Our Blog

Tooth Worms? The History of Cavities and Tooth Fillings

July 16th, 2025

Scientists have discovered tooth decay in specimens that are more than 15,000 years old. The ancients once thought that cavities were caused by something called “tooth worms” … Eew! They didn’t exist, of course, but how else could humans explain the holes that cavities make in teeth?

The appearance of cavities on a widespread basis is often traced to the rise of farming. The new diet filled with grains and carbs made our mouths a haven for cavity-causing bacteria. As we added more sugar to our diets, our teeth got worse.

The “tooth worm” idea didn’t completely disappear until the 1700s when scientists finally began to understand the process of dental caries. Once that part of the puzzle was solved, they began focusing on filling existing cavities and preventing new ones.

Dental Fillings Come of Age

Many different materials, including beeswax, cork, aluminum, tin, and even asbestos, have been used to fill the holes caused by dental decay. Sometime in the mid-1800s, however, dentists began to use metal fillings such as gold, platinum, silver and lead amalgams.

The amalgam we use today is mixed from liquid mercury, silver, tin, copper, zinc, and other metals, but some patients still like the look of a gold filling. Newer options include composite-resin fillings, which are made from a tooth-colored mixture of plastic resin and finely ground glass-like or quartz particles that form a durable and discreet filling. Porcelain or ceramic fillings are natural in color, but more resistant to staining.

Drs. Arti and Ashi can help decide which filling is best for you, based on cost as well as your dental and lifestyle needs. You may not have “tooth worms,” but if you have cavities, contact our Issaquah office so we can take the proper action to protect the health of your mouth.

What should I do if my child has a toothache?

July 9th, 2025

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

  1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
  2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
  3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
  4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
  5. See Drs. Arti and Ashi. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our Issaquah office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.

Celebrate the Fourth with a Smile!

July 2nd, 2025

As our nation prepares to observe its birthday, we’d like to share some timely dental tips to help make celebrating the Fourth of July more enjoyable for you and healthier for your teeth and gums.

Hydrate

It might be hot and humid where you’re living, so be sure to keep hydrated in the backyard or along the parade route. Proper hydration is essential for both your overall health and your oral health. Drinking water helps prevent cavities by washing away food particles and bacteria and reducing acidic conditions in the mouth. 

Use Ice for Cooling, not Chewing

If you’re enjoying an icy cold beverage to beat the heat, don’t crunch down on that ice! Chewing on ice can lead to immediate disaster in the form of a chipped or cracked tooth or a broken filling or crown. And, over time, munching ice will damage your enamel, making your teeth more sensitive to heat and cold and more vulnerable to cavities. 

Enjoy All Your Cookout Favorites

If you celebrate the Fourth with family and friends, there’s a good chance you’re celebrating outdoors. According to surveys, Independence Day is the most popular grilling day in the country. Are you sitting on the picnic table sidelines because of loose teeth, tooth pain, or missing teeth? Don’t miss out on any of the fun in Issaquah! 

  • Tooth pain can be caused by cavities. It can also be a sign of a damaged tooth or an infection. If you suffer persistent tooth pain lasting several days or more, it’s time for a dental appointment.
  • Gum disease can cause bone loss, loose teeth, and lost teeth, making sharing a meal with friends something you avoid instead of something you look forward to. Regular flossing, cleanings, and checkups will help keep your gums in the pink. If you have advanced gum disease, we can discuss treatment options.
  • If you or a loved one wear braces, be sure your BBQ choices are not only delicious, but safe for wires and brackets. Offer menu options which are braces-friendly—that is, which are soft and easy to eat rather than hard, crunchy, or sticky. Remove kernels from corn on the cob and have utensils available to cut finger foods like burgers and hot dogs into fork-friendly bits. 
  • Missing teeth not only make dining difficult, but can also lead to gum disease, decay, and misalignment in adjacent teeth. To enable you to enjoy your meals and to protect your dental health, talk to Drs. Arti and Ashi about implants, bridges, or dentures to make your smile complete again.

Whether you’re marching in the parade, enjoying a meal with family and friends, oohing and aahing at the fireworks, or all of the above, we wish you a healthy and happy Fourth of July! If you have any dental concerns, we’re here at Issaquah Valley Dental Care to help you achieve your best smile every day of the year.

How Tooth-Colored Fillings Improve Your Smile

June 25th, 2025

Today’s crowns, veneers, and tooth colored fillings are very natural looking compared to early counterparts. There was a time when dentists placed silver fillings exclusively. This material is still used, however the most common material used today in fillings is composite, tooth-colored fillings. Composite fillings can be made to match any shade of tooth and even let light travel through them like natural enamel.

Composite fillings are great in many different scenarios. The most obvious reason is when a cavity is present. This is an excellent way to seemingly erase the imperfection that once was. It is almost as if the cavity was never there.

Placing composite fillings to reshape teeth can also minimize excessive spacing. In the case of a diastema, (a large space between the two front teeth) composite material is a non-invasive and cost-effective choice that provides instant results. It can be an alternative to braces.

Mottled enamel is a symptom of fluorosis, which causes discoloration and imperfections in the enamel. Composites are the material of choice for masking this condition.

Composite fillings are easy to place, easy on the eyes, and easily repaired. With skill and good composite material, a filling can be easily disguised. This look is desired most in our society today, where dental perfection is now standard.

In conclusion, your smile is in good hands with composite fillings. There are some great materials that give a near perfect match to the appearance of natural tooth enamel. Smile with confidence knowing no one ever has to know. Your secret is safe with us at Issaquah Valley Dental Care!

Back to Top