smoking can slow your healing time. If you smoke or use other tobacco products, find a plan that works for you to quit. Ask your doctor or dentist for help or look for local or online quit programs.
• Limit teeth-staining culprits. Your favorite beverages might be dulling your smile. Coffee, tea, and red wine are some of the biggest culprits, Harms says. "They have intense color pigments called chromogens that attach to the enamel, which is the white, outer part of your tooth." For whiter teeth, cut back on these teeth-staining beverages. To help counteract existing stains, consider using fluoride toothpaste that also whitens teeth, or ask your dentist about whitening treatments to help reverse any damage.
• Drink plenty of water. It's healthy, it's free, it's widely available, and it's great for your oral health — so try to carry a water bottle with you everywhere and sip all day long. "Drinking water is also one of the best things you can do for your teeth, especially if it’s fluoridated," Harms says. Fluoride is considered "nature's cavity fighter," according to the ADA. It helps strengthen your teeth and ward off tooth decay. Water also helps keep your mouth moist and clean and washes away food particles that bacteria feed on.
• Chew sugar-free gum. It's always beneficial to brush between meals, but if you can't get to a sink, chew sugar-free gum. "Chewing sugarless gum increases the flow of saliva, which washes away food and other debris, neutralizes acids produced by bacteria in the mouth, and provides disease-fighting substances throughout the mouth," Harms says. "Increased saliva flow also carries with it more calcium and phosphate to help strengthen tooth enamel." Opt for gum with a seal from the ADA on the package to be sure it's sugar-free.
• See your dentist regularly. Be sure to get regular cleanings and checkups in order to spot dental problems before they get out of hand. Early diagnosis and treatment of dental issues is often simpler and more affordable, Harms says, and regular dental visits can help prevent many problems from developing. "Visiting your dentist is also important because some diseases or medical conditions have symptoms that can appear in the mouth," she says. Schedule regular checkups with your dentist so your smile is bright, white, and healthy, and to know you're doing all you can for your teeth.

If you are overdue for a dental cleaning, please contact our Issaquah Dentist today.