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Act One: Those 20 adorable baby teeth which begin arriving when you’re about six months old and are probably gone by the time you’re twelve.

Act Two: The 32 (if you have all your wisdom teeth!) adult teeth which start showing up around the age of six, and need to last the rest of your lifetime. Unless there’s an . . .

Act Three: Where science has discovered a way to repair damaged teeth or create replacements for lost teeth that would look and function just like our original teeth.

Sounds like science fiction, doesn’t it?

In biological terms, of course, we’re not there yet. But teams of scientists around the world have been working toward just this goal—the ability to repair a tooth with its own biological material or even grow a new tooth when an adult tooth is seriously damaged or lost.

Because the pulp—the living tissue inside each tooth—contains dental stem cells, some researchers are studying whether these cells can be used to regenerate the living pulp inside a damaged tooth. Even more exciting, there’s research being done into the possibility of using these stem cells to rebuild an entire tooth—pulp, dentin, and hard enamel exterior. Because the supply of usable dental stem calls is quite small, and process of guiding these cells to create all the varied parts of the tooth is quite complex, this research is in its early stages.

In other studies, scientists have focused on tooth regeneration by studying the teeth of other species. Mice, for example, have front teeth with open roots. This allows these teeth to keep growing up as they wear down, because stem cells inside mouse gums are always working to create new tissue. Even though our teeth are not exactly comparable (no open roots in human teeth!), finding out just how this tissue regeneration works in mice and other animals might help find an answer for human tooth regeneration.

Right now, these scientific goals are just that—goals for a future day. But in the meantime, your quality of life doesn’t need to suffer when you lose an adult tooth. You can enjoy a third act right now with dental implants.

Cosmetic concerns aren’t the only reasons why you want your complete smile restored in the event of a lost tooth. A missing tooth can lead to many unpleasant consequences:

• Speaking and eating can become more difficult.
• Lack of stimulation from biting and chewing can cause the bone beneath the lost tooth to shrink.
• Other teeth can shift to fill the gap left behind, which can affect tooth, bite, and jaw alignment.
• Loss of teeth can lead to loss of confidence.

Unlike dentures or bridges, dental implants are designed to function just like your natural teeth.

The post, or base, of each implant fuses with the bone in your jaw, acting as a “root” for the implant. Once the post has fused with the bone around it, a crown designed to match your other teeth in shape and color is secured to the post. You can eat, speak, brush, floss, keep your bone healthy, and smile confidently just as you did before.

Will biological replacements be ready for your third act in the near future? Probably not. But that’s not to say this will never be possible! In the meantime, take care of your teeth with daily brushing and flossing, eat a dental-healthy diet, and visiting our Issaquah office as recommended.

You do your best to keep your teeth intact and in place—but if you lose one through trauma or decay, talk to Drs. Arti and Ashi about an implant. Because in any stage of life, the most important result is the happy ending a healthy and confident smile brings you!

October’s here! A month when we celebrate the beauty of fall, the taste of pumpkin spice, the fun of Halloween in Issaquah, and the healthy smiles which orthodontic treatment makes possible!

Because October is Orthodontic Health Month, and it’s a great time to talk about how your orthodontist helps you create not just a more beautiful smile, but a healthier one. 

Straight, evenly spaced teeth are the visible benefit of treatment, but there are many health benefits which might not be quite as noticeable. Orthodontic treatment can:

• Help You Prevent Cavities and Gum Disease 

When teeth are crowded or crooked, it’s hard for your toothbrush and floss to reach all of the plaque which builds up on and between your teeth. The bacteria in plaque create acids which start to dissolve tooth enamel. And a very small hole in the enamel surface can grow until it becomes a cavity. 

Plaque and bacteria also irritate the gums. When you can’t remove plaque completely, your gums are at risk for gingivitis. This early stage of gum disease causes redness, tenderness, swelling, and bleeding. Left untreated, gingivitis can develop into more serious gum disease. 

And, over time, plaque hardens and becomes tartar, which needs to be removed professionally at Issaquah Valley Dental Care.

When your teeth are straight and evenly spaced, brushing and flossing are both easier and more effective, helping you keep your teeth and gums healthy and plaque-free.

• Create a Better Bite

For a healthy bite, your teeth and jaws need to align correctly. The top teeth should slightly overlap the lower teeth, and the ridges of your upper molars should fit smoothly with the grooves of your lower molars. 

Malocclusions, or bad bites, can come in many forms, including overbites, underbites, open bites, cross bites, and overjets. A bad bite is bad for your dental health. Malocclusions can cause tooth grinding, worn enamel, and even cracked teeth. 

And bad bites don’t just affect your teeth. When your bite doesn’t align properly, you might suffer from problems such as headaches, jaw pain, indigestion, and sleep apnea. 

Orthodontic treatment creates a healthy, symmetrical, and pain-free bite.

• Improve Your Self-Confidence

We can’t forget the invisible health benefits of orthodontic treatment! Your smile is a gift which you share with the world. But if you’re hesitating to smile because of self-consciousness about your teeth or bite, orthodontic treatment can make a world of difference.

Your orthodontist can help you achieve straighter teeth, a bite which fits together properly, and, when malocclusions affect jaw symmetry, a more balanced facial profile. If you’re concerned about the appearance of your smile, talk to Drs. Arti and Ashi about an orthodontic consultation. Today’s technology can even let you see what your future smile will look like!

Modern orthodontic treatment is more effective and takes less time to complete than ever before. And orthodontics offers patients of all ages more benefits than ever before: 

• New types of braces are less noticeable and more comfortable than older styles. Smaller brackets, brackets which blend with tooth enamel, clear aligners, and lingual braces give you a variety of options to customize your treatment.
• Early orthodontic treatment can guide jaw growth in younger children. 
• Appliances can help with jaw alignment in older children, or, for more serious malocclusions, an orthodontist can coordinate treatment with an oral surgeon.
• Treatment isn’t limited to the teen years. Adults make up a large and growing number of orthodontic patients. 

If you’ve been considering orthodontic treatment, October—or any month!—is a great time to schedule a visit with an orthodontist. An orthodontic evaluation will let you know just what your orthodontist can do to help you create a beautiful and healthy smile.

Every moment of your baby’s first year of life is precious, since every day your child grows a little, develops new skills, and discovers new things. Most of it is wonderful, but parents don’t like to see their babies in pain. That’s why teething can be such a hard experience. However, you can take steps to make it easier for you and your baby.

What to Expect

Most babies begin teething around the age of six months, when the lower central incisors start to appear. Shortly after this time, the upper central incisors poke through, followed by the lateral incisors, first molars, canines, and second molars. Unfortunately, you’ll probably know that your baby is teething not because you see these teeth come in, but because your baby will be in discomfort. These are some of the signs to watch for when you’re expecting your baby to begin teething.

• Tender and sore gums
• More drooling than before
• Being crankier than usual
• Chewing on hard objects

What You Can Do

As a parent, you want to do everything you can to make your child more comfortable. These are some approaches that Drs. Arti and Ashi and our team recommend:

• Take a clean moistened wash cloth or use your own washed finger to rub your baby’s gums and provide relief due to the pressure.
• Provide a firm rubber teething ring for your baby to use, but don't use the type that is filled with liquid.
• Use a bottle. A bottle filled with cold water can be soothing. Don’t give your baby formula, milk, or juice constantly because the sugar can cause tooth decay.
• Medications can help for extreme crankiness. Infant Tylenol is an example, but it’s best to check with your pediatrician before giving your baby medications.

You might also want to take special care to dry the drool. It’s not just to keep yourself and your baby dry. Keeping your baby’s skin dry can help prevent irritation.

When to Visit Us

Once your child’s first tooth comes in, it’s time to start thinking your baby’s first trip to our Issaquah office. The American Dental Association suggests that you bring your child to the dentist within six months of the appearance of the first tooth, or at about one year of age. Drs. Arti and Ashi can do a quick check for tooth decay, and we’ll make sure you know how to take care of your child’s new teeth.

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!