General Dentistry in Seattle, WA
It is crucial for you and your loved ones to visit your general dentist on a regular basis. When you visit your dentist for routine examinations and cleanings, our dental team can catch early signs of decay or even prevent decay from ever occurring. When small oral health issues like tooth decay go too long without being treated, they can become more serious problems like gum disease. You can protect your health and the health of your family by visiting your family dentist regularly.
Regular exams are an important part of maintaining your oral health. During your regular exam, we will:
- Check for any problems that you may not see or feel
- Look for cavities or any other signs of tooth decay
- Inspect your teeth and gums for gingivitis and signs of periodontal disease
- Perform a thorough teeth cleaning
Your regular exam will take about 45 minutes. Each regular exam includes a detailed teeth cleaning, in which we will clean, polish, and rinse your teeth to remove any tartar and plaque that have built up on the tooth’s surface.
Visiting our office every six months gives you the chance to talk to the doctor about any questions you may have about your oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your next dental exam and teeth cleaning.
There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth at risk of decay, so your doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.
When it is determined that a tooth needs to be removed, your dentist may extract the tooth during a regular checkup or may request another visit for this procedure. The root of each tooth is encased within your jawbone in a “tooth socket,” and your tooth is held in that socket by a ligament. In order to extract a tooth, your dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with your doctor any concerns or preferences for sedation.
Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or with your jaw joint function. To avoid these complications, your dentist may recommend that you replace the extracted tooth.
Gum disease, also known as periodontal disease, is an infection of the gums surrounding your teeth. Gum disease is one of the top reasons for tooth loss in adults, and because it is virtually pain-free, many patients do not know they have the disease. During each regular checkup, your dentist will check for signs of periodontal disease by measuring the space between your teeth and gums.
What causes gum disease?
Gum disease is caused by a buildup of plaque (a sticky form of bacteria that forms on the teeth). If the plaque is not removed (by flossing, brushing, and regular dental checkups), it will continue to build up and create toxins that can damage the gums. Periodontal disease forms just below the gum line and creates small pockets that separate the gums from the teeth. Periodontal disease has two stages: gingivitis and periodontitis.
- Gingivitis — This is the early stage of gum disease, when the gums become red and swollen, and bleed easily. At this stage, the disease is treatable and can usually be eliminated by daily brushing and flossing.
- Periodontitis — If left untreated, gingivitis will advance into periodontitis, and the gums and bone that support the teeth will become seriously and irreversibly damaged. Gums infected with periodontitis can cause teeth to become loose, fall out, or be removed by a dentist.
Certain factors can increase a patient’s risk of developing periodontal disease, including:
- Smoking or using chewing tobacco
- Diabetes
- Certain types of medication such as steroids, anti-epilepsy drugs, cancer therapy drugs, calcium channel blockers, and oral contraceptives
- Bridges that no longer fit properly
- Crooked teeth
- Old fillings
- Pregnancy
While it is possible to have periodontal disease and not know it, some symptoms can include:
- Gums that bleed easily
- Red, swollen, tender gums
- Gums that have pulled away from the teeth
- Persistent bad breath or bad taste
- Pus between your teeth and gums
- Permanent teeth that are loose or separating
- Any change in the way your teeth fit together when you bite
- Any change in the fit of partial dentures
Treating gum disease
Treatments for gum disease can vary depending on the severity of each individual case. Typical treatments include:
- Non-surgical treatments such as at-home periodontal trays, and scaling and root planing (deep cleaning)
- Periodontal surgery and laser gum surgery
- Dental implants
Preventing gum disease
Regular dental checkups and periodontal examinations are important for maintaining your health and the health of your smile. You don’t have to lose teeth to periodontal disease, and by practicing good oral hygiene at home, you can significantly reduce your chances of ever getting gum disease. Remember to brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits to help keep your smile healthy.
If you’ve been diagnosed with gum disease, there are a variety of treatment options depending on the details of your situation and the severity of the problem. We always start with the least invasive options, which are non-surgical. However, in more serious cases, surgery may be necessary.
Non-surgical treatment
The first line of defense against gum disease is a unique type of cleaning called “scaling and root planing.” In this procedure, an ultrasonic cleaning device is used to remove plaque and tartar from your teeth where regular cleaning devices can’t reach: under the gum line, on the tooth, and around the root. Then, the rough surface of the tooth and the root are smoothed out (planed). This provides a healthy, clean surface that makes it easier for the gum tissue to reattach to the tooth.
If you address your gum disease before it becomes severe, scaling and root planing may be the only treatment you need. However, as with any dental procedure, after-care is vital. In order to keep your teeth in good shape and resist future occurrences of gum disease, you must brush and floss daily, eat a healthy diet, avoid tobacco use, and have regular dental checkups. Even after a successful scaling and root planing, if you don’t attend to your teeth properly, it’s quite likely that you’ll develop gum disease again.
Surgical treatment options
If the tissue or bone surrounding your teeth is too damaged to be repaired with non-surgical treatment, several surgical procedures are available to prevent severe damage and to restore a healthy smile. We will recommend the procedure that is best suited to the condition of your teeth and gums. Following is a list of common types of periodontal surgery:
- Pocket Depth Reduction
In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call pockets. The larger these pockets are, the easier it is for bacteria to collect inside them, leading to more and more damage over time. Eventually the supportive structure degrades to the point that the tooth either falls out or needs to be removed. During pocket reduction procedures (also known as “flap surgery”), we fold back the gum tissue and remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have collected. We may also remove any tissue that is too damaged to survive. We then sew the healthy tissue back into place. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth. - Regeneration
When the bone and tissue supporting the teeth have been lost due to severe gum disease, we can restore these areas with a regeneration procedure. During this process, we begin by folding back the gum tissue and removing the bacteria, plaque, and tartar. Depending on your situation, we may then perform a bone graft to stimulate new bone growth, or we may apply a special kind of protein that stimulates tissue growth to repair the areas that have been destroyed by the disease. - Soft-Tissue Graft
A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, more of the roots are revealed. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease, as bacteria, plaque, and tartar attack the surface of the tooth and the root. During a soft-tissue graft, tissue from the top of your mouth or another source is sewed to the gum area, covering the roots and restoring the gum line to its original, healthy location. This procedure can also be performed for cosmetic reasons.
Preventive dental care is important throughout your life, no matter your age. By practicing good oral hygiene at home and scheduling regular checkups with your dentist, you can help keep your smile bright and healthy for many years to come. Here are a few simple ways that you can prevent the build-up of plaque and cavities:
- Brush your teeth at least twice a day with a soft-bristled toothbrush. Use fluoride toothpaste to remove food particles and plaque from the tooth surfaces. Also be sure to brush the top surface of your tongue; this will remove any extra plaque-causing food particles, and help keep your breath fresh!
- Clean between your teeth by flossing at least once a day. You can also use a mouthwash to help kill bacteria and freshen your breath. Decay-causing bacteria can linger between teeth where toothbrush bristles can’t reach. Floss and mouthwash will help remove plaque and food particles from between the teeth and under the gum line.
- Eat a balanced diet, and try to avoid extra-sugary treats. Nutritious foods such as raw vegetables, plain yogurt, cheese, or fruit can help keep your smile healthy.
- Remember to schedule regular checkups with your dentist every six months for a professional teeth cleaning.
- Ask your dentist about dental sealants, protective plastic coatings that can be applied to the chewing surfaces of the back teeth where decay often starts.
- If you play sports, be sure to ask your dentist about special mouthguards designed to protect your smile.
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If it’s been six months since your last dental checkup, then it’s time to contact our practice and schedule your next appointment!
A beautiful smile is important to your health, hygiene, confidence, and self-esteem. At our office, we can help you have the most attractive, natural-looking smile possible through advanced prosthodontic care. Prosthodontics, or prosthetic dentistry, is an area of dentistry that concentrates on the aesthetic restoration and replacement of teeth to their proper form and function.
As a comprehensive dental practice, we offer our patients a wide range of prosthodontic treatments. Prosthodontic care focuses on complete oral rehabilitation and treatment of numerous dental conditions, such as:
- TMJ/TMD
- Traumatic injuries to the mouth’s structures
- Congenital or birth anomalies to teeth
- Snoring and sleep disorders
- Oral cancer reconstruction and continuing care
Prosthodontic Treatment Options
In order to restore your smile, we may recommend the following prosthodontic treatments:
Bridges
A bridge may be used to replace missing teeth, help maintain the shape of your face, and alleviate stress on your bite. A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support.
Crowns
Crowns are a restoration used to improve your tooth’s shape or to strengthen a tooth. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay. Think of a crown as a “cap” cemented onto an existing tooth which fully covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.
Dental Implants
An implant is an artificial tooth made of metal and porcelain that looks just like your natural tooth. It’s composed of two main parts: one is the titanium implant body that takes the place of the missing root, and the second part is the tooth-colored crown that is cemented on top of the implant. With dental implants, you can smile confidently knowing that no one will ever suspect you have a replacement tooth.
Dentures
Dentures are natural-looking replacement teeth made by your dentist that are removable. There are two types of dentures: full and partial. Full dentures are given to patients when all of the natural teeth have been removed. Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed.
Fillings
A filling is often used to repair a tooth that is affected by wear, decay, cracks, or fractures. The decayed or affected portion of the tooth is removed and replaced with a filling, which can be made up of many different materials, such as gold, porcelain, composite, ceramic, and plastic compound.
Occlusal Disease Treatment
Occlusal disease is caused by a misalignment between the teeth of the upper and lower dental arches, also called malocclusion. If left untreated, occlusal disease and can damage your teeth, the supporting bones and gums around your teeth, temporomandibular joints, and the jaw muscles you use for chewing. Many people dismiss excessive or abnormally accelerated tooth wear as natural aging or wearing of teeth, however, prosthodontic treatment can alleviate the pain and discomfort caused by occlusal disease.
Veneers
Veneers are thin, custom-made shells made from tooth-colored materials, such as porcelain, designed to cover the front side of your teeth. Veneers are natural in appearance and a great option for patients who want to make adjustments to the look and feel of their smile.
Imagine undergoing a complex dental treatment like a root canal, extraction, or oral surgery. When your treatment is complete, you have no recollection of the time it took, the pain, the noise, or the discomfort you were expecting. We are pleased to offer our patients the option of comfortable, safe, and effective sedation dentistry. Patients who benefit from sedation dentistry have:
- A fear or anxiety of being at the dentist
- A hard time sitting still for long periods of time
- A hard time getting (and staying) numb from anesthetics
What is sedation dentistry?
Sedation dentistry allows your doctor to provide a variety of dental treatments safely and comfortably for patients who experience anxiety when visiting the dentist. There are several benefits to sedation dentistry, including:
- No memory of undergoing the procedure
- No sense of time while under sedation
- No sense of smell or sound
- No fear or anxiety during treatment
Patients who have undergone a procedure using sedation dentistry will tell you it is a simple, relaxing way to experience dentistry.
I am nervous about being unconscious. What levels of sedation are available to me?
There is no need to be nervous about having sedation dentistry at our practice. We are licensed by the American Dental Association, and you will find that we are both respectful and professional at all times.
Sedation dentistry is closely regulated by law, and there are three sedative states at which your dentist can administer your treatment: mild sedation, moderate sedation, and deep sedation.
- Mild Sedation — Anxiolysis is the lightest form of sedation dentistry and is often used for patients with mild anxiety, longer procedures, or more complex situations. Mild sedation is usually administered orally. You remain awake or very sleepy throughout the entire procedure and are able to breathe on your own, but you will feel a great sense of relaxation. Patients typically recover from anxiolysis sedation within a few hours after the procedure is complete. Nitrous oxide inhalation (laughing gas) is another form of mild to moderate sedation that results in relaxation during treatment.
- Moderate Sedation — Used for patients with moderate dental anxiety and for patients who need longer or more complex procedures, conscious sedation often refers to the use of light IV sedation. With conscious sedation, you will remain awake throughout your procedure, but will be in a deep state of relaxation. It is recommended that patients who receive conscious sedation have a parent, spouse, or friend accompany them to appointments because it can take several hours for the sedative to wear off and driving may be unsafe.
- Deep Sedation — Patients receiving deep sedation go between consciousness and unconsciousness during their dental procedure. Patients often have no recollection of the treatment and are unable to respond to commands even if they are awake at times during the procedure. It is recommended that patients who receive deep sedation have a parent, spouse, or friend accompany them to appointments because it can take several hours for the sedative to wear off and driving may be unsafe.
How are sedatives administered?
- Inhalation — Nitrous oxide, or laughing gas, is the most frequently used method for easing mild to moderate anxiety. Recovery is quick so you can resume your normal activities immediately.
- Oral — An extremely common technique for dental sedation is oral sedation. It is easy and does not require the use of needles. You will be given a prescription pill which, taken about an hour before your appointment, will have you fully relaxed by the time you arrive at our office.