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What to Do Before a Tooth Extraction?

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Tooth extraction is generally not thought of as a pleasant experience. In fact the mere use of the term “tooth extraction” can conjure up the thought of pain, swelling, and discomfort; and probably that’s why people often try to avoid or defer the process for as long as possible. But a loose, broken,  damaged or decayed tooth may require your dentist to perform a dental extraction. However, a tooth extraction procedure can be simple, straight-forward and pain-free with the right dentist.

While your dentist will walk you through the list of do’s and don’ts before and after your tooth extraction treatment, here are some pointers that will help you prepare for the tooth extraction surgery and will make the process more comfortable and successful.

Fast the night before surgery

While your doctor would let you know the exact time you need to fast before your tooth extraction procedure, ideally you should not eat or drink anything for 8 to 12 hours before the surgery. Also, you need to stop smoking 12 hours before and one-day post surgery.

Let your doctor know about your medical history

Make sure your doctor knows about any medical conditions you have well in advance to avoid any complications during your the tooth extraction procedure.  For example, congenital heart disease, bacterial endocarditis, liver disorder, artificial joint replacement, impaired immune system, diabetes or allergy to a particular medicine.

Take your medicine as directed

If your doctor has prescribed medicines to be taken before performing your tooth extraction, make sure to take them on time. These are usually pain relief medicines or steroid drugs that will help reduce inflammation and pain during and after the procedure.

Dress comfortably

Dress in clean, comfortable attire on the day of surgery and remove your jewelry. You should limit or restrict wearing makeup.

Be  accompanied

If possible, it is always best to have a friend or family member with you.  Your companion should drive you home after the surgery — especially if you are on anesthetic sedation medication. Having someone with you can also help relieve preoperative anxiety, and they can provide ‘aftercare’ to help you recuperate after the procedure.

Follow these tips and prepare for your tooth extraction like a pro.  At Bellevue Dental Health, Dr. Libbi Finnessy performs all kinds of tooth extractions with compassion and personalized care. For more information, call us at   425-641-3311 or visit www.bellevuedentalhealth.com and get the highest quality and most caring treatment for your teeth.

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What causes bad breath and how to prevent it?

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Bad breath, also known as halitosis or malodor, can be embarrassing at best and crippling at worst. It can even ruin relationships. While most of us have bad breath at certain times, like when we get up in the mornings. Persistent bad breath is caused by a build-up of bacteria in your mouth throughout the day, leading to inflammation. This releases bad odors or gases that smell like sulfur or rotten eggs, or worse! In this article, we’ll talk about what causes bad breath and how to prevent it…

Causes of Bad Breath

While there are no statistics on what percentage of the population has bad breath, a considerable portion of the population has or will have bad breath at some time in their lives. The best way to find out if you have bad breath is too. Ask your friends or family members for feedback. This will help make you aware of the problem so you can figure out how best to address the problem.

Bad breath can occur due to several reasons. Studies show that 80% of bad breath comes from an oral source, that is, from something within your mouth and teeth. For instance, cavities or gum disease can lead to bad breath, as well as trapped food particles, cracked fillings, and unclean dentures.

Other medical reasons for bad breath include diabetes, liver disease, chronic bronchitis, and respiratory tract infections. Other causes also include acid reflux, postnasal drip, and chronic dry mouth.

How to prevent bad breath

There are several ways you can prevent bad breath. If you have medical reasons for your bad breath you should promptly treat those. However, if your bad breath is due to oral causes, here are a few things you can do…

1)   Visit your dentist regularly: Keep your scheduled dental appointment once in six months, or at least, once a year. Good oral hygiene is key to fighting bad breath. Dentists recommend that you brush and floss at least twice daily to reduce the odor-causing bacteria in your mouth. Dentists may also recommend using an electric toothbrush since most electric toothbrushes have timers, which helps ensure that you brush your teeth for the right length of time. You can also use certain mouthwashes and mouth rinses that help fight cavities, remove plaque, and prevent bad breath. Additionally, you should use an antibacterial mouth rinse that kills bacteria, rather than simply using a cosmetic mouthwash that just focuses on freshening your breath.

2)   Watch what you eat: What you eat affects your breath. This is because as your food is digested, it is absorbed into your bloodstream and is then expelled by your lungs when you breathe. You should concentrate on eating a healthy diet and balanced meals. Extreme fasting or very low-carb diets can trigger you bad breath as well. Raw carrots, celery, and apple slices are good to have, while odor-causing garlic and onions should be eaten in modest quantities.

3)   Drink a lot of water: Drinking a lot of water can clean the debris in your mouth or between your teeth. Drinking a lot of milk can also reduce bad breath. You should, however, avoid sugary and carbonated drinks.

4)   Don’t drink too much coffee: While coffee can be a great pick-me-up, its smell can be difficult to get out of your mouth. Instead of coffee, consider drinking herbal or green teas. However, the tannin in tea is also known to stain teeth, so its best to drink both coffee and tea in moderation.

5)   Don’t smoke or use other tobacco products: Cigarettes, cigars, pipes, and snuff can cause terrible bad breath. And this lasts for hours, sometimes even continually. In some people, it is worse than in others.

6)   Cut back on alcohol Intake: Alcohol can lead to a dry mouth, also called xerostomia. This is one of the causes of bad breath. Too much wine, beer, and hard liquor can cause bad breath for eight to ten hours after you finish drinking.

7)   Chew sugarless gum: Chewing sugarless gum about 20 minutes after a meal can increase the flow of saliva in your mouth, thereby helping to clean debris, bacteria, and plaque, all of which cause bad breath. Not only is this cleansing, but it can also fight cavities.

8)   Use breath mints carefully: Sugar-free mints are great for a quick fix, but they mask bad breath and do nothing to remove harmful bacteria. In fact, if you eat breath mints regularly, the sugar in the mints can remain in your mouth and teeth, and worsen your bad breath.

These are some of the causes of bad breath and ways treat it. At Bellevue Dental Health, we can advise patients on how to prevent bad breath and also how to treat it effectively. With regular dental visits, and good oral care you can nip the problem of bad breath in the bud and prevent it from getting out of hand.

The team at Bellevue Dental Health takes the time to understand your oral health concerns and will treat you holistically with personalized care. So, the next time you think you need a professional dental cleaning or treatment, visit Dr. Libbi Finnessy at Bellevue Dental Health for the best and most caring treatment for your teeth.

For more information about preventing and treating bad breath, contact Dr. Libbi Finnessy of Bellevue Dental Health at 425-641-3311 or at contact@bellevuedentalhealth.com or visit our website at www.bellevuedentalhealth.com.

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How does gum disease affect systemic health?

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For several decades, medical specialists have concentrated on treating diseases affecting their respective specialities. Similarly, dentists have treated gum disease to augment oral health. However, recent research shows that oral health significantly impacts systemic health. Which simply means that gum disease causes other diseases ranging from heart disease to rheumatoid arthritis (RA).

The evidence for this link between gum disease and systemic disease is so strong that increasingly, cardiologists are asking their patients about oral health and dentists are asking their patients about systemic health.

Chronic inflammatory dental conditions, such as gingivitis and periodontal disease can adversely affect systemic health. It was previously thought that this was due to bacteria entering the bloodstream and damaging major organs. However, it is now thought that chronic inflammation of the gums can cause inflammation in varied, different parts of the body. Given below are some systemic diseases that can be caused by gum disease and vice versa.

1)   Gum Disease and Heart Disease: Over the years, it has been found that people with poor gum health have been known to have poor heart health, including greater risk of heart attacks. Scientists have found that inflammation caused by periodontal disease may be responsible for the increased risk of heart disease. Periodontal disease can also worsen existing heart conditions, such as infective endocarditis.

2)   Gum Disease and Diabetes: If you have diabetes, you are more likely to have gum disease, and vice versa. Periodontal disease is often considered to be a side effect of diabetes. Also, severe periodontal disease can cause a significant increase in blood sugar.

3)   Gum Disease and Dementia: Gum disease also raises the risk of dementia later in life. Researchers have also found that gum disease may be associated with mild cognitive impairment, such as memory problems, making daily activities more difficult. A recent study found that patients with severe periodontal disease scored very low on memory tests and calculations.

4)   Gum Disease and Rheumatoid Arthritis (RA): RA is an autoimmune disease, marked by inflammation and painful joints. People with RA are more likely to have periodontal disease, as chronic inflammation is common to both conditions. Although scientists have not found evidence that one causes the other, a 2009 study found that patients with a severe form of RA had less pain, swelling, and morning stiffness after their periodontal disease was treated. Also, people with RA are more likely to have periodontal disease with more missing teeth than patients without RA.

5)   Gum Disease and Premature Birth: Studies that have attempted to link gum disease and premature birth have had conflicting results. Some show that women with gum disease are more likely to deliver a preterm baby, whereas other studies do not show a definite link. Research is still ongoing. However, other research has also shown that treating gum disease in pregnant women helps them carry their infants to term. Also, one recent study showed that pregnant women who completed periodontal treatment before the 35th week were more likely to carry their babies to term.

6)   Gum Disease and Respiratory Problems: Bacteria that are present in the oral cavity may be aspirated into the lungs, causing pneumonia. Also, patients with poor oral health were more likely to suffer from other respiratory problems than those with optimum oral health.

7)   Gum Disease and Stroke: There is also a possible link between gum disease and stroke. Patients diagnosed with acute cerebrovascular ischemia were more likely to have an oral infection when compared to patients in a control group.

8) Gum Disease and Osteoporosis: Bone loss is a feature that occurs in both periodontal disease as well as osteoporosis. Also, many studies have found a strong link between periodontal disease and estrogen deficiency. The latter is one of the main causes of osteoporosis.

9) Gum Disease and Cancer: While the link between gum disease and cancer is still unclear, researchers found that men with gum disease were 49% more likely to develop kidney cancer. They were also 54% more likely to develop pancreatic cancer, and 30% more like to develop blood cancer.

At Bellevue Dental Health, we pride ourselves on caring for your oral health. If you suspect that you have gum disease, you should visit us for a detailed consult. If needed, we can treat gum disease, as well as educate you regarding potential treatment options and risks.

Check-ups with a qualified dentist, such as those at Bellevue Dental Health, should be undertaken on a regular basis, to help prevent gum disease and the risk of other systemic diseases.

For more information on gum disease, and its prevention and treatment, consult Dr. Libbi Finnessy at 425-641-3311 or at info@bellevuedentalhealth.comor go to our website https://www.bellevuedentalhealth.com for more information.

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Achieve a Beautiful Smile with Dental Veneers

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Everyone wants a beautiful smile. To have a beautiful smile, you need beautiful teeth. This is where dental veneers help. A dental veneer may be the reason you can have a dazzling smile. So, what is a dental veneer? Well, a dental veneer is a wafer-thin, custom-made shell of tooth colored material designed to cover the front surface of your teeth to improve their appearance.

These tooth like shells are bonded to the front of your teeth changing their color, shape, size, or length. Dental veneers are typically made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and reflect light off of your teeth better. In this article, we’ll talk at length about dental veneers and how they can help you achieve that million-dollar smile!

Dental veneers can fix a variety of problems. Some of them are:

  • Teeth that are discolored
  • Teeth that are worn down
  • Teeth that are chipped or broken
  • Teeth that are misaligned, uneven, or irregularly shaped
  • Teeth with gaps between them

Dental veneers offer a minimally invasive and straightforward technique to make your smile look more bright, natural, and healthy looking. If you are self-conscious or embarrassed about your teeth, you can take advantage of a dental veneer for that beautiful smile. However, dental veneers are strictly cosmetic procedures that restore your smile but do not affect the function and strength of your teeth.

Dental veneers can restore your smile without the need for any surgical procedures. This means that you do not need to resort to expensive, time-consuming, and invasive procedures while eliminating any associated risks or pain. Your veneers will look like real teeth enamel and will mimic their shine and translucent quality. These veneers have high stain-resistant properties as stain-causing substances slide off the smooth surface of the ceramic material.

Dental veneers require some caution but are durable are durable enough to last for years. They generally last from 7 to 15 years, after which they may need to be replaced. Dental veneers do not require any special care. You should continue to follow good oral hygiene practices, including brushing, flossing, and rinsing with an antiseptic mouthwash as you normally would.

The dental veneer procedure can be completed in about two visits to your dentist, over the course of about six weeks. The visits are comprehensive and may require several hours of examination and tooth preparation. Your dentist will typically administer a local anesthetic to make you comfortable. Your dentist will then prepare your natural tooth by minimally shaping it with a small, handheld rotational cutting device called a bur.

If your treatment involves direct composite resin veneers, your dentist will apply the appropriately shaded composite to your teeth, shape the material, and then harden it using a high intensity light. Your dentist may also apply additional layers of composite to build the veneer so that it is the correct shape, length, and form for your smile. When all composite is placed, the veneers will be finished and polished using burs and polishers to create a dazzling smile.

If your treatment involves porcelain veneers, your dentist will make an impression of your teeth from which a mold of your mouth will be made. This impression may then be sent to a dental laboratory where the veneers will be professionally fabricated.

At Bellevue Dental Health, we specialize in dental veneers. We work with each individual patient and create top-quality veneers that will suit their mouth and teeth. You can consult us for any questions or concerns you may have regarding dental veneers. We help restore your smile with carefully crafted dental veneers. So, what are you waiting for? Get in touch with us and restore your million-dollar smile…today!

For more information about dental veneers, contact Dr. Libbi Finnessy of Bellevue Dental Health at 425-641-3311 or at info@bellevuedentalhealth.com.

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How Smoking Effects Your Teeth

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We’ve all heard about the detrimental effects of smoking on your health. However, did you know that smoking also adversely affects your oral health? Well, it’s true! Smoking causes many oral health problems and the longer you smoke the more severe these problems become.

With there being about 36 million smokers in the United States, (according to the Centers for Disease Control), this amounts to about 15% of the population. That’s a huge number of people risking their oral health by smoking. So, how exactly does smoking affect your teeth? That’s what we’ll talk about in this article…

  • Smoking puts you at greater risk for oral cancer: Smoking or chewing tobacco can cause cancers of your mouth, tongue, lips, gums, and throat. According to the Oral Cancer Foundation, about 50,000 people in the United States are diagnosed with oral cancer every year. An estimated 80% of them are smokers. If you are a smoker as well as a heavy drinker, your risk for oral cancer substantially increases. I screen all of my patients at their dental appointments for oral cancer. It often begins as a white or red patch in the mouth and is not symptomatic. It later can be accompanied by difficulty chewing or swallowing, numbness in the jaw, and pain in the ear. If you have these symptoms for more than two weeks, visit your dentist, as the earlier oral cancer is detected, the more effective will its treatment be.
  • Smoking puts you at greater risk for gum disease: Smoking adversely affects your gums in two ways. If you smoke you are more likely to produce more bacterial plaque in your mouth, which puts your gums under steady attack. Second, smokers have lower oxygen levels in their blood, therefore delaying healing. This means that when your gums become infected, your body is less likely to be able to deal with it. Gum disease progresses at a very rapid rate in people who smoke. Losing teeth is a very real consequence in people who are heavy smokers.
  • Smoking puts you at greater risk for cavities: Due to the plaque and gum problems caused by smoking, smokers are at higher risk for tooth decay. If you smoke, you’re putting your mouth at risk for cavities three times more than non-smokers.
  • Smoking puts you at greater risk for bad breath: Smokers have a greater incidence of halitosis or bad breath. This is because about 4000 chemicals pass through your oral cavity every time you smoke. Many of these end up collecting on the surfaces inside your mouth. Smoking also contributes to bad breath by drying out your mouth. This can trigger gum infection and can irritate your sinuses, resulting in post-nasal drip.
  • Smoking puts you at greater risk for stained teeth: Smokers typically have stained teeth, with unattractive yellow stains that tar and nicotine leave on your teeth. Over time, this discoloration can leak into tiny cracks in your tooth enamel, leading to permanent discoloration and staining.
  • Smoking puts you at greater risk for delayed healing: Smoking results in the increased possibility of tooth extraction and oral surgery. However, at the same time, it results in delayed healing and slows your body’s ability to recover from these procedures. It also lowers the rate of successful dental implant procedures. The more you smoke, the more vulnerable you are to developing further complications.
  • Smoking puts you at greater risk for altered taste and smell: Smoking results in an altered sense of taste and smell. This interferes with your enjoyment of food and is also likely to make you add more salt or sugar to your food to make the taste stronger. Research shows that about one in five smokers have a less precise sense of taste and smell. However, this can be reversed if you stop smoking.

So, now you know how smoking can adversely affect your teeth. At Bellevue Dental Health we can help you manage the effects of smoking on your teeth. We work individually with each patient and take a detailed patient history to determine what treatment options each patient has.

If you are a smoker be sure to have regular dental care and a regular exam. As always, we are here to help at Bellevue Dental Health!

For more information about a dental consultation and different dental procedures,
contact Dr. Libby Finnessy of Bellevue Dental Health at 425-641-3311 or at info@bellevuedentalhealth.com.

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Dental Phobics: Ways To Ease Your Dental Fears

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Do you avoid going to the dentist until you absolutely have to? Do you tense at the thought of a cleaning appointment? Do you experience intense fear when in the dentist’s chair? If you’ve answered “Yes” to these questions, you are a dental phobic and let me try to help you.

Dental phobia is more common that you think. In fact, it is one of the top 10 fears that people experience. Some studies have concluded that 75 percent of people experience at least a little fear regarding dental visits and that 10 to 15 percent experience intense fear that prevents them from seeking dental treatment. Also, about 8% of Americans avoid dentists all together due to fear.

There are various reasons that patients can suffer from dental phobia. These could range from a bad dental experience you may have had as a child to a pre-existing anxiety disorder. It could also be due to a feeling of lack of control or a biological mechanism. The latter is because our ancestors had a deep-seated desire to protect their noses and mouths, as this helped them survive predators. We have evolved since then, but we still have that deep-seated desire to protect our mouths and noses.

So, what can be done about the dental phobia? Well, there are certain tried and trusted techniques that can help you cope with your fear. That’s what we’ll talk about in this article…

  1. Involve your dentist: The most important solution is to choose a dentist is who will listen to your fears then talk to them about a strategy to overcome it. They need to know that you suffer from dental phobia so that they can work with you to help you overcome your fear. We, at Bellevue Dental Health, listen to our patients who are dental phobic and ensure that we talk to them in detail about the treatment needed and do not rush them in any way. Visit us here.
  2. Acknowledge that you suffer from dental phobia: This is the first step on the way to overcoming your fear. You need to accept that you are afraid of dentists but acknowledge that there are friendly dentists that can help you!
  3. Seek professional help if you need it: If you have a mild anxiety disorder you can cope with it yourself. However, if you suffer from Post-Traumatic Stress Disorder (PTSD), you need professional help. This is especially the case if you are having dental implants, oral surgery or a more extensive dental treatment plan.
  4. Seek distraction when in the dentist’s chair: I have found that when I have patients listen to their favorite music while in the dentist’s chair or watch TV in the office, the distraction makes a huge difference. Try anything that will take your mind off the procedure.
  5. Try breathing and relaxation techniques: Doctors recommend relaxation techniques, such as controlled breathing, which means taking a long breath, holding it, and then releasing it very slowly. This will slow your heartbeat and relax your muscles. You can also try progressive muscle relaxation, which involves tensing and relaxing different muscle groups in turn.
  6. Review with your dentist which sedatives are available and appropriate: The vast majority of patients I see with dental phobias do well with some TLC. However, for those that don’t, we can use other methods such as nitrous oxide, oral sedatives, or even intravenous sedation (with a specialist).
  7. Bring a family member or friend with you: Most patients go to dental appointments alone. However, if you bring a family member or friend with you, they can help distract you away from your fears. Knowing that someone is there waiting for you can help you cope with your dental phobia better.
  8. Use noise-cancelling headphones: With these headphones, you can cancel out all the noise in the dentist’s office that can cause anxiety. This can include the sound of a drill or any other instruments. This will help you in relaxing that tad bit more and help ease your fear.
  9. Visit a psychologist: If you still cannot overcome your dental phobia with these simple techniques, you may need to see a psychologist. The latter will provide specialized treatment and intervention to help you cope with your dental phobia.

 

So, now you know how to deal with dental phobia. It’s helpful to remember that you are not the only one suffering from dental phobia. There are many like you out there. So, do recognize that fact and work with your dentist to overcome your fear…Here’s to comfortable and fear-free dental visits!

For more information on dental phobia and how it can be overcome, contact Dr. Libby Finnessy of Bellevue Dental Health at 425-641-3311 or at info@bellevuedentalhealth.com.

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What to do if you have a dental emergency

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If you’ve suffered from a dental emergency, you know how frightening and debilitating it can be. I have received many calls from concerned patients that are unsure what to do after a trauma. So this is a good time to address how dentists manage a weekend or evening call after a tooth breaks, cracks, becomes loose, or is knocked out completely or even develops into a painful toothache with swelling.

As always, prevention is best. You can prevent some traumatic sports injuries by wearing a mouthguard to stop your teeth from being dislodged or broken. You should also avoid any hard foods, like ice and popcorn, that may result in your teeth cracking or breaking. However, despite these precautions, if you suffer from a dental emergency, you should see your dentist soon and not wait for pain.

There are certain dental emergencies that require you to go to a hospital for treatment. These include: jaw fractures; jaw dislocations; serious lacerations of the soft tissues of the face and mouth, and an abscess or infection that is very swollen or that is impacting breathing or swallowing, especially if you have serious medical conditions.

If you suffer from a dental emergency on a weekend or after your dentist’s office hours, it is OK to contact your dentist at their emergency phone number. It is best to get some advice from an expert and not wait for things to get worse. Sadly, I have seen many patients come to me after “toughing it out” then it is too late to save the tooth or they need a root canal. Your dentist wants to help, so they have an emergency phone number for this very reason.

In this article, I will review some common dental emergencies and what they mean…

  1. Toothache: While this may also be due to “sensitive teeth”, you know it’s an emergency when the pain suddenly increases in magnitude and frequency. This means that you have a potential tooth problem, such as a cavity, crack or abscess. Also, the pain increases after being provoked by touch, temperature or chewing. This is the most common call that dentists receive on the weekend.
  2. Loose teeth: If you were struck by an object, fell, or bit on a hard food you could have injured the tooth and its surrounding ligaments. Even if your teeth are loose but not painful, it could mean a tooth injury or localized infection. If the loose tooth is accompanied by red and bleeding gums, it could indicate advanced gum disease. If left untreated, it could result in heart disease and other medical problems.
  3. Swollen jaw or mouth: Swelling along the jaw and mouth could be caused from a swollen lymph node or tooth infection. If you are in severe pain, it’s a dental crisis and you should consult us immediately. If it’s just tender, you can wait and watch to see if it subsides. Lymph nodes develop swelling and pain due to disease (even a cold or flu) or infection. They should not cause swelling that is noticeable in the mirror, that is an abscess.
  4. Numbness or a total lack of sensation: This could mean that the infection has progressed so far that you have an abscess close to the nerve and you may need a root canal. This could also be caused by other diseases in the jaw. Sudden onset of numbness deserves a call to the dentist.
  5. Metallic or bitter taste in the mouth: This could be due to a broken filling. It is very important to get a broken filling treated promptly, otherwise it could turn into a bigger problem that would need a crown or root canal.
  6. Jaw pain: While this could be due to various reasons, ranging from a broken tooth to arthritis, and from stress to joint pain, it is important to rule out a cracked or infected tooth. You should consult us ASAP, as we can identify the source of the pain and treat it.
  7. Persistent headaches: If your headache coincides with a toothache, they may be related, as the nerves to both regions originate from the same location in your brain. Do not disregard your headaches, particularly chronic headaches without the advice of your doctor and dentist.
  8. A mouth or lip laceration: When you have a deep cut in the mouth or crosses the pink portion of your lip across to the skin, this needs to be evaluated. If this is deep, continues to ooze, and potentially can leave a scar, it should be evaluated. If there is a laceration within the lip/mouth that is not deep and stops bleeding on its own, then just use lots of ice. Lacerations around the mouth are common and tend to swell after 1-2 days so be prepared with ice afterwards. Again, if in doubt you should head to the ER or call me.

So, now you know the different symptoms and conditions of common dental emergencies. While it is easy to ignore the first symptoms or delay treatment, it’s always a good idea to get an expert opinion. Here’s to the efficacious and prompt treatment of your dental emergency.

For more information on how to treat your dental emergency, contact Dr. Libby Finnessy of Bellevue Dental Health at 425-641-3311 or at info@bellevuedentalhealth.com.