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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!

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