Our Blog

It seems like yesterday. There you were, comforting your baby through sleepless nights, soothing her with a dentist-approved teether, celebrating as that first tiny tooth poked through her gums. And now here she is running to show you that same tooth, wiggly, loose, and almost ready for the Tooth Fairy. Now what?

Be Prepared

Children normally lose that first tooth somewhere around the age of six, but a year or two earlier or later is not uncommon. If you ever took a business class, you might have heard of the inventory method called “First In, First Out.” Baby teeth operate much the same way! The two bottom front teeth, followed by the two upper front teeth, will probably be the first teeth your child loses. Once you notice some wiggling, let your child know what is going on and reassure her that it is a normal part of growing up.

What to Expect with that First Loose Tooth

Normally, baby teeth become loose when the pressure from the permanent tooth below gradually breaks down the roots of the primary tooth. If your child has a loose tooth, encourage him to wiggle, not pull. Typically, gentle wiggling is all that is needed to free a tooth that has lost most of its root and is ready to be replaced. Avoid pulling or forcing the tooth, because that can cause injury to the root area if the baby tooth isn’t ready to come out. Call our Issaquah office if you have any questions about loose teeth. Drs. Arti and Ashi and our team also have suggestions if the baby teeth don’t become loose on schedule, or if they stubbornly remain in place even after the adult teeth have started to show up. One important note—if your child ever loses a tooth through accident or injury, call us at once. We might need to provide a spacer to give your child’s permanent teeth the proper time and space to come in.

Celebrate this Milestone with Your Child

The arrival of the Tooth Fairy is a familiar way to mark the occasion, and she can leave your child a note, a small gift, even a brand new toothbrush. Or explore other options!

If your child is fascinated by stories and traditions, learn about El Ratón Pérez (Perez the Mouse), a familiar tooth-collector in many Spanish speaking countries, or his French cousin, La Petite Souris (the Little Mouse). In other parts of Europe, Asia and Africa, children throw teeth on the roof, drop them in a glass of water, or hide them in a slipper. This is a great opportunity for you and your child to explore the world!

If your child likes science, look into books that explain the biology of baby and adult teeth in an age-appropriate way. You could print a chart of the primary teeth and take notes on each lost tooth as it makes way for the permanent tooth below. Or track her progress with photos showing the baby tooth, the gap left by the tooth, and the adult tooth as it comes in.

Losing that first tooth is an important moment for your child—and for you. Be prepared to celebrate another milestone together, and always feel free to talk to Drs. Arti and Ashi if you have any questions about this new stage in your child’s life.

It’s a new year, and it couldn’t come fast enough for many of us! Let’s do our part to make this a better year in every way—and you can start by making this the year you quit smoking once and for all.

You know that smoking is very damaging to your body. Smokers are more likely to suffer from lung disease, heart attacks, and strokes. You’re at greater risk for cancer, high blood pressure, blood clots, and blood vessel disorders. With far-reaching consequences like this, it’s no surprise that your oral health suffers when you smoke as well.

How does smoking affect your teeth and mouth?

• Appearance

While this is possibly the least harmful side effect of smoking, it’s a very visible one. Tar and nicotine start staining teeth right away. After months and years of smoking, your teeth can take on an unappealing dark yellow, orange, or brown color. Tobacco staining might require professional whitening treatments because it penetrates the enamel over time.

• Plaque and Tartar

Bacterial plaque and tartar cause cavities and gum disease, and smokers suffer from plaque and tartar buildup more than non-smokers do. Tartar, hardened plaque that can only be removed by a dental professional, is especially hard on delicate gum tissue.

• Bad Breath

The chemicals in cigarettes linger on the surfaces of your mouth causing an unpleasant odor, but that’s not the only source of smoker’s breath. Smoking also dries out the mouth, and, without the normal flow of saliva to wash away food particles and bacteria, bad breath results. Another common cause of bad breath? Gum disease, which is also found more frequently among smokers.

• Gum Disease

Smoking has been linked to greater numbers of harmful oral bacteria in the mouth and a greater risk of gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers, and can lead to bone and tooth loss. Unsurprisingly, tooth loss is also more common among smokers.  

• Implant Failure

Tooth implants look and function like our original teeth, and are one of the best solutions for tooth loss. While implant failure isn’t common, it does occur significantly more often among smokers. Studies suggest that there are multiple factors at work, which may include a smoker’s bone quality and density, gum tissue affected by constricted blood vessels, and compromised healing.

• Healing Ability

Smoking has been linked to weakened immune systems, so it’s harder to fight off an infection and to heal after an injury. Because smoking affects the immune system’s response to inflammation and infection, smokers suffering from gum disease don’t respond as well to treatment. Smokers experience a higher rate of root infections, and smoking also slows the healing process after oral surgeries or trauma.

• Dry Socket

Smoking following a tooth extraction can cause a painful condition called “dry socket.” After extraction, a clot forms to protect the tooth socket. Just as this clot can be dislodged by sucking through a straw or spitting, it can also be dislodged by the force of inhaling and exhaling while smoking.

• Oral Cancer

Research has shown again and again that smoking is the single most serious risk factor for oral cancer. Studies have also shown that you reduce your risk of oral cancer significantly when you quit smoking.

Quitting smoking is a major accomplishment that will improve your life on every level. It’s always a good idea to talk to Drs. Arti and Ashi for strategies to help you achieve your wellness goals for the new year. Make this the year you stop smoking, and the year your health improves in countless ways because you did.

Whether you’re using the latest note-taking app or old-school pen and paper, it’s a good time to start jotting down your resolutions for a healthier, happier New Year. To help the process along, we have some suggestions for traditional tooth-friendly resolutions—and also some ideas which might surprise you!

The Classics

• Brush and Floss Regularly

If you’re sticking to the “two minutes twice a day” brushing schedule as well as flossing once a day, great work! Often, though, that two-minute window starts to shrink as our brushing routine becomes *too* routine. Try timing yourself while you brush normally. If you’re falling quite a bit short of two minutes, taking just a bit more time will be lots more effective in removing plaque from your teeth.

And since gum disease is a leading cause of tooth loss in adults, commit to flossing once a day to remove irritating plaque and bacteria from between teeth and around the gumline.

• Use Fluoride Toothpaste

Fluoride toothpaste doesn’t just help prevent cavities by cleaning away plaque and food particles. It also helps make our enamel stronger. 

Acids created by plaque bacteria and acids in our diet dissolve minerals from tooth enamel, making it softer and more vulnerable to cavities. Fluoride bonds with the minerals in enamel to create an even stronger protective enamel coating. Check with Drs. Arti and Ashi or the American Dental Association’s website for the best toothpaste choices for healthy, strong enamel.

• See Your Dentist Regularly

Dentists typically recommend a full dental exam and cleaning twice each year. Your dental team at Issaquah Valley Dental Care will take X-rays as needed, examine your teeth, gums, and general oral health, and screen for oral cancer. A professional cleaning will remove any built-up plaque and tartar, which is especially important for gum health.

Being proactive with your dental care means you’ll be sharing your healthy smile all year long—as well as discovering any potential problems before they can develop into major problems!

The Surprises

• Chew (Sugarless) Gum

When you’re not producing enough saliva, you feel the effects of dry mouth, including sore throat, difficulty swallowing, and bad breath. Another side effect? Poorer dental health. 

Saliva helps neutralize the acidic foods we eat, washes away bacteria and food particles, and contains minerals like calcium and phosphorus which remineralize tooth enamel. Chewing sugarless gum encourages saliva production. If you suffer from dry mouth, check with your dentist to see if chewing sugar-free gum can help.

• Don’t Brush Right After Eating

Brushing after a meal is great to remove food particles like sugars and carbs which stick to our teeth—and which the bacteria in plaque thrive on. But if you’ve been eating or drinking acidic foods, it’s best to wait about an hour before brushing. 

Acids in foods, like acids created by bacteria, weaken tooth enamel. Brushing right away can be abrasive and damage enamel, but if you wait for an hour, the minerals in saliva have a chance to remineralize and restore your enamel strength.

• Toss Your Toothbrush

Not that we mean give up brushing altogether! But your toothbrush bristles start to fray and fan out after several months, meaning that you won’t be getting the full cleaning effects of your great brushing technique. Put a note on your calendar to replace your brush every three to four months for the best in plaque removal.

If you’re already following all these suggestions for protecting your dental health, resolve to keep up the good work! If not, give these easy-to-follow recommendations a try. Protecting your dental health is essential to gift yourself a new year filled with happy, healthy smiles in Issaquah.

February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

• Gingivitis begins with plaque. 
• Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
• Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

• Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
• The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
• As the gums continue to recede, pockets form between the teeth and gums.
• Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
• The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
• Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing the team at Issaquah Valley Dental Care for a professional cleaning. In some cases, Drs. Arti and Ashi might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

• Topical, oral, or time-release medications treat infection.
• Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
• Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
• If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! 

• Brush twice a day, or as often as your dentist recommends. 
  • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. 
  • Use a soft-bristled brush to protect both gum tissue and tooth enamel.
• Floss once each day or as directed by your dentist. Flossing removes food particles and plaque between the teeth, and it also helps remove plaque from the area around the gum line.
• Conditions such as family history, hormonal changes, medical conditions, age, poor diet, smoking, and other factors can increase your chances of developing gum disease. Talk to Drs. Arti and Ashi if you are in a higher risk group about proactive gum care.
• Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 
• You can get tips for better brushing and flossing techniques from the team at Issaquah Valley Dental Care in Issaquah, too!

Last, while gum health is essential for dental health, you may not be aware that healthy gums could affect more than just your oral health. Scientists are studying the potential links between gum disease and conditions such as heart disease, diabetes, and arthritis.  

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!