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It’s a bit of a contradiction: you are justifiably proud of your beautiful dental work, but you don’t want it to be obvious when you smile. Dental prosthetics such as veneers and crowns should blend perfectly with your natural teeth. If you have noticed your veneers are a different shade than your other teeth, or have a crown that is visibly darker than the teeth surrounding it, you are probably wondering if there is any way to lighten and whiten an artificial tooth surface. There is no one right answer, but let’s examine a few common scenarios to find the best solution for you.

If You Haven’t Started Your Dental Work and Want a Whiter Smile

If you are planning on getting a veneer or a crown, it’s best to take advantage of teeth whitening before you have the work done. Choosing a shade of bright white for your veneers and then trying to whiten your natural teeth to match it afterward is almost impossible. It’s a good idea to talk to us about whitening beforehand, and, if this is the best way to achieve the look you want, Drs. Arti and Ashi can match the color of your new prosthetic to your newly whitened smile. The goal is to make your new veneer or crown a perfect match to your natural teeth.

If You Have Existing Veneers, Crowns, or Other Artificial Surfaces

Porcelain veneers cannot be whitened, but the good news here is that they don’t stain the way natural teeth do. Unlike our teeth, porcelain is non-porous, so it is very difficult for typical culprits such as coffee, tea, or red wine to have as much effect. Any surface stains that appear can usually be gently removed with a professional cleaning and polishing, where we will take care not to scratch the delicate surface of the veneer. Porcelain crowns and implants, like veneers, can be brightened with a professional surface cleaning, but their original color cannot be changed.

Composite veneers and composites used in dental bonding are more porous and therefore more likely to stain. They are also immune to whitening, but might respond somewhat to a careful professional polishing at our Issaquah office.

Finally, if the color of your existing dental prosthetics is a concern, replacement is an option we can consider together.

Whether you have existing veneers and crowns or are planning future dental work, please talk with us about achieving a seamless blend of old and new for a beautiful, natural smile. It’s a bit of a contradiction: the best work is the work no one notices!

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Drs. Arti and Ashi will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

• Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
• Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
• Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
• Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
• Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
• Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

• Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
• Tooth discoloration
• Rounded teeth
• Transparent teeth
• Visible cracks in teeth
• Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

• Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
• If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
• Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
• After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
• Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
• Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
• Drs. Arti and Ashi may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Issaquah Valley Dental Care is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

On the last Wednesday in September, we celebrate “Women’s Health and Fitness Day.” Because your oral health plays such a large role in your general health and well-being, let’s look at a few of the ways you can treat yourself with the care you need and deserve at different stages of your life.

Puberty 

Puberty begins around the ages of 8 to 13, and typically lasts from 2-5 years. During this time, our bodies begin to produce the hormones estrogen and progesterone, which affect not just the reproductive organs, but our brains, hearts, skin, hair, bones, and more. These hormones can also affect our oral health.

• Gingivitis

Hormonal fluctuations make gum tissue more sensitive to irritants like plaque and bacteria. You might find that your gums are swollen, tender, red, or bleed easily. 

What you can do:

Keeping up with your dental hygiene is the best defense against gingivitis. Even if your gums feel a bit tender, it’s important to keep up with your brushing and flossing because proactive dental hygiene can reverse gingivitis before the condition becomes more serious. If symptoms persist, a visit to the dentist is in order.

Menstruation

• Menstruation gingivitis

Elevated hormone levels can also cause gingivitis during the menstrual cycle, usually beginning a few days before the start of your period and ending soon after your period begins. Some women also experience canker sores and swollen salivary glands during this window.

What you can do:

Be mindful of any oral changes during your menstrual cycle. Pay special attention to dental hygiene, and, if you develop canker sores, talk to your dentist or doctor about the best way to care for yourself while they heal.

Pregnancy

Pregnancy brings about many physical changes, including potential changes in your oral health.

• Pregnancy Gingivitis

Pregnancy hormones cause an increase in the blood supply to your gums while at the same time making them more vulnerable to irritation from bacteria and plaque. You may find that your gums are redder, more swollen, and more likely to bleed when brushing. 

• Loose Teeth

During pregnancy, increased hormone production helps relax and loosen ligaments and joints in preparation for birth. Teeth are held in place by ligaments, and you might be alarmed to discover your teeth are looser as well. Typically, this situation resolves when the baby is born.

• Pregnancy Granulomas

Some pregnant women may also experience pregnancy granulomas. These dark red swellings are benign tumors which appear along the gumline. These generally shrink on their own, but, if a granuloma is causing you pain or discomfort, your dentist can remove it surgically.

What you can do:

Let your dental team at Issaquah Valley Dental Care know right away when you learn that you’re pregnant. You’ll get helpful advice about brushing and flossing techniques, pregnancy-related oral conditions to look out for, when to schedule dental treatment and cleanings, a tooth-healthy diet, and more.

Menopause and Later Years

As we age, there’s an increased risk of oral health issues.

• Osteoporosis

Osteoporosis causes loss of density in the bones—including the bones and bone tissue which hold our teeth in place. Studies indicate that women with osteoporosis suffer significantly higher tooth loss than women who don’t have the disease.

• Dry Mouth

Saliva helps protect the teeth from cavities by washing away bacteria and food particles and by neutralizing acids in the mouth. Reduced estrogen production, medications, and medical conditions such as diabetes can all cause dry mouth. 

• Gum Disease

About 2/3 of older Americans have gum disease, which is one of the leading causes of tooth loss in adults. Lower hormone levels have been linked to increases in periodontal diseases.

• Oral Cancer

Oral cancer is more common as we age, and, while men are affected almost three times as often as women, we should be aware of the common symptoms of oral cancer, including a sore in the mouth which doesn’t heal, a lump or thickening in the mouth, red or white patches on the tongue, gums, and other oral tissues, loose teeth, or persistent earaches or discomfort when eating or swallowing.

What you can do:

Visit your dentist and doctor for preventative care and whenever you are concerned about your oral health! Whether it’s helping you prevent osteoporosis and dry mouth or discovering dental and medical conditions early, when they are more likely to be treated successfully, regular visits to your dentist and doctor can help ensure that you have years of happy smiles ahead. 

Missed the date this year? No worries! Women’s Health and Fitness Day is one day in September, but every day in the calendar is a good day to think about your oral health. Partner with Drs. Arti and Ashi and your doctor to help make your healthy smile something to celebrate all year long! Make an appointment with Issaquah Valley Dental Care in Issaquah today!

So much of parenting is a balancing act. Making sure your child has enough play time and enough nap time. Crafting meals that are both healthy and appealing. Making sure every dental product you use is both effective and safe.

While Drs. Arti and Ashi and our team can’t recommend the perfect bedtime story, or tell you why your child just won’t go for that delicious steamed broccoli, we are more than happy to discuss the very best ways to promote healthy, strong teeth. Should fluoride toothpaste be part of your child’s dental routine? For many good reasons, the answer is yes.

Why Fluoride is Important

Our enamel is the strongest substance in our bodies, with the highest concentration of minerals, but it is not indestructible. The bacteria that live in our mouths create acids which attack our enamel. Weakened enamel leads to cavities. Fluoride is a mineral that makes the enamel surface more resistant to these acids, and can actually help our enamel repair itself in a process called “remineralization.” Fluoride helps prevent cavities and makes teeth stronger, and those are benefits that will last your child a lifetime.

Can There Be Too Much of a Good Thing?

Fluorosis is a condition that can sometimes develop when a child has been exposed to too much fluoride while the adult teeth are developing below the gum line. (Around the age of eight, children’s teeth have finished forming and are not at risk.) Fluorosis is not a disease, and doesn’t harm teeth, but can lead to faint streaks in the enamel. While this streaking is usually white and subtle, it can sometimes be darker and more noticeable. Teeth discolored by fluorosis can be treated cosmetically, but prevention is always the best option.

Finding the Perfect Balance

Talk to us about using fluoride toothpaste when your baby’s first teeth start arriving. If a very young child is at risk for tooth decay, we might recommend early use of fluoride toothpaste. And for these small children, younger than the age of three, a small smear of paste (about the size of a grain of rice) is sufficient if needed. Swallowing fluoride products increases the risk of fluorosis, so make sure to use a very small amount of paste.

Because young children can’t understand the concept of rinsing and spitting, you always want to make sure the amount of toothpaste you use is age-appropriate even as they get older.  From ages three to six, a pea-sized dab of toothpaste is enough. Children should not use fluoride rinses or supplements unless recommended, and should be monitored to make sure they spit out fluoride toothpaste or rinses after brushing.

Most drinking water already has natural levels of fluoride, which normally aren’t a problem. If you are concerned about high fluoride levels in your local water, talk to us. If your water has higher levels of fluoride than normal, you can minimize consumption when your baby is young by breastfeeding, using non-fluoridated water for mixing with formula powder or concentrate, or buying prepared formula. If your child is a toddler, don’t add fluoride rinses or supplements unless they are recommended by a dental or medical professional.

Talk to us during your visit to our Issaquah office about protecting your child’s teeth. We are happy to help you find just the right amount of fluoride to keep young smiles stronger and more resistant to tooth decay. Healthy teeth in a beautiful smile—that’s a perfect balance!