Acid Reflux and Dental Care

Effects of Acid Reflux on Oral Health

Some patients have the common condition called GERD or gastroesophageal reflux disease, where stomach contents go up the esophagus from time to time usually caused by relaxation of the sphincter muscle of the stomach that prevents the escape. Doctors call it GERD or more informally as acid reflux. Some patients experience it several times a day while others, less often.

Stomach fluids are highly acidic and their passage up and down the esophagus causes some degree of burning sensation felt at the middle of the chest or the heart area. Hence, it is commonly called heartburn. Sometimes contents reach the top of the esophagus and into the mouth, referred to as a regurgitation. On the other hand, some patients don’t notice because they are symptom-free.

People who suffer from acid reflux also have tooth erosion and periodontal issues. Stomach acid, with a pH of 2 or 1, dissolves tooth enamel (pH of 5.5) on a day-to-day contact leading to thinning and weakening of the protective coating of teeth. It will soon expose the inner dentin and that is when a person with GERD will feel tooth sensitivity. If it goes on untreated, other symptoms can manifest, like bloating, burping, nausea, hiccups, difficulty swallowing, hoarseness and weight loss. It merits medical attention. Even brushing, flossing or mouthrinses may be unable to protect teeth.

Patients will feel tooth sensitivity to hot, cold and sweet drinks, gum and mouth irritation, sharp tooth edges, shortened or darkened teeth, especially the back molars. And even if you don’t notice the symptoms, and hence not go to your doctor-specialist, your dentist certainly will notice.

Regular Dental Visits Matter in Issaquah

That is why regular dental visitations can do you a lot of good. Over at Meadow Creek Dental, your regular visits can tell you not just the state of your oral health but your overall well-being as well. This comes from fresh oral examination every time you see us. Our experienced Issaquah dentist can tell you more about systemic conditions seen in your mouth.

Dental Care for the Pregnant Patient

Modifying Dental Treatment for the Mom-to-be

During a patient’s first trimester, the dentist resorts to a preventive care program. This means plaque control and oral hygiene instruction. Only cleaning can be done at this time, elective procedures are better postponed, though emergency needs can be considered. If it is absolutely necessary to have radiographs, the lowest dose possible exposure is allowed with no harm to the developing fetus. At this time its organs are forming and are most sensitive to radiation and chemicals.

From the second trimester through the first half of the third is the safest time for dental treatment. If the patient is under periodontal maintenance and preventive care, those can be continued. Simple restorative procedures may be done. No complex or elective dental care at this time.

To minimize hormonal gingival changes, scaling and prophylaxis may be repeated in the third trimester. Caution must be taken when seating the patient in the dental chair. Supine position can lead to loss of consciousness, not elevating the right hip will cause blood pooling in the legs. She must position herself on her side if feeling faint. Emergency dental treatment should be provided.

As far as medications go, lidocaine with epinephrine is safe, penicillin, clindamycin, and cephalosporins are safe antibiotics, acetaminophen is alright for most patients for pain, oxycodone is considered safe for severe pain. For analgesia, nitrous oxide is controversial but probably safe as long as there is oxygen administered as well.

Expectant Mom and Baby in Issaquah

Over at Meadow Creek Dental, we show concern for our pregnant patient’s well-being as well as her baby’s. It matters that the mother feels relaxed and have confidence in the treatment. It is best to avoid any dental emergency, but efficient, compassionate care reduces stress, says our Issaquah dentist.

Going for Tooth-Colored Fillings in Issaquah

Natural-looking and Other Benefits

Composite resins are those fillings that are identical to the natural color of teeth. The tooth-colored plastic and glass mixture is used to restore decayed teeth, change the color of the teeth or reshape disfigured teeth. Composites are incredibly strong and durable and are able to withstand daily stresses. Dentists using them find that they are easy to manipulate. Best of all, they mimic the color of your teeth and no one will guess that you’ve had a restoration.

These tooth-colored fillings have been compared to silver-mercury amalgam, still being used though sparingly, but whose strength and durability are well-established. As far as aesthetics go, the stark contrast between the silver coloring and the rest of the teeth are often noticed. Composites are far superior to amalgam, coming in various shade models to match existing teeth color.

Dental preparation on composites, unlike amalgam, spares the tooth from further drilling and removal of normal tooth structure. Composites bond excellently with tooth material, helping to prevent breakage and insulate the tooth from excessive temperature changes. On top of all these, composites do not contain mercury at all, an added safety value.

How durable are tooth-colored fillings? Do they last as long as amalgam fillings? Composite restoration’s longevity is comparable to amalgam’s depending on dentist’s skills and techniques, type and location of tooth concerned and certain patient characteristics. Composites may be costlier than silver fillings, though, because of the time requirement and technique in preparation and application.

Improving Smiles Naturally in Issaquah

Issaquah dentistry goes for natural, same-colored tooth fillings, as more and more patients opt for that natural look. While we offer a range of options for restoring damaged teeth, If you prefer that seamless look in your front or back teeth, composites are the way to go.

Protecting your Child with Sealants in Issaquah

Benefits of Sealants

Are your kids fond of snacks, juices and shakes? Did you know that frequent exposure to starchy and sugary foods make kids prone to early cavity formations and tooth decay? Sealants applied to their teeth give needed protection. School-age children who do not have sealants applied to their teeth have three times more cavities than children with sealants? That’s according to the Centers for Disease Control (CDC), which said in 2016 that only 43% of children 6 to 11 years of age have sealants.

Brushing and flossing are still the best ways to prevent cavities, but often their benefits do not reach the back teeth as often and as properly as they should. Your child’s molars and premolars are not always easy to clean. These teeth’s uneven top surfaces provide attractive places for food debris to lodge and get colonized by bacteria. You might even be applying fluoridated toothpaste and have your child drink fluoridated water; both ways give added protection. But are they accomplished regularly and faithfully?

A convenient and consistent safety net can be provided by sealants. They are painted as liquid on the surfaces of molars. the thin and translucent coating made from plastic sticks to the chewing surfaces of the back teeth and then quickly hardens via light curing. In effect, you have provided a physical barrier against food debris and bacterial attack.

Sealants are long-lasting and save time and money in the long run by avoiding fillings, crowns, or caps used to fix decayed teeth. Children from ages 6 to 12 and adults can benefit from sealants. Both primary and permanent molars benefit. Adult teeth can have sealants too, provided their back teeth are still carries-free and without fillings
Are sealants safe for children? Yes, of course. Unless your child has an allergic reaction to it, sealants have no known other ill-effects.

Starting Early with Sealants in Issaquah

Where dental health is concerned, it is better to start early. Have your child’s teeth protected from tooth decay by way of sealants. It’s safe, painless and affordable, a preventive measure in oral care by your Issaquah dentist.

You Can Tell if Your Child is at Risk for Caries

Tell-Tale Signs Your Kid is High-Risk

Most 2 year olds have never been to a dental clinic and, in fact, 25% of kids in kindergarten have not seen a dentist face-to-face. If parents know what to watch out in their toddlers, including what they feed them, they’d be aware that bad or good habits are forming contributory to their oral health. As parents, you have to ask yourself.

Does your child have special health care needs including physical, developmental, mental, sensory, behavioral, cognitive or emotional impairment?

A child with such a special need have difficulties learning proper oral care; parents themselves will have to perform brushing and flossing on the children. In some cases, the child will have to be reminded all the time. And then, does he or she snack several times a day? Constant exposure to sweet or starchy foods enables the buildup of tartar on tooth surfaces and crevices, including under the gums and hard-to-reach areas. Same thing happens if your child frequently takes sodas, juices, shakes, or sports drinks in lieu of water.

And is your child currently on the bottle or nursing?

Know that it can lead to baby bottle syndrome, a condition of tooth decay that develops on the infant or a nursing child’s dentition due to long- staying bottle feeding. This can happen if the child sleeps with his bottle or if it is used as a pacifier. The liquids rich in sugar tend to stick around, especially on the upper front teeth, and are a magnet for bacterial attack.

Have you brought your child to the dentist already?

It is advisable that at the appearance of his first baby teeth, parents should already have dental consultations. The dentist will advise you properly. He will tell you to brush baby’s teeth before bedtime with a soft cloth or wet soft toothbrush, to lessen snacking and intake of sugary drinks, to drink fluoridated water, and to wean your toddler off the bottle by one year of age, at least. He will certainly also ask you to bring the patient to him regularly.

Meeting Your Toddler’s Issaquah Dentist

Know more about keeping your child away from tooth decay. Without knowing it you might be starting your toddler on certain habits affecting his oral health. We are just as concerned. Come visit us at Meadow Creek Dental for your baby’s first exam.

A Parent’s Guide to Child Dental Emergencies

Most Common Dental Emergencies among Kids

Yes, it is very distressing when your little child encounters a dental emergency. These accidents are extremely common among children at two points in their development. Firstly crucial is that period between 18 to 40 months when exploration begins, and the second being that of the preadolescent to adolescent stage when sports injuries happen.

So what are the most common emergencies to expect? Toothache is the most commonplace among children across all ages and doesn’t happen without reason. Most times, it’s due to tooth fractures, tooth decay, tooth trauma, and wisdom teeth eruption. A dental visit is in order. There’s what’s called a tooth avulsion or when a tooth gets knocked-out. Right away the dentist will attempt to reimplant the tooth if it’s a permanent one; otherwise not, if it is a primary (or baby’s) tooth, less it will only damage the emerging permanent tooth bud just after it.

Then there are occasions of tooth intrusion, or the tooth is pushed upwards into the jaw bone. The force might be great enough to tear the ligaments and fracture the socket. Whether it is a primary or a permanent tooth involvement, the dentist may perform root canal treatment to save the tooth.

Tooth luxation is a lateral displacement where the tooth remains in its socket but is unnaturally inclined.It might be due to trauma that could fracture the bone underneath. A primary tooth partially out of its socket will heal on its own. The dentist, though, should save a permanent tooth and prevent infection. A dental concussion occurs after a bang, knock or fall that may not displace any tooth and didn’t cause fracture. However, if it involves a toddler’s teeth, discoloration can occur.

Crown fractures, from enamel cracks to pulp exposure, are also common emergencies. The dentist will immediately treat according to the level of involvement. Root fractures are determined by X-rays and depending on the child’s discomfort, the dentist will monitor and treat, or extract the tooth in certain scenarios. Other conditions like fractured jaw, head injury or head trauma, and uncontrolled bleeding from cuts or injury to the cheek, lips or tongue require immediate medical attention. A trip to the Emergency Room of a hospital is in order.

Do You have a Child Dental Emergency?

Don’t be agitated or frightened. Just call your Issaquah dentist right away who will tell you what to do and properly guide you. Or drop by Meadow Creek Dental – emergencies are our priority.

Issaquah Dentist says: Dental Implants for All

What Makes and Doesn’t Make You an Ideal Candidate for Implants?

While fixed bridges and removable dentures used to be the norm for missing teeth, these days, many dentists and patients are going for dental implants. And why not? This mode of treatment gives a natural look and feel in the mouth, protects healthy bone and keeps your natural teeth in place. They are built to last a lifetime with their predictable outcomes.

Most people are good candidates for dental implants. As long as you have healthy gums, sufficient bone in your jaw and of good quality, and a commitment to proper oral hygiene, you are a fine candidate for implants. Some may not be ideal candidates, but that depends on your dentist’s judgment and the severity of the patient’s condition. They have to do with the health of your gums and jaw bone.

There are young people whose bones are still growing, hence, the jaw bone lacks maturity. Heavy smoking, excessive alcohol use, high-dose radiation to the head and neck, and severely depressed immune system all slow down healing significantly after implant surgery and can contribute to dental implant failure. Pregnancy also alters the state of the gums and consistency of bone. Those who grind their teeth are another less-than-ideal candidates. Then, persons with chronic diseases or systemic problems like uncontrolled diabetes, connective-tissue disease, and hemophilia have issues with bleeding gums, brittleness of bone, and frequent infections.

However, these patients may still be candidates for dental implants, depending on the dentist’s discretion and after proper evaluation. If the situation is not too far gone, meaning there is still sufficient quantity and quality of jaw bone, and the dentist finds adequately healthy gum tissue to work on, implants can still be an option. You, as the patient, should also commit to proper oral hygiene and regular follow-ups to ensure implant success.

Ensuring Dental Implant Success in Issaquah

Are you ready for implants? Know from your Issaquah dentist if you are a candidate for this popular and reliable restoration procedure everyone is talking about.

Biomimetic Dentistry has come to Issaquah

What is Biomimetic Dentistry?

Translated to BIO, meaning ‘lifelike’, and MIMETIC, meaning ‘copy’, Biomimetic dentistry simply means to copy what is lifelike. This discipline works on the premise that since nothing is as good as your natural tooth structure, and if a part of it is decayed or broken, only the damaged section is taken out and replaced by a restoration that bonds tightly and keeps bacteria and other debris out. The outcome should be as natural-looking as the original part, as strong, and as durable.

Biomimetic Dentistry is, hence, restorative and cosmetic in purpose. The dental materials used, such as composite resins and ceramic materials, mimic natural tooth structure in appearance and function as to not be obvious that a restoration was done. A hard tissue bond is the preferred material as it withstands stress better, while biomimetic applications ensure the tightness, allow no shrinkage or gaps that give access to bacterial invasion.

This practice conserves as much tooth structure as possible, doesn’t use materials (like amalgam) that require extensive tooth grinding or drilling, avoids crowns and implants because more grinding is needed to fit them, and reduces the need for root canal treatments for it preserves more tooth structure that protects the pulp.

Biomimetics in Issaquah

Dr. Dipti Srivastava is a qualified Biomimetic dentist who brings this science to Issaquah. She transfers the philosophy of conservation and return to function in indicated cases in a way only a trained and experience practitioner can. Our patients find this type of dentistry less stressful to them and not as expensive compared to traditional dental procedures.

Putting on a Smile without the Wait by your Issaquah Dentist

Your Pick: Lumineers or Snap-ons?

Traditional porcelain veneers are still popular, custom-designed casings that fit frontal teeth to change their look and appeal. Though strong and natural-looking, veneers are permanent solutions and require that your natural teeth undergo some adjustments before they are fitted. Adequate enamel reduction and reshaping is necessary so that when veneers are bonded, they align perfectly with the rest of your dentition.

Lumineers are an alternative to porcelain veneers. They are ultra-thin, slimmer than traditional veneers, require little to no enamel reduction of natural teeth or extensive preps, or multiple visits. Your Lumineers are sturdy, long-lasting solutions of up to 20 years, and are incredibly quick to produce. You must also know that, since not all dentists have training to apply this system, we assure you that your Issaquah dentist is Lumineers-certified.

Snap-On Smile is your other option if you want that ready smile as you leave our clinic, or if you are not a candidate for implants or bridges. They are great for crooked teeth, stained teeth or gaps. These removable appliances require no permanent preparations, are reversible and are easily produced. You can just snap it on, no need for adhesives. Wash and clean your snap-ons as necessary.

Whatever Suits You

Though we offer traditional porcelain veneers, you might just want to park that for a while and instead go for the equally natural-looking Lumineers or Snap-on Smiles. At our Issaquah clinic, Meadow Creek Dental, we have both options waiting for you. If you are ready to dazzle with that smile, and you can’t wait, come on in for a consultation.

What’s with DNA Testing at Issaquah Dental?

Your Periodontal Health is on your DNA

Gum disease is a very common affliction and most people are bound to have it, anywhere from gingivitis to its severer form which is periodontal disease. There are reports that say 75% of Americans over 35 years of age have some degree of a periodontal problem.

Periodontal disease is caused by bacterial invasion, coming from poor oral hygiene, poor nutrition, and unhealthy habits. With its predominant symptoms of gum swelling, discoloration, gum recession and sometimes bad breath and bleeding, this advanced form can pervade other teeth and gum tissue. You may lose your teeth eventually.

However, studies show that even if widespread, different people respond to bacterial plaque differently. Certain populations are more prone to higher risks of developing severe periodontitis, while others are not. Their genetics seem to spell the difference. It becomes of clinical significance to test your DNA to find out if you are predisposed to the disease so that you are forearmed.

Test and Know at Issaquah Dental

To have your DNA tested at Meadow Creek Dental can establish a clear window to your periodontal health. Our Issaquah dentist employs this test to identify if you have a pathway to this condition, your risk is assessed and a personalized treatment may be necessary to manage it before it starts or before it worsens. Have this simple test at our Issaquah dental clinic and know how to win the battle.