Reopening Information

Safety Information

At Meadow Creek Dental, our goal has always been and will continue to be the health, safety, and well-being of our patients.

Our team is very excited to announce that we will be restoring all aspects of care for our patients. As of May 19th, we will be open from 8am to 5pm and we will be fully staffed and available to care for most of our patients.

It is our greatest priority is maintaining the safety of our patients during this time. As such, during the ongoing COVID-19 outbreak, we have taken the following steps to ensure the safety of our patients and staff.

  • Virtual Lobby – We will practice limited use of our reception area. We ask that patients call us at 425-369-9116 upon arrival in the parking lot. We will then let you know when to enter the office. We ask that any family members remain outside the office.
  • Social Distancing – We have expanded appointment times to limit the number of people in the office at any given time and reduce exposure.
  • Screening – We will ask staff and patients general health questions, and some specific to COVID-19 symptoms (cough, sore throat, aches) as well as inquiries about recent travel and exposure risk/history. We will also take the temperatures of staff daily and of patients upon arrival at the office to screen for fever. Those with elevated temperatures will have to plan to visit the office another time or be tested for COVID-19.
  • Mouth Rinse – We are taking the extra step of providing a peroxide-based mouth rinse for patients to use before treatment.
  • Standards – We use industry recommended PPE standards (gloves, masks, gowns, shields) and strictly adhere to hand hygiene, surface cleaning and sterilization protocols for your safety.
  • Office Surface – All frequently touched surfaces (doorknobs, chairs, phones, etc.) are sanitized every hour.
  • Virtual Paperwork – we are encouraging all patient to fill out applicable paperwork via virtual interfaces, when available.

You can rest assured that our safety measures will remain in place and continue to evolve as more necessary, in the interest of protecting our patients. Please let us know if you have any questions and we would be happy to provide additional information.

We look forward to continuing to safely serve your dental needs.

Thank you!
Meadow Creek Dental Team

Teledentistry

Meadow Creek Dental Teledentistry Service

If you are in pain or have swelling or if anything breaks, give us a call at 425-369-9116 and leave us a message or feel free to send us an email at meadowcreekdental@gmail.com.

Don’t stop by the office. We are frequently checking messages and e-mails.

We will get in touch with you and will provide teledentistry services.

You may be asked to send cell phone pictures or video showing the same. We will evaluate and if there is a need for physical visit we can arrange the visit with our staffs and make an appointment.

Under the new provision your insurance will be covering this as remote limited exam, they may limit its number during an year.

Stay healthy!!
Dr Dipti

Novel Coronavirus (COVID-19) Information

Updated Monday, March 23rd, 2020

Hello everyone hope you all are staying safe and spending this time with things that you would have always wanted to do.

We have been closely watching and abiding the state and ADA recommendations for everyone’s safety and to contribute our support to the community during this challenging time.

The latest proclamation from our Governor is

“I hereby prohibit all hospitals, ambulatory surgical facilities, dental, orthodontic and endodontic offices in Washington State from providing health care services, procedures, and surgeries that, if delayed, are not anticipated to cause harm to the patient within the next three months, with exceptions and as provided below.”

This will be in effect for the coming few weeks.

On the same note if you have pain, infection, deep decay which could lead to root canal or broken tooth, please reach out to us and we will be providing care for that.

Our front office would be reaching out to reschedule your appointments further out.

Stay safe and this shall pass too.


Thursday, March 5th, 2020

With the Novel Coronavirus (COVID-19) outbreak and the sickness associated with it here are some updates from your office.
If you have an appointment and have Flu like symptoms with fever, cough or any shortness of breath, please call us to reschedule your appointment.

Otherwise come for your appointment and rest assured. We are following all the recommended precautions to keep you and your family safe. We are compulsively wiping all the surfaces in the waiting areas and entire office couple of times a day. We are practicing superb hand hygiene with the best disinfection and sterilization measures. The waiting room has a hand sanitizer and disinfectant wipes which we will ask you to use when you come in. Sick employees are not allowed to work. We are wearing our protective wears including masks all the time. Just some examples here to mention.

CDC and ADA guidelines on the topic
1. https://www.cdc.gov/coronavirus/2019-ncov/index.html
2. https://www.ada.org/en/publications/ada-news/2020-archive/february/ada-releases-coronavirus-handout-for-dentists-based-on-cdc-guidelines

Dental Allergies: Awareness is Key

Allergies Encountered in Dentistry

If you have allergies to specific items used in dental treatment, there are ways your dentist can provide alternative methods of care. To be certain you have true allergies to specific things, it is best you are tested by a medical doctor. Let us look at some allergies seen in dental practise. It is also good to know what it will mean to your dental management should you have true allergies.

Allergies to penicillin affect a small percentage of the population. With allergies to this drug, it means you cannot be given penicillin or any in the family of this class. Your dentist may give you an antibiotic that is stronger for you, in which case both of you will have to be watchful for side effects. A much lesser strength alternative might be too slow, weak in battling your infection which might lead to a lengthier dose regimen.

Allergic Reactions to Metal

You might be allergic to certain metals which are commonly used in implants, bridges and dentures. Your dentist may have to fabricate crowns for you that are entirely devoid of metals which can make your appliance more expensive, weaker and prone to stresses. You will have to be more cautious in using your crowns. Allergies to methacrylates or resins used in many dental materials, from restorative composites to fissure sealants, bonding agents and orthodontic and crown and bridge resins, have low occurrence but can nevertheless induce a Type IV (delayed) allergic hypersensitivity reaction.

Other dental materials that warrant particular awareness include nickel, eugenol and polyether impression materials. Although rare, allergy to other metal alloys such as mercury, gold, platinum, palladium, silver and cobalt are also possible.

Allergic Reactions to Latex

Allergic reaction towards latex gloves used by dentists and hygienists can manifest in patients. Though it affects only 1-5% of the population, it is as high as 17% among healthcare workers. Glove protection is generally used against blood-borne pathogens. Though most reactions are immediate, it can be handled safely in the dental office. As a result, latex-free gloves are now available.

Yet another is anaphylaxis which may result from dental anesthesia, such as lidocaine, though rare, or a drug-to-drug interaction with a medication the patient is currently taking.

Watching Out for Allergies in Issaquah

Our team practices safe dentistry. It is standard procedure to take all patients’ thorough medical and dental history. For your safety and well-being, our staff are highly trained and equipped in all manner of dental emergencies, including allergies.

What’s Causing Tooth Sensitivity?

Understanding Why Teeth Become Sensitive

Are your teeth sensitive? There are a variety of reasons that are causing you to wince from tooth sensitivity. Some of the biggest causes are everyday activities you take for granted, while others aren’t so simple. All must be looked into and treated by your dentist or you may end up losing teeth.

The way you brush is one reason.

You might be brushing too hard, using too much force or using a hard-bristled toothbrush. Over time, hard brushing can erode the protective layers of your teeth and expose microscopic hollow tubes that lead to dental nerves. When exposed to cold or hot temperatures, such as drinking cold water or sipping coffee, the teeth become sensitive. Sometimes acidic or sweetened foods can cause the same. Your dentist will tell you to use gentler motions while brushing. Also, cut down on acidic intake, like tomato sauce, lemon, grapefruit, kiwi, and pickles, for acid wears down enamel.

Are you using whitening toothpaste?

Some brands use hard chemical formulas as whiteners. Ask your dentist about it and he may switch you to another less caustic formula. In like manner, some mouth rinses bought over-the-counter can make teeth sensitive due to their alcohol content. Rinses can be real irritants especially if your dentin is already exposed. Gargle with water instead and don’t forget the brushing and flossing. You might have a cracked or chipped tooth that exposes dentin or pulp, or you might have open spaces at the edges of tooth fillings, openings that expose the tooth to bacterial attack and decay.

Are you a tooth grinder?

Called bruxism, you unknowingly clench or grind your teeth while you sleep. Over time you can erode enamel layer and expose sensitive dentin. Your dentist can prescribe a nightguard for you. Another cause of sensitivity is an excessive buildup of plaque that can cause tooth enamel to wear away. And do you notice receding gums? Receding gums are looking like your teeth are elongating as gums pull away from hugging your crowns. You might even have pockets, spaces created between your teeth and gum tissue. It’s a sign of late gum disease. It also causes sensitive teeth. A dental visit is long overdue.

Saving Sensitive Teeth in Issaquah

Where sensitive teeth are concerned, come to Meadow Creek Dental. We can point out to you where your problems lie and give you tips to prevent further sensitivity. Treatment procedures are in order to prevent tooth loss.

Dental Emergency? We’re here for You

To many of us regular people, our little to no understanding of dental emergencies can cause us to panic and for a while be disoriented. Sometimes a little show of blood, a sharp pain in the mouth, or a beloved tooth about to fall off , will do just that.

Actually, if you’re a regular at this Issaquah dental clinic, the Meadow Creek Dental, you’ll have none of the panic. Dr. Dipti Srivastava, the Emergency Dentist in Issaquah, stresses more on prevention. She would have given you pointers to handle unexpected situations without fear. But when emergencies do arise, Dr. Dipti, is an expert, someone to rely on.

Most Common Dental Emergencies

Dr. Srivastava has seen them all. She advises calls to the clinic to let her know , or you can drop by in any of the 23 to 24 days she is open for same day treatments. Otherwise, a call even after clinic hours would assuage your situation.

Severe toothaches that won’t go away are most common. This may be due to pulp involvement, presence of abscess in or around the tooth, or swollen gums. Pericoronitis is a painful gum swelling that needs immediate attention. Other emergencies are tooth fracture and tooth luxation, a condition of loosening tooth that has to be addressed right away.

Sleep Apnea Treatment at Issaquah Dental

End Snoring and be Safe

When snoring during sleep occurs too frequently or last longer than it used to, it’s one of the signs of sleep apnea. It is a condition where the upper muscles of the throat relax or collapse and block the passage of air through the esophagus. Sometimes it can be obstructive where totally no air gets through and causes the sleeper to gasp, waking him with a start. The more episodes you have during a sleeping hour, the more severe is the condition.

Remember that this can lead to low oxygen levels in the blood, and can be harmful to the heart and the brain. It needs to be professionally examined.

The use of mouth guards is a dental sleep solution for mild to moderate sleep apnea. They come in many brands and styles as fits-all types or multiple sizes. The customized oral appliance, that fits a patient’s oral measurements, is another type and is designed to enlarge the airway and prevent those upper muscles and tissues from collapsing. On the other hand, for the severer types of apnea, a device called a continuous positive airway pressure (or CPAP), is intended to deliver continuous supply of compressed air via a mask.

Seek the Experts Only

Since any misdiagnosis of sleep apnea and of the patient’s suitability for the appliance can lead to potential problems, only personnel who are trained and qualified and have extensive knowledge of sleep disorders should employ and fit such devices. When you visit Meadow Creek Dental, you will consult only with the best qualified practitioners in this regard.

Our Issaquah dentist will determine the cause of your sleep apnea, such as an anatomical condition like large tongue, excess throat tissues, or enlarged uvula and tonsils. Dr. Dipti may encourage some lifestyle changes, like smoking cessation, stricter alcohol intake and dieting that can aggravate your condition. Our clinic makes available to you these choices and a simple consultation can determine your suitability.

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.

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.