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Diabetes and Dental Care

April 23rd, 2019

Diabetes is a disease that affects the health of the entire body, including, of course, your mouth, gums, and teeth. We are trained to look for issues that might arise in our patients with diabetes, and are eager to help you maintain your dental health. What do we consider in order to give you the best treatment?

Your Teeth

Dry mouth can be a problem for diabetic patients, whether caused by blood sugar levels or medication, and this condition can lead to tooth decay. When we produce saliva, it not only helps wash away sugar in our mouths, it also helps remove the acids sugars produce which attack our enamel and lead to cavities.

Your Gums

People with diabetes are at higher risk for gum disease. With diabetes, the body is more susceptible to infection and finds it harder to fight bacteria. Early gum disease, called gingivitis, is inflammation caused by the body’s reaction to bacteria. Periodontitis, serious gum disease, leads to infections that can cause bone and tooth loss.

Other Oral Concerns

Dry mouth can lead to mouth ulcers, oral thrush, sores, and infections. And oral infections of any kind can be slower to heal when you have diabetes. We will give careful attention to any concerns you might have for your oral health, and will work with you to prevent any future problems.

Preventive dental care is important for all our patients, and we have special suggestions for you to help maintain your dental health and reduce the possibility of dental complications. Diabetes can lead to oral problems, and oral infections can in turn cause problems with controlling blood sugar, so a healthy mouth can lead to better health in general.

  • Home Care

If dry mouth is a problem, talk to us about possible causes and treatments. Hydrate throughout the day, and avoid foods or beverages that lead to dehydration. Talk to us about the best products for use at home to prevent dry mouth.

Brush and floss after meals to reduce the presence of harmful bacteria and prevent the plaque buildup that leads to gum disease.

Above all, monitor your blood sugar carefully to ensure your body is at its best when combatting infection or when healing.

  • Professional Dental Care

Be sure to visit our Marysville, WA office at least twice a year for a full examination and a professional cleaning. We can reduce the plaque that leads to gingivitis and more serious periodontal infection. We can monitor your oral health and recommend solutions for problems such as dry mouth. We will make your appointments based on what is best for your schedule. If any type of oral surgery is needed, we will schedule it with an understanding of the importance of healthy blood sugar levels for healing and recovery.

It’s important to make Dr. Kelly Peterson part of your health support system. If you have diabetes, let us know. We will work with you to monitor the well-being of your teeth and gums and to suggest ways to promote your overall oral health. Let’s work together for healthy, happy smiles!

What’s an intraoral camera?

April 9th, 2019

One of the greatest features our team at Northwest Smile Design offers is the ability to see first-hand how we can help our patients. While X-rays help us detect any problems in your mouth and give us valuable information on what is bothering you, they often don’t give Dr. Kelly Peterson a complete view of everything that is going on inside your mouth. With the use of an intraoral camera, we can see every aspect of your teeth and mouth with incredible detail, uncovering cracked or fractured teeth, excessive wear, carious lesions, cavities, or other issues that may be hidden. When we can discover oral problems early on, your treatment is much less invasive and often saves you money down the road.

An intraoral camera allows Dr. Kelly Peterson to view clear, precise images of your mouth, teeth, and gums and allows us to make an accurate diagnosis.  With clear, defined, enlarged images, Dr. Kelly Peterson and our team see details that standard mirror examinations may miss. It’s much easier to understand what is happening in your mouth if you can see the problem on a computer monitor, and it means faster diagnosis and less chair-time for our patients!

Intraoral cameras are small, about the size of a dental mirror, and emit a light onto the tooth. The tooth will emit a color that lets Dr. Kelly Peterson determine if the tooth is healthy or diseased. Intraoral cameras also allow us to save your images on our office computer to provide a permanent record of treatments. These treatments can be printed for you, other specialists, and your lab or insurance companies.

For any questions about the intraoral camera, we encourage you to ask Dr. Kelly Peterson or our team during your or your child’s next visit or by giving us a call at our convenient Marysville, WA office.

Oral Cancer Awareness Month

April 2nd, 2019

Happy Oral Cancer Awareness Month! We know oral cancer can be kind of a scary topic, but it’s worth using this opportunity to learn about the disease and spread knowledge so everyone becomes more aware. The more we know, the better we can work to prevent it!

Oral cancer is exactly what it sounds like: cancer that occurs anywhere in the mouth. It could occur on the tongue, the lips, the gums, the tongue, inside the cheek, or in the roof or floor of the mouth. Every  year, more than 8,000 people die from oral cancer. It’s a truly deadly disease.

The reason oral cancer scores a higher death rate than other common cancers such as testicular cancer, Hodgkin’s disease, thyroid cancer, cervical cancer, or even skin cancer, is because it often goes undetected until it's become too advanced and has spread to another part of the body.

So what causes this devastating disease? There is no clear answer, but some potential causes have been identified. By being aware of these, we can be alert and promote prevention of this illness:

  • Age: Most patients who develop oral cancer are above the age of 40. If you’re over 40, make sure your doctor checks for signs of oral cancer and that you stay on your dental hygiene regimen.
  • Tobacco: Excessive tobacco use, whether in the form of cigarette smoking or tobacco chewing, can be a substantial contributor and cause of oral cancer. So that’s another reason, among many, you should avoid tobacco.
  • Alcohol: Excessive alcohol consumption can put you at risk because alcohol converts into a chemical called acetaldehyde, which damages the body’s DNA and blocks cells from repairing the damage. When paired with tobacco, the dehydrating effects of alcohol make it even easier for tobacco to infiltrate mouth tissue.
  • Sun exposure: Your lips need SPF, too! Repeated sun exposure increases your risk of contracting cancer on your lips, especially the lower lip.
  • Diet: Not getting all the nutrients you need, from vegetables and fruits for instance, can weaken your immune system and make you more vulnerable to the disease.

Obviously, many of these causes relate to lifestyle choices, which we have control over. It's all about balance, being aware, and making small tweaks to our habits if we need to.

If you’re concerned that you may be at risk for oral cancer, give us a call to talk about a screening. And if you’ve been putting off a visit to our Marysville, WA office, now is an excellent time to schedule one. Regular visits to the dentist can be the first line of defense against oral cancer!

How to Handle a Dental Emergency

March 26th, 2019

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the American Dental Association , you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at Northwest Smile Design is available 24 hours a day, seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, the Cleveland Clinic recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Dr. Kelly Peterson can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Make your child’s next visit to our office great!

March 19th, 2019

If you have been bringing your baby in for regular checkups since that first tooth arrived, you might expect that he or she is already familiar with Dr. Kelly Peterson and our staff. Often, though, months pass between visits, which is a very long time for a child. How can you make your preschooler’s return visit a happy one? We have some suggestions!

Before Your Visit

  • Prepare your child for her visit. Simple explanations are best for a young child. You might tell your daughter that a dentist is a doctor who helps keep her teeth strong and healthy. Let her know a bit about what will happen. Being told, “You will sit in a special chair,” or, “Can you open wide so we can count your teeth?” will give her some idea of what it’s like to visit our office.
  • There are many entertaining books for young children about visiting the dentist. Reading some of these to her for a few days before the appointment will let her know what to expect.
  • Use playtime to prepare. You might count your daughter’s teeth or let her “play dentist” and brush the teeth of her favorite doll or stuffed animal.

When You Arrive

  • Your attitude can be contagious! If you treat a visit to the dentist like any other outing, chances are your child will too. Your calm presence is exactly what your child needs.
  • You might want to come a bit early to let your son explore the office. Bring a favorite toy or book to keep him entertained if you need to. A favorite stuffed toy can be a comfort in an unfamiliar place.
  • If you are with your child during his checkup, follow our lead. Don’t be concerned if your child seems uncooperative at first or even throws a tantrum—we are used to working with children, and have techniques to make his experience as relaxed and as positive as we possibly can.

We Are Here to Help

We are your partners in your child’s dental care. Call our Marysville, WA office anytime for suggestions about making your child’s visit a comfortable, comforting experience. Our goal is to start your child confidently on the road to a lifetime of empowering dental visits and lasting dental health.

I chipped a tooth. What can I do?

March 12th, 2019

You just crunched down on a piece of hard food when you suddenly realize there is something hard still in your mouth. Your nightmare is confirmed when you retrieve a piece of your tooth from your mouth. You chipped your tooth; now what?

Obviously, the first thing you need to do is call our Marysville, WA office. While we make every effort to see emergent cases immediately, you may have to wait a day or so before you can see Dr. Kelly Peterson. Luckily, it’s easy to take care of your chipped tooth while you wait.

How to Take Care of a Chipped

The last thing you want is for the tooth to become infected or break even more. Let’s look at a few things you can do:

  • If the chipped tooth is causing you pain take an over-the-counter pain medication, like Tylenol. Always follow the directions on the label.
  • You should also rinse your mouth with lukewarm saltwater, as this will help prevent an infection from setting in.
  • If your chipped tooth has a sharp edge, cover it up with a piece of wax to prevent it from cutting you cheek, tongue, or lip.
  • If you have to eat, make sure you eat soft foods and don’t bite down on the chipped or broken tooth.

Treatment Options for a Chipped Tooth

  • Dental Filling and Bonding – If you only have a small chip in your tooth, Dr. Kelly Peterson will probably fix it with a filling. If it is a front tooth, we may bond the tooth using a tooth-colored compound.
  • Dental Crown or Cap – If you broke a large piece of your tooth, we may grind the remaining part of your tooth and put a crown or cap on it.
  • Dental Veneers – If you chipped or broke your front tooth then choosing a dental veneer may be your best choice. It will make your tooth look completely normal.
  • Root Canal – If you cracked your tooth and the center (pulp) of the tooth is exposed and infected, you will need a root canal. If the center of your tooth is exposed, it becomes vulnerable to bacteria that will cause your tooth to abscess.

Chipping or breaking your tooth is never a good thing, and you should always call our Marysville, WA office right away. The sooner you get your tooth repaired the less likely you are to have any problems with it.

Implants: Why It’s Important to Replace Missing Teeth

March 5th, 2019

Sometimes, despite our best care, we lose a tooth. If it is a front tooth, it will probably be a high priority to replace. But if a missing tooth doesn’t show when we smile, what’s the hurry? Let’s look at the reasons why prompt replacement with an implant is always a good idea, no matter which tooth is involved.

 Appearance

Implants look like natural, individual teeth, but that is not the only aesthetic reason to replace a lost tooth. Without some type of tooth replacement, missing teeth can eventually affect the structure of our jawbones and change our facial appearance. Cheeks, lips, profiles—all are impacted by the changes in our bones resulting from tooth loss.

Better Bite

Nature abhors a vacuum, and so do our teeth. When a space is left by a missing tooth, the teeth around it might shift positions, affecting the even pattern of our bite. And without a tooth to keep it in place, a tooth above or below the missing one might begin to grow longer to fill the void in your bite. This lengthening, in turn, can cause even more bite problems.

Chewing

With the loss of only a single tooth, there is a negative impact on the remaining teeth. More pressure is placed on the other teeth in order to chew properly, front teeth not meant for chewing might need to be used for that purpose, or food is not chewed as thoroughly as it should be. The first two problems are not healthy for our teeth, and the last one is not healthy for digestion!

Don’t Delay

Changes in bite and chewing problems probably won’t happen overnight, so is putting off the process really a big deal? It can be! Time is not on our side when a tooth is lost. The bone tissue which supports our teeth needs the stimulation of biting and chewing to stay healthy. Without that stimulation, the bone area under the missing tooth gradually shrinks. If there is not enough bone area left, you might need surgical bone grafting to achieve the right bone height to hold an implant, or it could lead to the impossibility of placing an implant at all.

Expense

Replacing a lost tooth quickly requires less restoration of the gums and bone in the future and prevents other serious problems from developing.

We could continue through the alphabet, but instead, come talk to Dr. Kelly Peterson about all the reasons a tooth implant might be your best option. Whether you have already lost a tooth, or if you have an extraction scheduled at our Marysville, WA office, we are happy to recommend the best procedure at just the right time to make your smile beautiful, healthy, and complete!

What to Expect if You Haven’t Been to the Dentist in Forever

February 26th, 2019

It’s easy to miss a dental appointment. Life and duties intervene, and suddenly you have to push your appointment back once, then again, or forget about it.

We get that. These days, we all have a lot going on. But what we don’t want is for a lengthy absence to make you anxious about returning. It doesn’t matter how long it’s been, we always love to see you! So let’s take a moment to explain what you can expect when you pay us a visit.

Your appointment will last roughly 60 to 90 minutes, so keep that in mind when you schedule it and plan accordingly. Dr. Kelly Peterson and our team want you to feel comfortable.

One of the first things we will ask is the reason for your visit. You’ll have the opportunity to let us know about any concerns or questions you may have. No question is too small, so ask away!

Next, we will go over your medical and dental history to make updates to your file as necessary. This will usually be followed by X-rays to give us a better idea of what is currently happening with your teeth. We will finish with a screening for oral cancer and periodontal disease. If you haven’t visited us in a while, we want to make sure nothing serious is going on.

After that, you will undergo a cleaning with one of our hygienists. Your teeth will be cleaned and checked for such things as broken fillings, cracked teeth, or active decay. Finally, Dr. Kelly Peterson will come by for a final look and a rundown of your dental needs.

Then you’re ready to go! On your way out, you’ll discuss options for scheduling your next appointment, insurance coverage, and payment plans if applicable. You will also receive a goodie bag with a new toothbrush, floss, and toothpaste to get you started (and motivated) on the path to great dental health!

We always want our patients’ experience to be as comfortable and as easy as possible. From the moment you pick up the phone to make your appointment, our team is here to make sure we always meet your needs.

No matter how long it’s been since your last visit, we hope you’ll give us a call to make your next appointment at our Marysville, WA office.

Mall Whitening: Why You Shouldn’t

February 19th, 2019

A shopping mall is a great place to get lots of errands done in one trip. Department stores, clothing boutiques, specialty shops? So many tempting options all in one place. But teeth whitening? Maybe not.

Dental office whitening provides you with the whitest possible teeth in the safest possible manner. Your teeth will be checked first for any conditions that might make whitening a bad idea, such as tooth decay, weakened enamel, or gum disease. Dr. Kelly Peterson will make sure your gums and mouth are protected. A gel with a higher concentration of bleaching agents than those available over-the-counter will be applied, and your whitening progress will be monitored. You can also ask about having a custom-fitted tray made for at use at home with professional whitening gel.

What is different about mall bleaching?

  • No dental exam will be provided beforehand. If you have dental issues, the whitening process might cause further problems such as tooth sensitivity or gum inflammation.
  • The amount of peroxide in the bleaching agents can vary from place to place. You might end up with something equivalent to home whitening strips, or you might be exposed to solutions that should only be available in a dentist’s office.
  • Finally, in many areas, mall whitening is actually illegal because it is considered the practice of dentistry without a license. Mall kiosks skirt this problem by having customers insert the trays full of gel themselves—a practice that does not take the place of professional training, licensing, and regulation.

A mall kiosk is a convenient place to select a new phone. Or try an unusual hair care product. Or purchase the latest in fad toys. But when it comes to your dental health, it’s worth a special trip to our Marysville, WA office if you want the safest, most effective whitening.

The Start of Valentine’s Day

February 12th, 2019

Valentine’s Day, also known as Saint Valentine’s Day, has been said to originate with a Catholic priest named Valentine several thousand year ago. Valentine defied the emperor at the time by secretly marrying men and their brides after the emperor had made it illegal to marry. Emperor Claudius II did this because he wanted as many single young men to fight in his war as he could get.

Valentine disobeyed the emperor’s edict by continuing to marry couples until he was sentenced to death. Before his execution, he sent a letter to a secret love and signed it “From your Valentine.” Dr. Kelly Peterson and our team have come up with some suggestions on how you can celebrate this Valentine’s Day, whether you have a valentine of your own or not.

Valentine's Day Ideas

  • Enjoy a tasty treat. There are plenty of options when it comes to cooking and/or baking on Valentine’s Day. Make your significant other his or her favorite meal or sweet treat, or make your own favorite dish to enjoy on this day. Oh, and be sure to make enough for leftovers!
  • Make a personalized card. Instead of buying a card from the grocery store, take the time to make your own for a loved one. People love handwritten notes, especially when it’s from someone special. If you’re single this Valentine’s Day, make a card for fellow single friend to brighten the day and remind the person that he or she is also loved.
  • Watch a movie. We all know there are plenty of romance movies out there. Put on your favorite romantic comedy, or pick up your significant other’s favorite movie to watch together. Even better, if you’re single, pick up your own favorite movies to watch to pass the time this Valentine’s Day.
  • Do nothing! We all know Valentine’s Day can sometimes get a lot of hype. If you’re worried about not making a reservation in time, don’t feel like planning an extravagant night out, or simply not in the holiday mood this year, spend your day sitting back and relaxing.

Valentine’s Day is a time to celebrate love and spend quality hours with the people you care about the most. Whether you’re in a relationship or single, take some time today to appreciate those you love in your life.

We wish you a happy Valentine’s Day celebration and look forward to seeing you at our Marysville, WA office during your next appointment.

Electric or Manual Toothbrush: Why It Does (and Doesn't) Matter

February 5th, 2019

You live in the golden age of toothbrushes. Until a few decades people used twigs or brushes made from animal hair to clean their teeth: not very soft and none too effective.

Now, you have a choice of manual brushes with soft, medium, or hard bristles. Or you might choose to go with an electric toothbrush instead.

Have you ever wondered whether manual or electric brushes provide better cleaning? Actually, they both do the job. The key is to brush and floss every day, regardless of the kind of brush you prefer.

At our Marysville, WA office, we like to say the best brush is the one you'll use. So if you prefer manual, go for it. If you prefer electric, turn it on.

Both types have their advantages but both types will get the job done as far as removing plaque.

Electric Toothbrushes

  • Provide power rotation that helps loosen plaque
  • Are great for people with limited dexterity due to arthritis or other problems
  • Are popular with kids who think the electric brushes are more fun to use
  • Can come with variable speeds to help reduce pressure on sensitive teeth and gums

Manual Toothbrushes

  • Can help brushers feel they have more control over the brushing process
  • Allow brushers to respond to twinges and reduce the pressure applied to sensitive teeth and gums
  • Are more convenient for packing when traveling
  • Manual brushes are cheaper and easier to replace than the electric versions.

In many ways, the golden age is just beginning. There are already phone apps available to remind you to brush and floss. New apps can play two minutes worth of music while you brush, help you compare the brightness of your smile or help explain dental procedures. Maybe someday we’ll even have programs that examine your teeth after brushing and identify spots you might have missed.

Is sleep apnea linked to cancer? Studies say, ‘Yes’.

January 29th, 2019

Recently, multiple studies have concluded that people with sleep apnea, a disorder that causes snoring, fatigue, and dangerous gaps in breathing at night due to throat muscles collapsing, are five times more likely to develop cancer. In fact, one of the studies found that people with the most severe forms of sleep apnea had a 65 percent greater risk of developing cancer of any kind.

Researchers believe this could be due to the body lacking enough oxygen, a condition known as hypoxemia. When people are deprived of oxygen, their bodies react by producing more blood vessels, which can feed cancer cells, and as a result cause tumors to grow and spread.

Approximately 28 million North Americans suffer from sleep apnea, with many cases going undiagnosed. This is due to most cancer patients not mentioning any sleep problems they experience unless their physician asks them.

Patients at Northwest Smile Design who suffer from sleep apnea can be treated using continuous positive airway pressure (CPAP) therapy, which produces a stream of air to keep the upper airways open while you sleep. An oral appliance may be another option if CPAP therapy isn’t an option. If you have sleep apnea, Dr. Kelly Peterson and our team will help you understand all of your treatment options, finding one that suits your needs.

If you think you may have sleep apnea, please give us a call at our Marysville, WA office to schedule an appointment.

Improve Your Overall Health with Regular Cleanings

January 22nd, 2019

It’s common knowledge that you should get your teeth cleaned every six months. But do you know why that timing is crucial? Studies have shown that your oral health connects directly to the rest of your body. Over time, an unhealthy mouth can cause trouble in other parts of your general system.

Undergoing a regular cleaning every six months at our Marysville, WA office is vital. During your dental checkups, we remove plaque that collects on your teeth and around your gums. If the plaque gets left in place for an extended period, inflammation can develop and may lead to painful gum diseases such as gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for health conditions such as heart disease, stroke, diabetes, inflammation, and osteoporosis. Bacteria from your mouth can spread throughout the rest of your body. So a healthy mouth leads to a healthy body.

Regular checkups can prevent issues from arising in your mouth if problems are caught early by Dr. Kelly Peterson. If you have been avoiding the dentist, you could be making issues worse for yourself in the long haul. Generally, a dentist will go over a few routine matters during your checkup. They might include taking X-rays, checking for gum disease and tooth decay, examining your bite, inspecting your head and neck for swelling, and of course performing a thorough cleaning of your teeth and gums to remove built-up plaque and tartar. All of these routine practices are worthwhile when it comes to keeping your oral health in top shape.

Now that you know the importance of getting your teeth checked every six months, you should be sure to schedule your next appointment with Northwest Smile Design at our Marysville, WA location. Keeping your mouth healthy will prevent any form of bacteria from spreading to the rest of your body. If you have any questions or concerns regarding your oral health, don’t hesitate to call and our staff will be happy to assist you.

Root Canal Recovery

January 15th, 2019

Anyone who has had a compromised tooth knows that the amount of discomfort it causes can be extremely unpleasant. Although no one looks forward to a root canal, this procedure is actually the best way to both eliminate pain and save your tooth. If the pulp inside your tooth is infected or damaged, a root canal is probably necessary.  

The process is relatively straightforward and can take place over one or two visits to our Marysville, WA office. The area around the tooth is numbed, the pulp is removed from the inside of the tooth, the area is thoroughly cleaned, and a temporary filling or crown is placed on the tooth to prevent bacteria and food from entering the site. A permanent crown will be fabricated and affixed to the tooth at a later visit.

Once your root canal is finished, recovery is usually only a matter of days. What can you to keep yourself as comfortable as possible during that time?

  • The area around the affected tooth might be somewhat sore or sensitive for a few days. Let us know, and we can talk about medication to reduce pain and inflammation. If you are prescribed antibiotics, be sure to take the entire course of medication as directed.
  • Taking an ibuprofen (if this is a pain reliever that is safe for you) before the anesthetic wears off will reduce the soreness in the hours immediately after the procedure.
  • Wait until the numbness is gone before eating to avoid biting down on a temporary filling (or your tongue). Hot drinks are also best avoided.
  • Avoid chewing on the side of the affected tooth until the restoration is complete. A soft diet is recommended for the first several days—chewy, sticky, and crunchy foods should wait.
  • Continue with regular brushing and flossing.
  • Call Dr. Kelly Peterson immediately if you experience severe pain or visible swelling, if you have an allergic response to medication, if your bite feels uneven, or if you lose the temporary filling.

Follow the instructions we’ll give you carefully, and feel free to call us with any concerns. We want to ensure that your root canal is as pain-free and worry-free as possible.

Should I have TMD treated? Why?

January 8th, 2019

TMD occurs when your bite is not properly aligned. It can cause the jaw to experience unnatural stresses and prevent it from resting properly when your mouth is closed. If you have TMD, you may have noticed a clicking noise when you chew, speak, or yawn; you may even experience pain and discomfort during these actions. In some cases, your jaw may feel “locked” following a wide yawn.

TMD can cause pain and discomfort in the jaw as well as headaches that occur when the muscles that help the joints open and close become overtired. But beyond the pain and discomfort, TMD can also cause serious dental problems if left untreated.

Because TMD is associated with a poor bite or malocclusion (which literally translated means “bad closure”), your teeth do not meet properly. As a result, extra tension and stress may be placed on your teeth, resulting in chips and cracks that allow cavities to form and may even result in tooth loss. Over time, TMD can cause teeth to break, which requires cosmetic treatment to rebuild your healthy smile, and ensure the broken tooth and its neighbors are protected from decay.

While treating TMD used to mean expensive and invasive surgery to reposition or even rebuild the jaw joints, today’s approach at Northwest Smile Design is much more patient-friendly. By restoring broken, chipped, or cracked teeth, replacing missing teeth, and using braces or other dental devices, Dr. Kelly Peterson and our team can help realign your jaw so it’s able to function properly, and eliminate pain and discomfort. And there’s more good news: By restoring damaged teeth and tooth surfaces and straightening crooked teeth, you’re also left with a more attractive smile once treatment is completed.

Every patient is different, and that means your course of treatment will be different too. After a thorough examination of your teeth and jaw, our experienced staff at Northwest Smile Design will work with you to develop a treatment plan that will have you feeling better – and looking better – sooner than you ever expected. Don’t let your untreated TMD cause more pain and problems; give us a call at our convenient Marysville, WA office today to schedule a consultation.

A Brighter Smile for the New Year

January 1st, 2019

The beginning of a new year is the perfect opportunity for a fresh start for you and your smile. At Northwest Smile Design, a brighter smile is quick and easy!

Given the latest in whitening technology, whiter teeth are only an appointment away. Teeth whitening is a safe, quick, and inexpensive way to create the dream smile you’ve always desired. We can offer a safe method that corrects tooth discolorations that may have been caused by staining, aging, or chemical effects.

So, start the new year off right and get a whiter smile today! Give us a call at our convenient Marysville, WA office to schedule an appointment!

How to get Brighter Teeth for Life

December 25th, 2018

Have you ever wondered why some people have dull and yellow teeth, while others have bright, white smiles? It’s not luck.

Everyone’s teeth naturally dull over time because of aging and the contact our teeth experience with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can give you the whiter smile you’ve been after.

Get Regular Treatments

Unfortunately, the effects of teeth-whitening or bleaching treatments are only temporary, but regular treatments at Northwest Smile Design can help keep your teeth white for much longer.

The effects of in-office bleaching can last for several months to a year, so you may prefer to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach and are safe to use every day.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white. Some just don’t respond to whitening treatments. If your teeth are a light yellowish color, they may readily respond to teeth-whitening procedures, but bleach will not likely work on grayish teeth. Brownish teeth tend to fall somewhere in between.

Practice Good Oral Hygiene

For the best whitening results, it’s necessary to keep your teeth in good health. Visible fillings, implants, or bridges that are metallic stand out against the white color you’ll want to achieve.

Maintaining good oral hygiene will help you avoid tooth decay and keep your smile bright. In addition to brushing your teeth twice a day, these actions can help promote a healthy mouth:

  • Floss every day
  • Visit our Marysville, WA office every six months for professional cleanings
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages that can stain teeth, especially between meals

Getting to the Bottom of Chewing Gum Myths

December 18th, 2018

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Dr. Kelly Peterson and our team at Northwest Smile Design hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

Eco-Friendly Toothbrushes

December 11th, 2018

When it comes to dental hygiene, “going green” is not the first phrase that comes to mind. But if you are brushing properly, you are also replacing your toothbrush every three to four months as the bristles become frayed and wear down. Sure, that’s a tiny amount of plastic from each of us going to our landfills, yet it adds up to millions of brushes a year nationally. If you are concerned about reducing your carbon footprint while reducing your risk of cavities, there are several new toothbrushes designed to make brushing more eco-friendly.

Biodegradable Toothbrushes

Some brushes claim to be completely compostable. These models generally have heads fitted with boar bristles and handles manufactured from sustainable woods or bamboo. Boar bristles aren’t for everyone. Some users complain of the taste of the bristles, and boar bristles might be harsher than the soft bristles we recommend to protect both enamel and gums. There is also some concern about bacteria growth on organic bristles.

Earth-friendly Handles and Bristles

If you prefer the consistency and texture of regular synthetic bristles, you can still opt for a brush with a handle of sustainable wood or bamboo. You can also select PBA-free bristles, bristles made primarily of castor oil, or bristles that use natural ingredients in combination with synthetics.

Reduce, Reuse, Recycle

If these exotic brushes aren’t for you, there are more conventional choices that will save energy and cut down on waste.

  • Reduce the amount of electricity you use for your electric toothbrush with a model that requires less charging time.
  • Reuse your toothbrush by buying one with a handle made of metal, natural materials or plastic and replace the detachable head every three months.
  • Recycled plastics can be found in the handles of some toothbrushes, and many brushes come in recyclable packaging. Every bit helps!

If you decide to use one of these green products, remember that your dental health is still the primary goal. Be sure the bristles of your brush are soft enough to protect your gums and enamel and can reach all the places you need to brush. The handle should be easy to grip and the head should be a comfortable fit for your mouth. It’s always best to choose products with a seal of acceptance from your local dental association, or talk to us about greener alternatives during your next visit to our Marysville, WA office. Luckily, there are several workable options to protect the health of your family's teeth while still being mindful of the health of our planet.

Dental Emergencies while Traveling

December 4th, 2018

You’ve planned your dream vacation. Your reservations are made. You’re packed and ready. You’ve even scheduled a dental checkup at our Marysville, WA office to make sure you catch any potential problems, have finished any major work, and have an up-to-date chart.

But things don’t always go according to even the best of plans. So, what to do if you find you have a dental emergency while traveling? Dr. Kelly Peterson and our team have some recommendations for problems that might arise.

  • Toothache—Rinse your mouth with warm water and use dental floss to remove any food particles. Never put aspirin directly on a tooth or gum tissue. If the pain persists, call a dentist.
  • Cracked or broken tooth—Immediately rinse with warm water to clean the area and apply cold compresses to the face to minimize swelling. Get in touch with a dentist.
  • If you lose a tooth—Keep the tooth moist at all times. Put the tooth back in the socket without touching the root if possible. If that is not an option, place the tooth between the cheek and gums or in milk. See a dentist as soon as possible.

Know where to get help if you need it! If you are traveling in the United States, the American Dental Association offers Find-a-Dentist, a website that can locate a member dentist closest to you. If you are traveling to another country, there are steps you can take to prepare for an emergency.

  • If you are out of the country and need to locate a dentist, your local embassy or consulate, your hotel concierge, or friends abroad can be a useful resource.
  • Before you go, check your insurance to see if you are covered while traveling.
  • If you have travel insurance, find out if it covers dental treatment and can provide information on qualified local dentists and translation help, if necessary.
  • Good dental care is available in many areas internationally, but it is important to know what standards are present in the countries you plan to visit. The Organization for Safety and Asepsis Procedures offers a checklist for safe treatment in their “Traveler’s Guide to Safe Dental Care.”

If you have any questions, Dr. Kelly Peterson and our team are happy to do all we can to answer them. While it’s unlikely that problems will arise, we are always available if you need to contact our Marysville, WA office. Bon voyage, and we look forward to hearing about your trip!

Tooth-Colored Fillings

November 27th, 2018

Once upon a time, silver fillings ruled in dental offices everywhere. For a long time, they were the only option dentists used to close off the spaces on teeth where bacteria could easily enter.

Most patients did not regard a pearly white and silver smile as something to be super excited about. Luckily, we have a range of more aesthetically pleasing options today. The most common material used for fillings now is composite, also known as tooth-colored fillings.

Composite fillings are made to match the shade of your teeth, so they offer a seamless addition to your smile. They even let light travel through them the same way that natural enamel does. Composite fillings are great because they erase imperfections and can even reshape your teeth by minimizing excessive spacing. If you have a gap between your two front teeth, for example, a composite filling is an easy, non-invasive, and most important, cost-effective way to give you the instant fix you desire.

Overall, tooth-colored fillings make an easy choice all around. Easily placed, readily repaired, and well disguised. In a world where a perfect smile seems to have become standard for everybody, why not get composite fillings for yourself?

You can smile with the confidence of knowing that nobody will spot a shiny silver thing in your mouth. Visit our Marysville, WA office to get a consult or give us a call! We’re always happy to answer your questions.

Good Dental Hygiene Gives You Better Overall Health

November 20th, 2018

What do you think of when you hear the term dental or oral hygiene? Brushing and flossing tend to come to mind, since that is what the terms imply.

What you might not know, however, is that good dental hygiene involves much more than just your mouth. That’s the tip of the iceberg … just a piece of the complex puzzle that is the human body.

Simply put, you cannot be fully healthy if you don’t have good oral health. Studies have shown that oral health and body health are closely linked and in fact almost impossible to define as separate phenomena.

Take gum disease, for example. It’s one of the most common dental infections, but it doesn’t just affect your gums. According to the Academy of General Dentistry, gum disease can be directly linked to more serious complications such as strokes and heart disease. Doesn’t that make you want to floss a little more often?

This goes the other way, too. Many oral events like sores, swollen gums, and dry mouth syndrome, which might seem fairly trivial and even harmless, may be signals of a much bigger problem: possibly leukemia, kidney disease, diabetes, or pancreatic cancer.

Now that you’ve been made aware of just how vital dental health is for your overall health (and vice versa), the best thing to do is what you’re probably already doing: making sure you brush and floss, as well as maintain a well-balanced diet. It’s also smart to keep away from cigarettes and tobacco, because both are known to contribute to periodontal disease.

In addition, be sure to keep getting your teeth cleaned every six months! If you’re due for a cleaning, give our Marysville, WA office a call to schedule an appointment at Northwest Smile Design.

Dental Anxiety

November 13th, 2018

If you suffer from dental anxiety, a visit to Northwest Smile Design might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Marysville, WA office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!

A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment

If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

Care for Your Dentures

November 6th, 2018

Just like natural teeth, Dr. Kelly Peterson will tell you that dentures have a tendency to get coated with plaque, which is a sticky, transparent film that attracts food and bacteria. When you don’t take care of your dentures adequately and regularly, plaque can build up, harden, and become difficult to remove. More importantly, it can result in dental problems, including gum disease and infection. Proper care for your dentures also helps them maintain their shape, fit the way they are supposed to, and last longer.

Cleaning your dentures

Your dentures should be cleaned with the same diligence as you clean natural teeth.

  • Take out dentures and rinse them after eating. To remove food particles, run water over your dentures.
  • Clean your teeth after denture removal. Once dentures have been removed, use a soft-bristled toothbrush to brush existing teeth, gums, and tongue.
  • Scrub your dentures on a daily basis. At least once per day, gently scrub your dentures with a soft-bristled toothbrush and denture cleanser.
  • Soak dentures overnight. In order to keep their shape intact, many dentures must remain moist. Always use a mild denture solution recommended by our office. Never use hot water on your dentures, as they may warp their shape.
  • Rinse dentures prior to placing them back in your mouth. This is especially important if you soak your dentures in a denture solution.
  • Dentures are fragile and can break when dropped. It’s a good idea to hold them in a soft cloth or towel to keep them from falling and breaking.

Over time, even with diligent daily care, your dentures may form difficult-to-remove tartar. When this happens, our team at Northwest Smile Design uses a powerful ultrasonic cleaner to remove stubborn, denture build-up.

Proper care for your dentures can help retain their shape, prevent oral issues, and increase their longevity. Visit Dr. Kelly Peterson regularly at our convenient Marysville, WA office to maintain your oral health and keep your dentures in tip-top shape.

What exactly is periodontal disease?

October 30th, 2018

Periodontal disease is an infection of the tissues that surround and support your teeth. Our team at Northwest Smile Design wants you to know that this common ailment can be fixed with little worry if treated properly.

Periodontal disease is usually identified through dental X-rays, probe depths, and visual exams. If left untreated, it can lead to tooth sensitivity, premature tooth loss, or discomfort and pain in your mouth. Some common symptoms to watch for include bleeding or swollen gums, bad breath, teeth movement, or jaw displacement.

Factors that may increase your risk of developing periodontal disease may include poor oral hygiene, smoking/chewing tobacco, genetics, stress, inadequate nutrition, pregnancy, diabetes, and some medications. Some of these causes are avoidable, but others are not.

If you have diabetes, you may be more prone to periodontal disease due to the greater difficulty in controlling blood glucose levels. Studies have shown that once periodontal disease is treated, glucose levels become more responsive to control as well. If your risk for periodontal disease is heightened by one of these factors, make sure to watch for the signs and keep up with your daily oral hygiene routine.

How can you treat this common disease that affects almost half of the population? Depending on the severity, treatment can include a medicated mouth rinse, antibiotic treatment, laser therapy, or scaling and root planing. It’s useful to recall that this condition can vary from mild to severe, which is why you should make an appointment at our Marysville, WA office if you notice any of the above symptoms.

 

Dental Emergencies in Children

October 23rd, 2018

Dental emergencies are bound to come up when you have young children. Dr. Kelly Peterson and our team want to you to be prepared in case you run into a difficult situation. Problems can vary, from minor gum irritation to knocked-out teeth. Take a look at the different possibilities and how you can handle them.

Teething

Depending on the age of your child, there are common things to watch for when it comes to his or her teeth. Starting from a young age, your son or daughter may experience teething pain. This starts at about four months and can last up to three years.

Teething may cause your little one to become irritable and more prone to drooling due to tender gums. This is very common in young children who are teething, and can be alleviated by giving them a cold teething ring or by rubbing their gums with your finger.

Teething pain is as normal as your child’s first set of teeth falling out. On the other hand, if a baby tooth is knocked out in a forceful accident, make sure you bring him or her into our Marysville, WA office to check that other damage hasn’t occurred in the mouth. On occasion, permanent teeth may grow in before baby teeth have fallen out. This may not cause any discomfort, but Dr. Kelly Peterson should make sure the teeth are growing in properly. Catching teeth that are coming in incorrectly can prevent issues from arising in adulthood.

Gum Issues

If you’ve noticed your child’s gums bleeding often, this could result from a number of things. Bleeding gums may be an early sign of periodontal disease, which is caused by poor oral hygiene when it appears in children. Excessive gum bleeding can also occur when children brush their teeth too hard, or suffer an injury to their gum tissue.

If bleeding is continuous, rinse your child’s mouth with warm salt water and apply light pressure to the area. If you become concerned about the amount of blood, contact our Marysville, WA office and we will schedule an appointment for your youngster as soon as possible.

Depending on what type of dental issue your child is experiencing, you should make sure to treat it quickly and properly. If you have questions or concerns about what you can do to help your son or daughter develop better oral hygiene habits, ask Dr. Kelly Peterson for tips during your next appointment.

Don’t forget: As a parent, you can provide the best education to your children on the importance of proper oral hygiene by setting a good example. 

The Best Snacks for a Healthy Smile

October 16th, 2018

One of the most frequent questions that Dr. Kelly Peterson and our team hear is about what kinds of snacks are best for a child’s dental health. Sugary snacks are inevitable sometimes, but it’s vital for you as a parent to monitor how frequently your child is eating the kinds of snacks that may give him or her a cavity or two down the line.

Unsurprisingly, the best snacks are healthy ones, though they may not always be the most appealing to your little ones. The good news is that healthy doesn’t mean you have to compromise on taste. Once your kids give these tasty snacks a go, they might become open to all things healthy!

  • Fresh veggies and hummus
  • Apple wedges with peanut butter
  • Low-fat yogurt with berries
  • Cubes of cheese and crackers
  • Hard-boiled eggs with a little bit of salt and pepper
  • Celery sticks with cream cheese and sunflower seeds
  • A homemade milkshake with low-fat milk (or almond milk), the fruit of their choice, chia seeds, and cinnamon
  • Lean proteins such as chicken breast, fish, and turkey

These snacks aren’t high in sugar but they contain all the nutrients your children need to have the necessary energy throughout the day.

This is only a sample of all the great, healthy snacks out there for your kids. For more ideas, ask us the next time you visit our Marysville, WA office. It’s never too early to create healthy habits; they’re not only good for oral health, but overall health too. That’s a win-win, if you ask us.

Broken Tooth: Is It an emergency or not?

October 9th, 2018

Have you ever had that sinking feeling after biting into something soft and chewy and feeling something hard and crunchy instead? You’ve chipped or broken a tooth, but what should you do next? First try to assess the damage by determining whether it’s a chip or a whole tooth.

As Dr. Kelly Peterson will tell you, a broken or chipped tooth is usually not a dental emergency unless you are experiencing a great deal of pain or bleeding, but you should contact us for an appointment shortly afterward. Be sure to mention that you have a broken tooth so we can fit you into our schedule quickly. After a thorough evaluation, we’ll recommend a course of action. If it is a small chip, we may simply smooth it out. For a larger break, the dentist may fill in the space with a composite material that matches your other teeth.

Emergency Dental Care

If you are in severe pain, are bleeding excessively, have a major break, or have lost a tooth, that is a dental emergency and you should contact us. As emergency dental specialists, we’ll be able to schedule an appointment immediately and advise you on the next steps to take.

You can rinse your mouth with warm water and apply pressure to stop the bleeding. An ice pack will help reduce any swelling. Do not take any aspirin as that could increase the amount of bleeding. Should your tooth be knocked out completely, rinse it under running water but do not scrub it. Hold the tooth only by the crown, or the part you normally see above the gum line, not by the root. If you can, put the tooth back into the socket while you travel to our office, or put it in a mild salt solution or milk. Don’t let the tooth become dry, because this can lead to damage. Once you get to our office, our dentist will determine whether the tooth can be saved or if it will need to be replaced.

A broken tooth may not always be an emergency, but it’s best to have it treated with us at Northwest Smile Design. While it may only be a cosmetic problem at first, if left too long without treatment, you may experience further damage to your tooth and mouth.

What's in toothpaste and how does it work?

October 2nd, 2018

Dr. Kelly Peterson and our team recommend that you brush your teeth two to three times a day, for at least two minutes each time. But have you ever wondered what’s in toothpaste and how it actually works? The mouth is home to more than 500 types of microorganisms that feed on leftover food that gets stuck on and around your teeth. Toothpaste is the best line of defense against all those pesky microorganisms (especially when you brush two to three times a day). Here’s how it works.

Abrasives

Toothpaste contains mild abrasive additives that combat microorganisms and fight plaque. When you brush, the abrasives in toothpaste dislodge food particles and microorganisms more effectively than if you simply brush your teeth with water. The abrasives also work to remove food stains and polish the surface of the tooth. Some toothpastes include ingredients like triclosan and Xylitol. These chemicals prevent the growth of bacteria that produce plaque. Plaque not only causes cavities, but it can also lead to more dangerous issues like periodontal disease.

Fluoride

Fluoride is key ingredient in toothpaste. As the microorganisms in your mouth feed off the leftover food particles, they leave behind acid and sulfur byproducts that wear away the enamel of the teeth. This is the fancy, technical way of saying that the acid on your teeth causes cavities. As for the sulfur byproduct –well, that’s just a fancy, scientific name for bad breath. Fluoride works to fight the acid and help protect the teeth. By brushing, the fluoride is incorporated into the tooth enamel, which in turn makes the tooth more resistant to acid and plaque.

Flavoring and Sweetening Agents

Not all toothpaste tastes the same, right? The type of flavoring or sweetening agents added to the toothpaste doesn't have anything to do with fighting microorganisms and plaque, but taste is one of the most important selling points in finding a toothpaste brand you like. Flavoring agents mask the taste of some of the other ingredients in toothpaste, and without those agents chances are nobody would be brushing their teeth two to three time a day.

Should I use mouthwash?

September 25th, 2018

Mouthwashes are commonly used as a part of a daily oral care regimen. Not only do they freshen breath, but some are capable of improving dental health too. Using a mouthwash daily can rinse fine debris away and out of reach while brushing. It can also make the teeth and gums more resilient to decay and disease.

Types of Mouthwashes

There are several types of mouthwashes available today that Dr. Kelly Peterson and our team at Northwest Smile Design want you to be aware of. Some do little more than freshen breath and are known as cosmetic mouthwashes. These are ideal for quickly eliminating odors that linger after eating, drinking, or taking medication. Using a cosmetic mouthwash does not offer any health benefits.

Other mouthwashes offer more comprehensive benefits; they can potentially prevent tooth decay and gum disease. Mouthwashes that contain antimicrobial agents work by preventing the buildup of plaque that can lead to gingivitis and decay of the tooth enamel. However, it should be noted that the use of a mouthwash is never a substitute for regular brushing and flossing.

In some cases, prescription mouthwashes are necessary to treat patients with gum disease or who have undergone periodontal surgery. These specialty mouthwashes are designed specifically for the treatment of gum disease and should not be used outside of their intended use. The majority of mouthwashes require no prescription.

Tips for Choosing a Mouthwash

The choice to use a mouthwash and which one to use is between you and your dentist, depending on your individual oral health needs. If you determine that a mouthwash is right for you, look for one that contains fluoride, if possible. Fluoride provides an added layer of protection for your teeth, and helps them become more resistant to decay. As always, if you have any questions or concerns when choosing a mouthwash, please give our team at Northwest Smile Design a call for assistance in selecting the rinse that is best for you. Or, we invite to ask us during your next visit to our Marysville, WA office!

Why are my gums shrinking?

September 18th, 2018

If you’ve noticed that your teeth have appeared to be longer, you may be suffering from gum recession. This is a common problem among adults, and can result from several factors. If gum recession seems to be happening in your mouth, schedule an appointment at our Marysville, WA office. We will take a look and figure out the cause, and help you decide on the best treatment.

The first thing Dr. Kelly Peterson will do is take measurements of the recession to see if the cause could be periodontal disease. Based on how much attached gingiva is present on the gums, a varying amount of gum recession will be present.

The less bone support you have for your teeth, the higher the chance of tooth loss will be. If you have a high likelihood of tooth loss, it’s critical to address the problem right away.

Gum recession can also be caused by stress-related issues that lead to jaw clenching and teeth grinding in the night. This added, ongoing pressure puts extra stress on your teeth, which flexes them at the gum line.

If this happens over a long period, microscopic breaks in your enamel will cause your gum line to move away from your teeth. An occlusal guard may serve as a solution to gum recession caused by teeth grinding. Talk to Dr. Kelly Peterson about this option if you consistently wake up with jaw pain, headaches, or uncomfortable pressure on the sides of your face.

The way you brush and floss your teeth may also cause gum recession. If you’re an aggressive brusher, make sure to purchase toothbrushes labeled “soft.” It’s best to brush your teeth in a circular motion in order to sweep over all your gum lines and remove the most plaque. Generally, brushing in a straight line can leave spots of plaque that lead to periodontal disease, which is a common cause of gum recession.

There are several options for treatment of gum recession. Depending on the cause, Dr. Kelly Peterson will talk with you to decide the best treatment plan. Care may involve a deep cleaning or an antibiotic treatment. In serious cases, treatment might involve pocket-depth reduction, a soft tissue draft, or gum regeneration surgery.

These are just a few of the many potential causes of gum recession and how we can treat the problem. Unfortunately, gums do not grow back, and the consequences of ignoring this condition can be painful and time-consuming.

Please call our Marysville, WA office to schedule an appointment if you’ve noticed any elongating of your teeth or recurring irritation of the gums. We will work as hard as possible to help rid you of your gum recession and prevent it from getting worse in the future.

Ten Fun Things to Do with Your Old Toothbrush

September 11th, 2018

Dr. Kelly Peterson and our staff recommend that you replace your worn-out, germy toothbrush with a new one every three months. But most people either forget or resist getting rid of something that is still “working.”

Maybe if they had a few ideas for putting that old toothbrush to good use, more people would take our advice? To encourage good oral practices, we offer these ten fun things you can do with your used toothbrush:

1. Let your five-year-old budding Da Vinci create a masterpiece with some paint and your old toothbrush.

2. Scrub oily areas on your face with your toothbrush. The bristles are perfect for removing embedded dirt and oil that clogs pores.

3. Pamper your hamster by brushing his fur with an old toothbrush.

4. Dab a bit of Vaseline on the bristles and comb your eyelashes: instant glamour! Got dry, flaky lips? Slough away by using a toothbrush on your lips.

5. Remove the bristles: instant small plant stakes!

6. Old toothbrushes are great for spot-cleaning just about anything.

7. When nobody is around to scratch an unreachable itch on your back, turn that old toothbrush into your personal backscratcher.

8. Is your dog’s breath so bad that all your houseplants have died? Try brushing his teeth with your old toothbrush so that his kisses (and breath) are more tolerable.

9. Give your fish the cleanest tank in the neighborhood by scrubbing it with your old toothbrush.

10. Did you notice a few gray hairs sprouting from your hairline this morning? Old toothbrushes were made for touch-up dye jobs; works for dyeing your eyebrows, too!

My mouth is dry. What can I do?

September 6th, 2018

Nobody likes a dry mouth. It is an uncomfortable and sometimes oddly unexplainable sensation that most people like to avoid. It is not a condition that automatically sends you into a panic about your health, however, a dry mouth can be a bother and something you certainly want to change if possible. So, if you find yourself in the unpleasant position of having a dry mouth, here is what you can do.

Chew Sugar-free Gum: Chewing sugar-free gum will stimulate saliva in your mouth. The chewing motion of your jaw and teeth should take care of at least some of your dry mouth problem.

Suck on Sugar-free Candy: Similarly to chewing sugar free gum, if you suck on sugar free candy it should create more saliva in your mouth and moisturize it in the process.

Cut out the Caffeine:Caffeine can contribute to a dry mouth so by limiting, or eliminating your intake all together, you may find that your dry mouth is no more.

Stop Using Tobacco Products: Tobacco is another cause of dry mouth. Whether it is smokeless tobacco products or cigarettes, if you stop using them your dry mouth will likely improve. And not to forget, these products are exceedingly bad for your oral health to begin with, so you will be doing your mouth a favor even more so.

Drink Lots of Water: It may seem obvious, but drinking lots of water will likely improve your dry mouth. This is because dry mouth is usually a sign of dehydration, so plenty of fluids will surely help.

Dry mouth can be unpleasant, but it is often easily solved by either drinking more water, or trying one of the previously mentioned techniques. If the problem still persists you can always visit our Marysville, WA office to see Dr. Kelly Peterson. More often than not, doing one of the above will leave your mouth more moisturized than it was previously, and hopefully it will be long-lasting as well.

Women's Hormones and Oral Health

September 5th, 2018

At Northwest Smile Design, we know that hormones affect a woman's mood, but did you know they can also impact the health of a woman’s mouth? Women are susceptible to gum disease at different times in their lives, and research shows that hormonal highs and lows are part of the problem. According to studies, there are five situations in women’s lives during which hormone fluctuations make them more susceptible to oral health problems: puberty, their menstrual cycles, pregnancy, menopause, and birth control pill usage. So just what happens and how can you help protect your oral health? Dr. Kelly Peterson and our team have outlined the five hormonal situations and provided a few tips and tricks to fending off potential issues.

Puberty - The surge of hormone production that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque. As a result, a woman's gums may bleed during the act of brushing and flossing.

Monthly menstruation cycle - Hormonal changes (especially the increase in progesterone) occur during a woman’s menstrual cycle. These changes can lead to red swollen gums, swollen salivary glands, canker sores, or bleeding gums.

Pregnancy - Hormone levels tend to fluctuate during pregnancy. As a result, women are at greater risk to develop a condition called gingivitis, the early form of gum disease. Dr. Kelly Peterson may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Please let us know if you are pregnant during your visit.

Menopause - Women are known to experience numerous oral changes as they age. These oral changes can include greater sensitivity to hot and cold foods and beverages, a burning sensation in your mouth, or dry mouth. Dry mouth, also known as xerostomia, can result in the development of tooth decay and gum disease because saliva is not available to moisten and cleanse the mouth. It is important to know that dry mouth can also result from many prescription and over-the-counter medications. The gradual loss in estrogen that occurs with menopause also puts older women at risk for loss of bone density, which can lead to tooth loss. Receding gums, which expose more of the tooth surface to potential tooth decay, can be a sign of bone loss in the jawbone.

Birth control pills - Some birth control pills contain progesterone, which increases the level of that hormone in the body. Women who take pills with progesterone may develop inflamed gum tissue due to the toxins produced from plaque. Be sure to tell us if you are taking an oral contraceptive during your visit.

To prevent gum disease, we recommend:

  • Brushing your teeth at least twice a day with a toothpaste containing fluoride
  • Flossing at least once a day
  • Eating a well-balanced diet
  • Avoiding sugary or starchy snacks

Dr. Kelly Peterson and our team at Northwest Smile Design encourage you to visit our Marysville, WA office and practice good oral health habits at home.

What is a crown?

September 5th, 2018

Dr. Kelly Peterson and our team at Northwest Smile Design hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

  • To restore a broken or cracked tooth
  • To protect a tooth after a root canal
  • To restore a severely decayed tooth
  • To help anchor a dental bridge
  • To complete a dental implant
  • To protect a tooth that is at high risk for developing decay
  • For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our Marysville, WA office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

When was your last dental checkup?

September 4th, 2018

While Dr. Kelly Peterson and our team tell you daily oral hygiene habits, such as brushing and flossing, are essential to optimal oral health, regular dental checkups at Northwest Smile Design ensure your teeth are treated to a deeper level of cleaning.

We recommend for most of our patients to have a cleaning at our Marysville, WA office at least every six months. In addition to a thorough cleaning and polishing of your teeth, visits with Dr. Kelly Peterson help us detect and prevent the onset of tooth decay and gum disease, also known as periodontal disease. During your visit, we will check the health of your mouth, teeth, gums, cheeks, and tongue for signs of any decay or disease. We will also check old fillings and restorations as these can wear away over time due to chewing, clenching, or grinding.

If you are predisposed to any oral diseases, Dr. Kelly Peterson may recommend checking in with us more often than every six months. We want your teeth to get the professional attention they deserve! If you are overdue for your next cleaning, give us a call at our Marysville, WA office to schedule a checkup! See you soon!

Summer Break: An ideal time for wisdom teeth removal

August 31st, 2018

After your son or daughter departs for college, the last thing you want to get is a call or text to learn he or she is in pain. Dr. Kelly Peterson and our team at Northwest Smile Design will tell you there aren’t many emergency situations that can be avoided when it comes to dental health, but one crisis that can easily be prevented before your teen heads hundreds of miles away for college is wisdom tooth extraction.

What are wisdom teeth?

Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. Wisdom teeth can go from barely noticeable to extremely painful in a very short period of time.

When your teen’s wisdom teeth erupt, they may cause overcrowding of his or her teeth, which can have a negative effect on their alignment. Most people’s mouths do not have enough room for wisdom teeth to erupt fully and remain perfectly aligned. Thus, pain, swelling, infection, damage to adjacent teeth, and decay are often the most common problems associated with wisdom teeth. These problems can brew beneath the surface for weeks or months, offering no warning before painful symptoms hit.

If your child does elect to go through wisdom tooth extraction, we want to inform you that the first few days of recovery consist of careful measures to control bleeding and swelling, an adherence to a special soft diet, as well as a medication routine that must be followed as recommended by Dr. Kelly Peterson after surgery.

Dr. Kelly Peterson and our team are dedicated to providing exceptional service before, during, and after your wisdom tooth procedure, so you can have peace of mind knowing that your child’s oral health is in good hands. We will do everything we can to minimize discomfort and help your child heal safely and quickly.

Summer break is the perfect time to remove wisdom teeth so that your child can avoid the stressful scenario of experiencing this medical emergency far away from home. If you have any questions on wisdom teeth removal or to schedule an initial consultation with Dr. Kelly Peterson, give us a call today!

Why is replacing missing teeth important?

August 28th, 2018

When we talk about teeth, every single one of yours counts. Whether you’ve lost a tooth due to injury or poor oral hygiene, it’s worth seeing Dr. Kelly Peterson to evaluate all your replacement options. If you don’t, you could suffer negative effects to your teeth, gums, jawbones, appearance, and self-esteem.

Depending on how many teeth are missing and where they are located, Dr. Kelly Peterson may suggest an implant, fixed bridge, or a removable bridge.

Addressing missing teeth as soon as possible is in your best interests. If you don't, the consequences might include:

  • Shifting teeth: When you lose a tooth, the space it creates allows the neighboring teeth to drift and move out of alignment. A once-straight smile and correct bite can quickly turn into crooked teeth and a misaligned bite.
  • Tooth decay and/or gum disease: After teeth have shifted, it can be harder to reach all areas around them to brush and floss properly. The buildup of bacteria and plaque can result in periodontal disease and the loss of your remaining teeth due to decay.
  • Effect on jaws: Missing teeth alter your bite and how your teeth and jaws contact one another. This puts added strain on your jaw joint (TMJ) and can contribute to the development of TMJ disorder.
  • Change in face and appearance: When you lose a tooth, your gums and your jawbone are no longer stimulated in that area. A dental implant replaces the root of a tooth or several teeth, and provides stimulation to prevent bone loss. If the root isn’t replaced, this can lead to deterioration of the jawbone and alteration of the shape and appearance of your face. Your face, especially the cheeks, can look older and more sunken.

Replacing missing teeth is an essential step for your physical and emotional health. If they are replaced in a timely manner at our Marysville, WA office, you’ll continue to have the same wonderful smile you’ve always had.

When to Replace Fillings

August 21st, 2018

A dental filling replaces and restores the health of a tooth that has been damaged. Often, the need for a filling results from a cavity due to a large amount of decay in a tooth.

Teeth may also require repairs after cracking from chewing on hard objects, trauma to the mouth, grinding or clenching of your teeth, uneven chewing pressure, or exposure to extreme hot and cold temperatures.

Over time, a filling may have to be replaced after normal wear and tear has occurred. There are signs and symptoms to watch out for if your tooth may need a replacement filling, or a new filling. Northwest Smile Design performs various types of filling treatments, depending on the damage to the tooth.

Common signs and symptoms to watch out for if you have a cracked tooth can include sharp pain when you bite down, pain that comes and goes, discomfort when eating or drinking, or a constant feeling that something is stuck in your teeth. The crack may not be visible to the eye, which makes it hard to tell whether a tooth is actually cracked.

Pain may come and go quickly when you bite down because you’re expanding the crack with the combined pressure of your teeth. If you notice this happening, contact Dr. Kelly Peterson right away so we can get X-rays of your mouth and quickly fix the problem.

If you’ve had a filling in your mouth in the past, you could be due for a replacement. The seal between the tooth and the filling may break down over time, after which bacteria can build up underneath the filling and cause more decay.

It’s vital to catch this early so a filing can fix the problem. If you wait too long, a crown or a root canal may be the only option. You may not notice that a long-time filing is cracked or worn down, because it can take a long time to feel any discomfort. This is one of the reasons we recommend a dental checkup every six months.

If you need a tooth filling or a replacement filling, different filling choices vary in price. Gold fillings and porcelain fillings are more expensive options that last longer -- typically around 20 years. Porcelain fillings match the color of the rest of your teeth, however, which makes them less visible.

Another option is amalgam, or silver fillings, that less expensive but may be more noticeable in visible areas of your mouth. Composite, or plastic fillings, are another affordable option that can be matched to the color of your teeth. Composites are more likely to wear out over time and not last as long: usually around three to ten years.

If you think a past filling might be due for replacement, schedule an appointment at our Marysville, WA office. Make sure to stay on top of your routine dental appointments in order to prevent decay from breaking down problem teeth.

If we catch the problem early, we can save you both money and time. Fillings can be a great way to resolve any existing teeth issues, and prevent extensive dental care practices from becoming necessary in the future.

 

Why Professional Cleanings are Important

August 14th, 2018

Regular dental cleanings and checkups at our Marysville, WA office are an excellent way to ensure everything is A-OK in your mouth. There’s a reason the American Dental Association recommends a professional cleaning every six months!

Here’s what you can usually expect during your visit with Dr. Kelly Peterson:

  • Head and neck examination: The dentist or dental hygienist will look for anything out of the ordinary. He or she will check your lymph nodes and lower jaw joints (also known as TMJs).
  • Dental examination: The dentist or hygienist will check for any signs of gum disease, tooth decay, loose or broken teeth, or damaged fillings. We’ll also check your bite, the contact between your upper and lower teeth, and the condition of any dental appliances you’re wearing. Sometimes we’ll also take a set of X-rays.
  • Dental cleaning: Plaque and tartar will be removed and the dentist or hygienist will polish your teeth. Your teeth and gums will be flossed, and we’ll also make recommendations about proper brushing and flossing technique if we think you need them.

When you visit our Marysville, WA office regularly, we’ll be able to compare the status of your teeth and gums from one appointment to another. That ensures we will be able to tell where you’re doing great in taking care of your teeth, and if needed, where you’re doing not so well.

If you’re in need of serious help, we might recommend more frequent visits. But remember, the most important factor in your oral health is how you take care of your teeth and gums at home between appointments.

We strive to help our patients achieve and maintain radiant, healthy smiles! If you'd like to know more about exams and cleanings at our Marysville, WA office, or what you need to do at home to maintain an effective oral health routine, please let us know.

Do You Have an Ageless Smile? Let Us Help You Keep It!

August 7th, 2018

In your golden years, you’ve become a pioneer in tooth care. Yours is probably the first generation in history that can expect to keep most of their natural teeth for a lifetime. You can probably guess the reasons: better oral care, advances in dentistry, improved nutrition, and a lower risk for diseases that could weaken teeth and gums.

As a pioneer, you’re learning with your dentists, and one thing we’ve found is that teeth change with age, just like the rest of the body. Even if your teeth can remain strong and white, here are a few things you may have to cope with:

Cavities: Tooth decay is not just for kids anymore. Seniors often develop cavities on the lower part of the tooth near the root. Thorough flossing and brushing along the gum line is the best preventive measure.

Sensitivity: Gums recede over time, and good dental habits only slow the process. Receding gums leave more of each tooth exposed, and the newly uncovered areas have less enamel. As a result, these teeth may be much more sensitive to hot and cold. If you find your teeth become more sensitive, try a toothpaste designed for sensitive teeth and be sure to tell Dr. Kelly Peterson about it at your next checkup.

Difficulty brushing: If you have arthritis or limited motion you may have a hard time brushing your teeth. Consider switching to an electric toothbrush. There are also assistive devices available that make it easier to grip a manual toothbrush.

Other health problems: Diabetes, heart disease, and other chronic illnesses can cause symptoms in your mouth. Be sure to let us know if you have any health conditions, or if your condition changes. We can help treat symptoms that affect your teeth and recommend ways to maintain good oral health habits as part of your overall health program.

Dry Mouth and How to Treat It

July 31st, 2018

In fancy medical terms, dry mouth is known as xerostomia. It’s really just what it sounds like: a condition in which you don’t have enough saliva to keep your mouth moist. Dry mouth can be the result of certain medications you’re taking, aging, tobacco use, nerve damage, or chemotherapy.

Depending on whether you’re aware of the cause of your dry mouth, here are some simple ways to keep it at bay:

  • Avoid drinks that contain alcohol or caffeine
  • Avoid tobacco use, or lower your consumption of tobacco
  • Floss after every meal
  • Brush your teeth after every meal using a fluoride toothpaste
  • Avoid foods that have a high level of salt
  • Stay hydrated and drink water frequently
  • Consider using a humidifier at night

If you have any questions about dry mouth and how it is affecting you, give our Marysville, WA office a call or make sure to ask Dr. Kelly Peterson during your next visit!

Five Things You Should Never Do With Your Toothbrush

July 24th, 2018

When’s the last time you gave your toothbrush any serious thought? Sure, you use it every day (and ideally twice), and you know that with a dollop of toothpaste it waxes up your pearly whites nicely, not to mention preventing bacteria, plaque, and inflammation.

But what are the things you should never do with your toothbrush? Here’s a brush-up on five toothbrush no-nos, from Northwest Smile Design.

1. If you have your toothbrush too close to the toilet, you’re brushing your teeth with what’s in your toilet. In other words, keep your toothbrush stored as far from the toilet as possible.

2. The average toothbrush harbors ten million microbes. Many families keep their toothbrushes jammed together in a cup holder on the bathroom sink, but this can lead to cross-contamination. Family members’ toothbrushes should be kept an inch apart. Don’t worry; they won’t take it personally.

3. Don’t delay replacing your toothbrush. It’s best to purchase a new one every three to four months, but by all means get one sooner if the bristles are broken down because of your frequent and vigorous brushing. If you have a cold or the flu, replace your toothbrush after you recover.

4. Store your toothbrush out of the reach of toddlers. The last thing you want is for your toothbrush to be chewed like a pacifier, dipped in toilet water, or used to probe the dusty heating ducts.

5. Sharing is caring, right? Your parents probably taught you the importance of sharing back when you were, well, dipping their improperly stored toothbrushes in toilet water. But here’s the thing: As important as sharing is, there are some things you just don’t share, and your toothbrush is one of them.

Are you at risk for tooth erosion?

July 17th, 2018

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. Dr. Kelly Peterson 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.
  • Dr. Kelly Peterson 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 Northwest Smile Design 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

Questions on Dental Implants? We’ve Got You Covered.

July 10th, 2018

Whether you’ve lost a tooth from decay, are preparing for dentures, or were born with a gap where a tooth should have been, you could be a candidate for dental implants.

Dental implants have changed a lot since their debut in 1965, thanks to continuing advances in design and technology. Today, you no longer have to worry about whether dental implants might have a negative aesthetic impact on your smile.

So what are dental implants? Pretty much what they sound like: An implant is a replacement tooth that substitutes for a missing natural one. It gets placed through several steps; it’s a process that can take a few months.

The initial step involves the surgical implantation of the implant root, which resembles a small screw. After that’s placed, the top is covered with gum tissue to enable it to heal faster. This is an essential phase in the process, since this portion of the implant will serve as the base of support for everything else.

In the second step, the implant gets uncovered and an implant restoration (or crown) is created and affixed to it. After that, you’ve got yourself a new tooth!

While dental implants require a little special care, it’s all easily manageable. All you have to do at home is make sure you brush and floss your implant daily, the same as you would for any other tooth. Although an implant can’t develop a cavity, if something were to get stuck in it, that could lead to a gum infection.

If you have any other questions about dental implants, give our Marysville, WA office a call!

Don’t let a dental emergency ruin your summer vacation!

July 3rd, 2018

For many of our patients at Northwest Smile Design, summer means a season of relaxation, vacation, and outdoor fun and activities. While you can’t take a vacation from dental emergencies, you can always be prepared for anything that can happen. Today, Dr. Kelly Peterson and our team thought we would give our patients a few tips on handling a dental emergency when you’re far from home (and our office).

Throbbing Toothache – Try brushing and flossing to ease the pain; the issue could be simply that a piece of food is nestled in an uncomfortable spot between your teeth. If that is the case, try to gently remove the object with dental floss. If it still hurts, stick to soft foods, try an over-the-counter pain reliever, or dip a cotton ball in clove oil and insert it on the affected area until you can get to a local dentist.

Bitten Lip or Tongue – Clean the area gently with a cloth and apply cold compresses to reduce swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.

Lost Filling or Crown – Dental wax will work to keep the sharp edges of your tooth from bothering you. If you can, save the crown or filling, and if you happen to have denture adhesive handy, you can use it to temporarily reattach the crown until you can get to a local dentist.

Broken Tooth – Hold the tooth by the crown and rinse off the root of the tooth in water if it’s dirty. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to a local dentist as quickly as possible.

Broken Jaw – Apply cold compresses to control swelling. Visit a hospital emergency room as soon as possible.

If you have a dental emergency after regular office hours and you happen to be in town, please give us a call. If you are calling us after hours, please follow the emergency prompts to contact Dr. Kelly Peterson.

Considerations When Picking the Right Mouthwash

June 26th, 2018

A solid oral health routine begins with daily brushing, flossing, and rinsing. Without a consistent oral health regimen, you may begin to experience tooth decay and bacterial infections. Few patients ask Dr. Kelly Peterson about different mouthwash options, so we’ve put together a list of the conditions that mouthwashes can treat. This should help you decide which oral rinse would be best for you.

Gum Health

Antiseptic mouthwashes reduce large amounts of bacteria on and near the gum line and generally help to decrease your chances of developing gingivitis. The key ingredients of antiseptic mouthwashes are antibacterial and antimicrobial items. Antiseptic mouthwash is a preferable option if you are concerned about the general gum health of your mouth.

Fluoride

Fluoride is a great tool for preventive tooth decay treatment. It prevents tooth decay and is great for oral health in general because it kills germs that can live in your mouth. Fluoride also builds stronger teeth. If you’re a bottled water drinker, Dr. Kelly Peterson may recommend that you purchase a simple fluoride rinse to use after brushing.

Bad Breath

Fluoride mouthwash can be used to fight any bad breath issues you may be facing. It’s designed to combat any bacteria that might be building up in your mouth. Most mouthwashes will help eliminate bad breath, but some are specifically designed to address this difficult problem. If you feel as though this might be turning into a chronic problem, please contact Dr. Kelly Peterson to discuss other options that would be effective for treating your symptoms.

American Dental Association (ADA Approval)

The ADA reviews all mouth rinses for safety measures and to prove effectiveness. Any mouthwash approved by the ADA has met strict guidelines according to whether the manufacturer’s claims are supported with scientific evidence. If you’re looking for a quality mouthwash, look for one that has the ADA seal of approval to ensure you have a great rinse for your mouth.

Considerations

When you’re trying to decide which mouthwash to pick, contact our Marysville, WA or ask Dr. Kelly Peterson during your next appointment. If you experience a burning sensation in the soft tissues of your mouth, be sure to discontinue use immediately. Avoid letting children under age six use a mouth rinse, and be sure to keep all mouthwashes out of the reach of children, because they contain alcohol and other substances that could be harmful.

When to Begin Dental Care for Your Child

June 19th, 2018

Children’s oral health differs from that of adults in a variety of ways. Dr. Kelly Peterson and our team want you to understand how you can provide the best care for your son or daughter’s teeth. It’s essential to understand what your child will need from you when it comes to his or her oral health in those first few years.

In-home dental care begins when your baby starts to show signs of developing the first tooth. We recommend that you bring your child to our Marysville, WA office between the ages of one and two. Dr. Kelly Peterson will take a look at your child’s tooth development and gums during this first scheduled appointment.

The initial appointment with your little one is designed to get him or her accustomed to our office. We recommend allowing your child to be in the exam room alone with us during the first visit in order to become comfortable with our staff at an early age.

We will go over several general matters during your child’s first visit:

  • Look for signs of decay or other tooth or gum problems
  • Make sure your youngster doesn’t have gum disease or cavities
  • Examine your child’s bite, and check for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your son or daughter is old enough
  • Talk to you about proper oral health care for your
  • Give you some tips for brushing and flossing your child’s teeth
  • Answer any questions you may have about caring for your little one’s teeth

Once your child is old enough for his or her first visit to the dentist, you should begin to schedule regular cleanings every six months. If any problems arise before a scheduled appointment, call our Marysville, WA location and we will be happy to answer any questions you may have.

Remember, creating healthy oral health habits with your child early on is crucial. We’re here to guide you through this process and make sure your child is healthy and happy.  

What's the connection between gum disease and diabetes?

June 15th, 2018

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

  • Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
  • Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

  • Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
  • Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
  • Brush your tongue gently to remove germs that can hide there.
  • Use an anti-bacterial mouthwash to kill germs that are hard to reach.
  • Keep track of how well your blood sugar is controlled and let Dr. Kelly Peterson know at each visit.
  • Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Marysville, WA office for regular checkups and tell Dr. Kelly Peterson about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

Ways to Prevent Oral Cancer

May 15th, 2018

According to the Oral Cancer Foundation, this form of cancer kills roughly one person an hour, every 24 hours. This means that nearly 10,000 people will die this year from this type of cancer.

Often, the cancer is discovered late, which is the main reason the death rate is unfortunately so high. Dr. Kelly Peterson and our team want you to know the precautionary steps you can take to avoid oral cancer.

Here are some of the most effective methods:

  • Good oral hygiene is the first step in oral cancer prevention.
  • Visit our Marysville, WA office every six months for a dental exam.
  • Quit smoking or using chewing tobacco, if you do.
  • Limit alcohol consumption.
  • Maintain a healthy, well-balanced diet.
  • Consume cancer-fighting foods such as vegetables, berries, garlic, green tea, etc.
  • Change how you prepare foods; baked, boiled, or steamed foods are healthier than grilled or fried.
  • Exercise regularly to maintain a healthy immune system.
  • Limit the amount of time you spend in the sun, and be sure to use sunscreen.
  • Conduct an oral self-exam each week.

We know the thought of oral cancer can be frightening, so we hope the above advice can help patients catch it early or prevent it from ever happening. If you notice a negative change in your oral health, contact our Marysville, WA location right away and schedule an appointment with Dr. Kelly Peterson.

If you’re ever concerned or have questions about this common form of cancer, don’t hesitate to ask a member of our team.  

 

Are you at risk for oral cancer?

May 8th, 2018

Nearly 40,000 people are diagnosed with oral cancer annually in the United States, with more than 8,000 dying every year from the disease. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Dr. Kelly Peterson and our team want you to know that cancers of the mouth and throat, which account for about three percent of all cancers in the United States, are largely preventable. However, we want you to know about certain risk factors that affect the likelihood of developing the disease.

  • Use of tobacco products including smoking cigarettes, cigars or a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially, is a serious risk factor because it contains substances called carcinogens, which harm cells in your mouth.
  • Consumption of alcohol in excess can also increase your risk. If you drink alcohol regularly, you have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. People who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.

If you notice unusual lumps, bumps, or red or white patches in your mouth that don’t go away, sores that won’t seem to heal, persistent soreness, or pain or difficulty swallowing please consult Dr. Kelly Peterson and our team immediately.

Other factors that may influence your risk for developing oral cancer include:

  • Age: Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Gender: Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV)
  • A diet low in fruits and vegetables

During your next visit, Dr. Kelly Peterson will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Marysville, WA office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

Overall Health Can Be Influenced By Oral Hygiene

May 1st, 2018

Keeping on top of your oral health is key when it comes to making sure your whole body stays healthy. The bacteria that occur naturally in your mouth can produce harmful bacteria such as strep and staph, which can lead to serious infections and sickness.

When you follow good dental habits like daily brushing and flossing, and eat a healthy diet, you can discourage harmful bacteria from traveling from your mouth to other parts of your body. Protect yourself and learn more about the link between oral hygiene and a healthy body.

Until recently, tooth decay was more common because of the lack of regular dental care and research behind fluoride. Tooth decay is much less problematic today, due to fluoridated water and toothpastes that contain fluoride.

Nowadays, gum disease has replaced tooth decay as the most frequent dental problem. Periodontal disease is on the rise among adults because people don’t floss regularly and then ignore gum tenderness and bleeding. If left unchecked, periodontitis can cause inflammation that may cause harm to other parts of the body.

Oral Health and Chronic Disease

Many scientists believe inflammation-related infections can trigger systemic disease or intensify existing conditions. Remember, bacteria overgrowth in inflamed gum tissue is able to enter the bloodstream through your eating processes, which is why it’s so vital to visit our Marysville, WA office if you notice sustained gum irritation and inflammation in your mouth.

Caring for your teeth and gums every day can prevent the onset of disease and save you trouble in the future with regard to your body’s health. If you think you may be showing signs of periodontal disease, or notice anything else out of the norm, please contact Dr. Kelly Peterson and schedule an appointment.

We want you to be proactive about your health!

Antibiotic Prophylaxis or Pre-Medication

April 24th, 2018

At Northwest Smile Design, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.

For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.

The goal of pre-medication or antibiotic prophylaxis, Dr. Kelly Peterson will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.

The American Heart Association states that people at greatest risk for contracting bacterial or infective endocarditis are:

  • Patients who underwent cardiac valve surgery in the past
  • Those who have suffered past incidents of infective endocarditis
  • Patients who have mitral valve prolapse, resulting in or causing valve leakage
  • People who have had rheumatic fever or any degenerative cardiac condition that produces abnormalities in cardiac valves
  • Patients who suffer from certain congenital heart diseases

For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.

Other patients who require prophylactic antibiotics

The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.

The American Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.

Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.

Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.

For more information about antibiotic prophylaxis, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Nitrous Oxide

April 17th, 2018

Nitrous oxide is a gaseous sedative that’s inhaled through a small mask placed over the nose. Often referred to as laughing gas — because of the euphoric effects it produces — nitrous is used in our Marysville, WA office for its anesthetic/analgesic properties.

It will make it so you don’t feel the pain of dental treatment or have an experience that some patients may find traumatic.

Nitrous oxide’s use in the dental field dates back to about the mid-1800s, but when it was introduced, practitioners didn't understand the need to add oxygen. These days all nitrous oxide is administered with at least 30% oxygen for safety (so it forms the compound N2O-O2).

If you need any form of dental treatment, Dr. Kelly Peterson may find it necessary to administer nitrous oxide. Some of the effects you may experience while you’re sedated include:

  • Lightheadedness, tingling in the arms and legs, followed by a warm or comforting sensation
  • A euphoric feeling or feeling like you are floating
  • Inability to keep your eyes open, so it seems as if you’re asleep

If at any time you feel uncomfortable, irritated, or sick, let Dr. Kelly Peterson know, so the percentage of nitrous oxide being used can be adjusted. The effects dissipate quickly once you return to breathing regular air.

It’s best to be informed about all aspects of your dental treatment before you arrive. There are alternatives to nitrous oxide, so if you’re at all concerned, please don’t hesitate to ask questions about other options for sedation.

Analgesic (numbing) injections can often be used locally at the surgical site. We’ll find what works best for your particular case.

Make Your Smile Dazzling For Your Wedding!

April 10th, 2018

Planning a wedding can be a highly stressful time. Dr. Kelly Peterson and our team want to support you in this process by helping you achieve a beautiful, bright smile. Wedding days entail a lot of photographs that will last a lifetime. We know how crucial it can be that you have a smile that makes you feel confident throughout this memorable day.

Whether you’re the bride or groom, a member of the wedding party, or just a guest, a teeth-whitening treatment from Dr. Kelly Peterson can give you extra confidence. Even when you’ve made the proper effort to keep up your oral health routine, staining still can appear on your teeth from foods and beverages over time. You can do several things to make sure your smile is in top shape before a wedding.

Our in-office whitening treatment is a good option if you’re looking for an investment that can last. If you’ve tried whitening kits on your own, you may have noticed they have to be used frequently to maintain the bright smile you desire.

Professional whitening treatments done by Northwest Smile Design are quite comfortable and have long-lasting effects. You can also use whitening toothpaste and mouthwash to keep your teeth bright between in-office whitening treatments.

Our staff can also provide helpful advice on how to avoid staining between your whitening treatment and the big day. If you’re concerned that you may have to hold back your smile on your wedding day or some other pending event, contact our Marysville, WA office and ask about our whitening treatment options.

The Link Between Dental Hygiene and Your Overall Health

April 3rd, 2018

When patients of Northwest Smile Design hear any mention of oral or dental hygiene, they probably think of brushing and flossing their teeth. Although these are extremely important, the term dental hygiene encompasses much more than that. Your mouth’s health, including your teeth, has an important impact on your overall physical health. The National Institute of Dental and Craniofacial Research published the surgeon general's first ever report on dental health. It is called A National Call to Action to Promote Oral Health. In that report, the Surgeon General states that the 1948 World Health Organization expanded its earlier definition of health to "a complete state of physical, mental, and social well-being, and not just the absence of infirmity."

The Importance of Oral Health to Total Overall Health

One of the most important themes that the dental health report stressed is that you cannot be healthy without oral health. It went on to explain that oral health and general health are inextricably linked, and therefore can't be seen as two separate things. Because oral health is so critical to overall health, it should be included in all community health programs. For individuals, this means that it is just as important to take care of your mouth, your teeth, and your overall oral health as it is to take care of the rest of your body. The two most prevalent dental diseases are caries (cavities), also known as tooth decay, and periodontal (gum) disease.

Ways that Oral Health Impacts Overall Health

One important way in which good oral health contributes to better overall health is seen in the findings of several studies in which the blood sugar levels of diabetic patients were significantly lowered when their periodontal (or gum disease) was successfully treated. Your mouth has roughly 500 different species of bacteria. Many are harmless, and some are even good bacteria that help maintain the balance of your intestinal flora. Harmful bacteria can infect your gums, causing gingivitis. Your body's immune system may try to fight off the alien invaders, but they attack your gums, causing inflammation and bleeding when you brush.

Now that you know how important good dental hygiene is, be sure to see to get your teeth cleaned every six months, have regular dental checkups, brush and floss your teeth at least twice daily, and replace your toothbrush at least every couple of months. Call us to schedule your next appointment at our convenient Marysville, WA location.

My teeth don't line up any more. Why?

March 27th, 2018

If your teeth don't line up like they used to any more, you may be suffering from temporomandibular joint disorder, often called TMD. This is a term that can actually be applied to any condition that occurs because the temporomandibular joint (TMJ) is inflamed.

The temporomandibular joint is essentially the hinge that holds your lower jaw to your skull, and when it is inflamed or damaged in any way, it can be extremely painful. You have two temporomandibular joint, one on each side of your jaw, and it is typical to experience TMD in both sides at the same time.

Shifting of the Teeth

The reason that your teeth may not line up as they once did is that the ball and socket joints are often out of alignment and, as mentioned above, often very inflamed as a result. In order to correct the problem, Dr. Kelly Peterson may prescribe dental orthotics such as a lower jaw splint.

Sometimes, the wisdom teeth can play a role in the shifting of the teeth as well. If shifting wisdom teeth is combined with TMD, it may be necessary to have your wisdom teeth removed. Dental splints may follow if your teeth don't shift back to their proper positions on their own.

TMD is certainly a difficult thing to deal with, so if you experience your teeth shifting, scheduling an appointment at our Marysville, WA office is the smartest course. We want to help you get your smile back, so give us a call anytime.

Best Ways to Prevent Bad Breath

March 20th, 2018

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask Dr. Kelly Peterson at your next visit to our Marysville, WA office.

Is Your Broken Tooth An Emergency?

March 13th, 2018

When you chip a tooth badly, it can be a very nerve-wracking situation. Dr. Kelly Peterson and our team want to provide you with some information that can help if you ever suffer a chipped or broken tooth. The most common ways people break their teeth are by biting down on something hard, getting hit in the mouth, falling down, or developing cavities that weaken the tooth and allow it to be broken easily. There are a few things you can do if you find yourself in this situation, however.

First, we recommend that you investigate whether the tooth is partially chipped or completely broken. Unless you are experiencing a lot of pain or bleeding, this should not be treated as an emergency. You may call our office and we will try to schedule an appointment with you as soon as possible. Once we have evaluated the tooth during your appointment, we can start to treat it. For minor chips or cracks, we may simply smooth out the area or fill in the space so the crack doesn’t spread.

If your teeth show severe damage such as a serious break, split tooth, split root, or a decay-induced break, Dr. Kelly Peterson may need to take more time to fix the problem. If you need emergency dental care because a tooth has fallen out, call our practice immediately to schedule an appointment for that day. If you’re waiting for an emergency appointment, you can rinse your mouth with warm salt water and apply slight pressure to the area to stop the bleeding. We recommend using an ice pack to reduce swelling, but do not take any aspirin because that may increase the bleeding.

If your tooth has completely fallen out of the socket, hold it by the crown and rinse it under running water. Do not let the tooth become dry; instead, place it in salt water or milk until you get to our office. Dr. Kelly Peterson will determine whether the broken tooth can be salvaged or will need to be completely replaced.

We know how upsetting it can be to chip or break a tooth, which is why we want to guide you through this process. Most chipped teeth are usually just cosmetic problems, fortunately, but we know that dental emergencies can come up rather suddenly. Be sure to schedule an appointment at our Marysville, WA office as soon as an emergency situation occurs.

Pregnancy and Oral Care

March 6th, 2018

Pregnancy involves a lot of alterations in your health. Northwest Smile Design is here to help you understand the oral health aspects of your pregnancy.

As you may already know, your body becomes more susceptible to bacterial complications. In terms of oral health, you may be at a higher risk for gingivitis and periodontal disease during the course of your pregnancy.

The hormonal changes in your body can create a more welcoming environment for gum infections, including gingivitis. Although you may continue to brush and floss on a regular basis, and maintain your schedule of cleaning appointments, you are still prone to an increased risk of gingivitis. Your gums may feel more sensitive and become more prone to bleeding because of the increased amount of blood flowing through your body. This can also be a side effect of periodontal disease, which nearly 40% of pregnant women have.

In order to avoid painful dental visits, you should attempt to brush more than twice a day and always floss regularly. We recommend investing in a good mouthwash for extra protection against plaque buildup. Other oral conditions to watch out for during pregnancy include oral gingival lesions, tooth mobility, tooth erosion, and dental caries.

Keeping your oral health in top shape will prevent bacteria from circulating to other places in your body during pregnancy. Your immune system is more likely to be compromised, which means you generally face an increased risk for illnesses.

Don’t forget that you share nutrients and pathogens with your baby, so it’s crucial to reduce your risks in every possible way. If you think you may be experiencing an oral health issue during your pregnancy, please call our Marysville, WA office to schedule an appointment, and we will be happy to help you.

Four Oral Health Issues Seniors Face

February 27th, 2018

Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. Kelly Peterson and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. Kelly Peterson is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. Kelly Peterson during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. Kelly Peterson about modifying a handle for easier use or switching to a battery-powered toothbrush.

I have halitosis. What can I do?

February 20th, 2018

Halitosis is the fancy, scientific word for “bad breath.” Dr. Kelly Peterson and our team know there are several reasons why you may have halitosis; let’s look at a few:

  • Gum disease (also known as periodontal disease) – There are five main types of gum disease, and each one can range from mild to severe. For example the most common one is gingivitis; it is caused by bacteria in the plaque that has been allowed to build up, usually as a result of poor oral hygiene. A more serious and uncommon type of gum disease is called necrotizing periodontal disease. It is most common in people who have a suppressed immune system.
  • Smoking
  • Dry Mouth – This can be caused by something as simple as a medication you take.
  • Food – Of course, if you eat something that is potent like garlic, it is going to give you bad breath.
  • Diseases of the Body – Some diseases such as sinus infections and diabetes, among a few other types of infections, can also cause you to have halitosis.

How to Get Rid of Halitosis

The most obvious answer to how to get rid of halitosis is to practice good oral hygiene, although, depending on the cause of halitosis it may not be that simple. If you have an infection that is causing the halitosis then you may need an antibiotic to clear up the infection and then the bad breath will go away. Here are more tips:

  • Brush your teeth after every meal and before bed.
  • Floss your teeth. The more plaque you get out of your teeth, the better chance you have of not getting cavities or bad breath.
  • Address any medical conditions that are not related to your teeth that can be causing the halitosis.
  • Ask Dr. Kelly Peterson for a prescription mouthwash that kills bacteria.

Halitosis (bad breath) can be an embarrassing condition to live with, but there are plenty of ways to get rid of it permanently. Start by talking to a member of our team at our Marysville, WA office.

The Origins of Valentine's Day

February 13th, 2018

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Kelly Peterson and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Northwest Smile Design!

Your Snoring Might Be More Serious Than You Think

February 6th, 2018

Sleep apnea is a disorder in which breathing stops and starts repeatedly throughout the night. It’s most common among middle-aged adults, and the most prevalent symptom is loud snoring.

Sleep apnea occurs when the muscles in the back of your throat relax to the point where they inhibit your natural breathing. It can cause your breathing to stop for anywhere from ten to twenty seconds. In the worst cases, it can even stop your breathing for up to a few minutes.

In addition, people who suffer from sleep apnea wake up feeling tired and unrested. The condition may even lead to depression, high blood pressure, irritability, and memory loss. It puts you at a greater risk for heart attack and lowers oxygen levels in your brain.

All of this sounds scary, but the good news is that sleep apnea can be treated! One of the most common ways Dr. Kelly Peterson can treat sleep apnea is by creating an oral device for you to wear while you sleep.

The device brings your jaw forward, which keeps the airway open and lowers the incidence of snoring. Another method is to use a continuous positive airway mask, often referred to as a CPAP. The mask fits over the mouth and forces oxygen through the throat while you sleep.

If you’re unsure about whether you may suffer from sleep apnea, visit our Marysville, WA office and let Dr. Kelly Peterson know. We can determine the appropriate treatment if any is needed. Don’t risk losing another night’s sleep over something we can easily treat!

What should I do if my child has a toothache?

January 30th, 2018

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 Dr. Kelly Peterson. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our Marysville, WA 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.

Is there a connection between oral health and school performance?

January 23rd, 2018

As a parent, you want the best for your children, and that includes doing their best in school. You can support them by taking an interest in their activities, being enthusiastic about attendance, and helping them with homework. There may also be one more way you can help your children succeed at school. Surprisingly, research suggests that children with better oral health are likely to do better in school.

What the Research Says

One study in North Carolina looked at risk factors for poor school performance among school-aged children. As expected, the study found poor school performance linked to low socioeconomic status, low levels of parental education, and poor overall health. However, it also found a strong link between poor oral health and poor school performance, with children classified as having poor oral health 40 percent more likely struggle in school.

These findings are generalizable to the rest of the country. For example, attendance is an important factor in academic achievement, but dental conditions are responsible for a loss 51 million school hours among schoolchildren each year. Dental pain and infection are linked to poorer performance.

School-Based Programs to Promote Oral Health

In light of the apparent benefits of good oral health for school performance, some schools are taking steps to promote better oral care and health. In Maine, for instance, schools in need can apply for grants through School Oral Health Program (SOHP). The SOHP consists of four components:

  1. Oral health education for all children to support healthy behaviors
  2. A weekly fluoride mouth rinse to strengthen teeth
  3. Dental screenings to identify children who may need dental care
  4. Dental sealants, or plastic coatings, on back teeth to guard against decay

The State of Maine also supports an “Annual Sugar Out Day” to raise awareness of the effects of sugar on dental health and to help students choose low-sugar alternatives.

Oral Health Habits to Adopt

You can help your child improve oral health and do better in school by encouraging good oral hygiene. This includes brushing at least twice a day with a fluoride-containing toothpaste, and reminding your child to drink water after eating. Also, regular trips to our Marysville, WA office can help prevent serious tooth problems.

Telltale Signs that Your Tooth has a Cavity

January 16th, 2018

Dr. Kelly Peterson and our team at Northwest Smile Design frequently get questions about cavity causes and prevention. You brush twice a day and floss regularly. You rinse with mouthwash, just like the dentist recommended. In fact, you can’t remember the last time you had a cavity, but you think it was when you were a little kid. In all seriousness, you thought only kids got cavities.

The Signs and Symptoms of a Cavity

It’s believed that roughly 90% of North Americans will get at least one cavity in their lifetime. Those other ten percent, it seems, can eat as much pie, cake, and sugary cereals and sweets as they want. That’s not really true; just a stab at dental humor, and it was as bad as the pain your cavity is probably giving you.

When a cavity is in its initial stages, you will often be symptom-free and experience no discomfort at all. It’s not until the tooth decay has reached a certain level that you will begin to notice the signs and symptoms. While a toothache and sensitivity to hot and cold foods and liquids are surefire signs that you have a cavity, there are lesser-known symptoms as well. If you’re experiencing any of these warning signs, you may want to consider making an appointment with our office as soon as possible:

  • Persistent bad breath or a bad taste in the mouth
  • When you bite down, there is a sticky, tarry feeling
  • Puss or discharge around a tooth
  • A visible discoloring, usually black or brown
  • Small pits or holes in the tooth

Routine dental care is important. While good oral hygiene, a healthy diet, and regular cleanings will deter the formation of cavities, they do not constitute a foolproof practice. A cavity can occur at any time, no matter what your age. Bacteria causes tooth decay, and no amount of brushing, flossing, and rinsing will eradicate all the bacteria from your mouth. If you think you may have a cavity, please contact our office immediately.

Avoid Brushing After Every Single Meal!

January 9th, 2018

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing after a meal can be incredibly bad for your teeth if you do it after eating certain foods.

Enamel is an extremely hard mineral on the exterior of each of your teeth. It’s actually the hardest substance in the human body: It’s even stronger than your bones! Its only weakness is that acids in the food we eat can easily destroy enamel.

Healthy teeth thrive in an environment that has the proper pH balance. That ensures your mouth doesn’t start the process of demineralization. That’s what happens when alkaline turns into acid, which attacks and softens the enamel on the surface of your teeth. Pores and fissures form, and that’s when the harmful bacteria go to work.

Our mouth’s pH level fluctuates depending on what we eat throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in your mouth from a healthy alkaline to a dangerous acid.

Can brushing your teeth immediately after a meal lead to even more damage? The answer is yes!

Eating highly acidic foods causes your teeth to be more susceptible. If you brush your teeth when they have been weakened by acids, even more destruction can happen to your enamel. Your toothbrush’s bristles will actually wear away some of your enamel. So it’s healthier to wait at least an hour after eating or snacking to brush.

Good preventive measures to take instead of brushing after you eat include:

  • Rinsing or drinking water
  • Chewing sugarless gum
  • Consuming dairy or non-acidic foods to conclude your meal

These practices help produce saliva, which in turn restores a healthy pH level in your mouth and coats the teeth with minerals they need.

Once you’ve allowed time for your mouth to be restored to a healthy pH level, you may brush your teeth as you normally would. Keep in mind that acidic foods can weaken the enamel on your teeth and take the right measures to prevent spiking pH levels.

Most important, don’t forget to wait to brush at least one hour after you eat!

Still have questions? Call our Marysville, WA office and schedule an appointment with Dr. Kelly Peterson.

Surprising Ways to Prevent Cavities

January 4th, 2018

There are numerous ways to prevent cavities. Some, like brushing your teeth regularly and visiting our Marysville, WA office, are more obvious than others. Beyond the standard methods of preventing cavities there are a number of different ways to keep your mouth healthy that you might also find surprising.

1. Reduce your consumption of carbs and sugar.

The consumption of sugar is ultimately the biggest catalyst for cavities. By limiting the sugar you consume both at meals and while snacking you will in turn be preventing cavities. But this goes for all carbs, not just sugar. See, even more complex, lower glycemic, carbs can lead to cavities in your mouth, so the best way to prevent them is to limit your carbohydrate intake. This is not to say that you have to cut out carbs all together, but by reducing your intake, you will prevent cavities and it can also lead to a healthier body overall.

2. Rinse your mouth with food-grade hydrogen peroxide.

For some people this may seem a little odd, but washing your mouth out with a food-grade hydrogen peroxide is an excellent way to prevent cavities. Doing so will kill harmful bacteria that accumulates in your mouth much in the same way applying the anti-septic to a cut does. That said, when you rinse your mouth out similar to how you would use a mouth wash, you want to make sure you don't swallow the hydrogen peroxide, spit it out instead.

3. Use a straw.

If you are someone that drinks a lot of sugary beverages a great way to prevent cavities is to use a straw. This way the sugar in the beverage does not come into contact with your teeth as much as it would if you were to drink straight from a glass, can, cup, or bottle.

4. Chew gum.

Chewing gum is another viable way of preventing cavities. You, of course, will need to chew a sugarless gum flavored with a substitute like Xylitol, and preferably with a cavity fighting ingredient in it.

5. Eat cheese.

Plain and simple cheese has a protein called casein which helps build calcium in your teeth which is vital to the integrity of your mouth and preventing cavities.

Smile, the New Year is Almost Here!

December 26th, 2017

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Marysville, WA area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Northwest Smile Design

  • Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
  • Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
  • Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Dr. Kelly Peterson, have a fantastic New Year!

What is Nitrous Oxide?

December 19th, 2017

Many patients experience anxiety during dental appointments. Dr. Kelly Peterson and our team want to help you overcome any fear you may feel when you come to your regular visits.

If you know you suffer from anxiety during your dental checkups, nitrous oxide sedation, popularly known as “laughing gas,” may be helpful during your next appointment. Nitrous oxide can be used during many types of dental procedures.

It has a sweet odor and taste, and gets mixed with oxygen when supplied through a mask. The effects typically kick in within a few minutes and leave you feeling calm and relaxed.

Nitrous is helpful because you will stay conscious and able to move and answer questions the doctor may ask you. The drug is also convenient because the effects go away within a few minutes after the mask is removed.

Nitrous oxide is not dangerous for your body when it’s combined with oxygen. It is non-addictive and non-allergenic. When used properly, nitrous oxide reduces anxiety, while allowing continued communication between the patient and dentist during a procedure. It can also help alleviate pain or discomfort during your exam.

You should know that nitrous oxide may cause nausea in up to ten percent of patients. This drug is not recommended for people who suffer from certain medical conditions. We recommend discussing this method with Dr. Kelly Peterson if your dental anxiety begins to interfere with your appointments.

We want all our patients to feel comfortable during their care. Talk with Dr. Kelly Peterson at your next appointment to find out if nitrous oxide is the right option for you. If you have questions regarding nitrous oxide, call our Marysville, WA location and we’ll be happy to answer them.

 

How a High-Tech Office Helps Your Dental Treatment

December 12th, 2017

A dental office on the cutting edge of technology offers numerous benefits to its patients. Whether you are in need of a simple cleaning or extensive restorative work, these technologies will help you stay more comfortable and give you better results than the outdated tools used in many offices. Here are some of the technologies that you can expect to see in our modern dental office:

  • Digital radiography – Digital X-rays and imaging expose patients to far less radiation than traditional X-rays. Not only that, but these digital images provide a more detailed and easier-to-view snapshot of what is going on in and around your teeth. They make it easier for patients to see what's going on since we can show them right on the computer monitor. It's also better for the environment because there’s no need for the toxic chemicals used to develop traditional X-ray films.
  • Panoramic X-rays – This digital X-ray gives Dr. Kelly Peterson a more in-depth understanding of the entire structure of your mouth and head than a regular X-ray. The panoramic X-ray machine rotates around your head and takes a 3D image of it, giving us a very complete picture that allows for more effective and timely treatment planning.
  • Bioceramic implants, prosthetic devices, and sealants – Advances in implants and prosthetic devices over the past several decades has led to the creation of bioceramic (nontoxic) materials ideal for crowns, veneers, and implants. These materials allow for more visually appealing dental work since there are no metals used with these high-tech ceramics.
  • Paperless bills and records – We all know the inconvenience of paper bills and receipts; they can create clutter and get lost. Our office has done away with this trouble by going paperless. This means you'll receive all your pertinent paperwork in your email inbox and records will be kept digitally at the office. No more wall full of patient records!

This is just an overview of the many advances that we’ve made to our Marysville, WA office to make it cleaner, quieter, more comfortable, and more efficient, helping you spend less time in the chair and more time smiling!

Solutions for Dry Mouth (Xerostomia)

December 5th, 2017

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Dr. Kelly Peterson and our team at Northwest Smile Design will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Dr. Kelly Peterson will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

I don't brush while I'm at work. Should I?

November 28th, 2017

Yes, absolutely. A recent survey by Oral-B® reveals that despite knowing that a healthy, good-looking smile affects not only their personal wellness but their professional image as well, very few people (only 14 percent) brush and floss at the office regularly. What’s more, three quarters of people who responded to the survey said they ate twice or more a day at work.

Today, Dr. Kelly Peterson and our team thought we would provide some tips for brushing at work.

  • Leave a toothbrush at work to increase your likelihood of brushing
  • Brush your teeth twice a day with fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
  • Clean between teeth daily with floss or an interdental cleaner; this helps remove plaque and food particles from between the teeth and under the gum line. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach.

And remember to brush for 30 to 45 seconds across visible parts of the teeth. Brushing after breakfast or lunch will eliminate any remaining food particles and odors. We recommend people brush their teeth twice and floss once a day to remove plaque and other harmful bacteria.

To schedule your next appointment with Dr. Kelly Peterson at our Marysville, WA office, please give us a call!

Tooth Worms? The History of Cavities and Tooth Fillings

November 21st, 2017

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.

Dr. Kelly Peterson 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 Marysville, WA office so we can take the proper action to protect the health of your mouth.

How do I know if I need dentures?

November 14th, 2017

The choice to get dentures is a permanent decision so there are several important factors you should take into consideration. Many people have teeth that are not able to be repaired due to a variety of reasons, but for those who have the option and the money to repair their natural teeth they need to consider every choice they may have.

You have a choice!

Yes, it’s true! We do have a choice about whether we will have to have dentures in the future. Many people don’t realize that just by taking certain precautions they can actually prevent any serious issues from arising. For example, it’s very easy to reschedule that dental cleaning. However, it’s very important that you keep every appointment because Dr. Kelly Peterson will be able to catch small problems before you even realize you have them. Also, if there are any signs of gum disease you will know early enough to stop any further damage. One of the main reasons that many people end up needing dentures is because of either gum disease or because severe cavities have cause too many teeth to be extracted.

If you notice any of the following you should make an appointment at our Marysville, WA office right away:

  • Teeth are moving further apart
  • Soreness or tenderness of the gums
  • Trouble eating hard food
  • Sensitivity
  • You have already lost several teeth
  • Toothaches

The key to avoiding dentures is prevention. Avoiding dentures is not impossible and can be as simple as staying on top of your oral hygiene. However, if you are currently experiencing any dental issues you should see Dr. Kelly Peterson now, because a small problem can quickly escalate into a very large and expensive dental procedure.

How do I know when I have a cavity?

November 7th, 2017

Dr. Kelly Peterson and our team at Northwest Smile Design frequently field questions about cavities and what causes them. Patients will typically ask, “I brush twice a day and floss regularly, as well as rinse with hydrogen peroxide, so a cavity is unlikely, right?”

Not quite.

When cavities, also known as caries, are in their initial stages, people often will feel no symptoms, and they won’t experience any pain or discomfort. It’s not until the tooth decay has reached a certain level that patients begin to notice the signs. If you are experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Kelly Peterson as soon as possible:

  • Dull or sharp toothache
  • Tooth sensitivity or mild to sharp pain when eating or drinking something sweet, hot, or cold
  • Persistent bad breath or a bad taste in the mouth
  • The presence of a sticky, tarry feeling when biting down
  • Puss or discharge around a tooth, especially when pressing on your gums
  • Visible holes or discoloration in your teeth (usually black or brown)

Cavities can happen at any time, to anyone, no matter how old you are. Routine dental care is important to prevent cavities or the onset of tooth decay, so it is important to visit Dr. Kelly Peterson and our team at Northwest Smile Design for regular cleanings. If you are overdue for a checkup or think you may have a cavity, please give us a call at Marysville, WA office to schedule an appointment.

Five Tips for Taking Tots to the Dentist

October 31st, 2017

Toddlers are notoriously balky about strangers. But their first dental visit should not be cause for fear and tears. Nor should you assume that getting your toddler to Northwest Smile Design is going to involve a full-blown tantrum or Mafia-style bribery. “Honey, don’t worry. We’ll go get ice cream after…” sort of defeats the purpose of making that first dental appointment.

These five tips will make your toddler’s trip to see Dr. Kelly Peterson as fun as a stop at an amusement park.

1. Before you make a dental appointment for your child, take him or her on a ride-along to one of your dental appointments. Let your son or daughter experience the office and get the lay of the land. Toddlers don’t like surprises. But if your little one is already familiar with the big chair that goes up and down, the next time he or she will have no problem taking a seat.

2. About the big dental chair … well, it’s really an amusement park ride. See how it goes up and down? Toddlers love games, and turning the trip to the dentist into a game is among the oldest (and most successful) tricks in the parent playbook.

3. Positive reinforcement is a good thing. That's why Dr. Kelly Peterson and our staff hand out cool toothbrushes or stickers to children after their appointment. A fun-colored toothbrush with a suction bottom is a good incentive to come back for another cleaning.

4. Timing is everything. Don’t take your child to the dentist an hour before the daily nap. Make the appointment with your child’s schedule in mind. This increases the chances of success.

5. A few days before the scheduled appointment, start reading your toddler bedtimes stories about what happens at the dentist. Dora the Explorer’s Show Me Your Smile, written by Christine Ricci, is a popular dental story that your child might relate to.

Top Reasons People Choose Veneers

October 24th, 2017

Dental veneers are a way to correct and transform your smile by using “contact lens”-thin shells of porcelain or ceramic material and bonding them to the front of your teeth. They are strong and durable, look and feel like natural teeth, and improve your smile immediately. Here are some of the top reasons to consider getting dental veneers.

They Correct Multiple Cosmetic Issues

Dental veneers can help with cosmetic and dental health issues, and treat multiple problems at once. Some common reasons that individuals choose veneers is to close gaps and spaces between the teeth, fix alignment issues, change the overall shape and appearance of a tooth, whiten a smile by covering stained or discolored teeth, and cover chipped or cracked teeth.

If you have teeth that are already worn down and weakened, veneers help prevent further damage by covering them with a thin, tooth-colored shell.

Durability

Dental veneers are also extremely durable. They last several years longer than traditional composite fillings. You’ll have peace of mind when you choose veneers, knowing that you’ll have your new smile for many years. On average, dental veneers last about ten to 15 years. Just like your natural teeth, when you take good care of your veneers, they last longer.

Easy to Clean and Maintain

Keeping your veneers healthy and white is easy: You simply brush and floss them the way you do all of your teeth. Shortly after having your veneers installed, you’ll begin to think of them as your natural teeth because the thin shells lie right on top of your existing teeth. This makes it easy to floss and brush the way you normally would and keep them as clean as possible.

The Process is Simple

Getting dental veneers is a quick and easy process. You have a few short visits at Northwest Smile Design and see results. On average, it only takes about four weeks from your first appointment to your last to complete the veneer process.

If you are considering getting dental veneers, schedule a consultation appointment with Dr. Kelly Peterson to find out exactly how they can benefit you.

Oral Health during Pregnancy

October 17th, 2017

Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Dr. Kelly Peterson at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Dr. Kelly Peterson at our Marysville, WA office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

What are dental sealants, who should get them, and how long do they last?

October 10th, 2017

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Dr. Kelly Peterson and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Northwest Smile Design for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Dr. Kelly Peterson check the sealant at every visit to our Marysville, WA office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Northwest Smile Design. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

The Secret to Keeping Your Teeth for Life

October 3rd, 2017

The secret to keeping your teeth for life involves more than one secret. The first is that there is no secret; and in fact, there really is no difficulty involved. Follow this simple four-step process – brush, floss, rinse, and visit our Marysville, WA office regularly – and you will have healthy teeth for life!

Brush

You should brush your teeth twice a day, preferably once in the morning and once at night. Three times a day will not hurt. Use a soft-bristled toothbrush and light pressure; you do not want to scrub away your gums or tooth enamel.

Brush for a minimum of two minutes, and carefully clean all tooth surfaces. Three minutes is better. Use quality toothpaste; Dr. Kelly Peterson and our staff can recommend the best type for your needs. Keep your toothbrush clean and replace it about every three months.

Floss

Make flossing part of your daily routine, at least once a day. Flossing is important for more than just removing food particles between your teeth. The process also helps to remove bacteria that you cannot see. Bacterial build-up turns into plaque, or calculus: a cement-like substance that cannot be removed by brushing alone.

Use floss gently; you do not want to cut your gums. There are many different types of flosses and flossing tools. Dr. Kelly Peterson and our staff will be happy to help you find the style that works best for you.

Rinse

Mouthwash does more than freshen your breath. Rinses help kill the bacteria that lead to plaque formation and gum disease. This extra step can go a long way toward having healthy teeth for life.

Keep your appointments

You should have a professional cleaning at Northwest Smile Design twice a year. Some patients benefit from more frequent cleanings. Your hygienist will remove any plaque build-up to prevent gingivitis, which left untreated becomes full-blown gum disease. Periodontitis leads to tooth loss.

You also need to see Dr. Kelly Peterson twice a year for a teeth and mouth exam. We can find problems such as cavities, and treat them before the situation becomes critical. Ask our Marysville, WA team any questions you have; together we can make your teeth last for life.

Dental Fear in Children: Brought on by parents?

September 26th, 2017

Two studies – one conducted in Washington State, and whose findings were published in the Journal of Pediatric Dentistry in 2004, and another conducted in Madrid, Spain, and whose findings were reported in 2012 in Science Daily, reinforce earlier findings that show a direct relationship between parental dental fear and that of their children.

The Washington study looked at dental fear among 421 children whose ages ranged from 0.8 to 12.8 years. The children were all patients at 21 different private pediatric dental practices in Western Washington State. The Spanish study looked at 183 children between the ages of seven and 12, and their parents in Madrid.

The Washington study used the Dental Sub-scale of the Child Fear Survey Schedule. The survey responses came from either parents, or other parties charged with taking care of the children. The people responsible for each child filled out the survey, which consisted of 15 questions to which answers were given based on the child’s level of fear. The scale used was one to five, with one meaning the child wasn’t afraid at all, and five indicating the child was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found that like past studies, there is a direct connection between parental dental fear levels and those of their kids. The most important new discovery from the study conducted in Madrid, was that the more anxiety and fear a father has of going to the dentist, the higher the fear levels among the other family members.

Parents, but especially fathers, who suffer from fear of going to the dentist and fear of dental procedures in general pass those fears on to every member of the family. While parents may not feel like they have control over those fears, the best way to help your child understand the importance of going to the dentist is by not expressing your fears in front of them – or around the rest of the family.

Dr. Kelly Peterson and our team understand that some patients are more fearful than others when it comes to visitingour Marysville, WA office. We work hard to make our practice as comfortable for our patients, both children and adults.

The Hazards of Smokeless Tobacco

September 19th, 2017

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Dr. Kelly Peterson and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Dr. Kelly Peterson for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Marysville, WA staff members.

Five Things You Didn't Know About Cavities

September 12th, 2017

Most people know when they have a cavity—they can either see it on their tooth or... ouch! They can feel it! But there are certain things that many of our patients don't know about cavities that could save them a trip to our Marysville, WA office!

1. Not all sugars are created equal

It's quite well known that eating dietary sugars in excess along with poor oral hygiene leads to dental decay such as cavities. This is due to the fact that the bacteria in your mouth feed on these sugars and excrete acids as a byproduct of that process, thus causing decay. But xylitol, a sugar alcohol derived from birch or corn, actually prevents the bacteria from converting sugars into acids.

Xylitol is available in the form of gum, mints, toothpaste, and even in a granulated form much like regular cane sugar. You might consider trying some xylitol products between meals to keep your mouth clean and fresh.

2. It's not always what you eat but HOW you eat

Are you a grazer, always snacking between meals and never satisfied? We now know that this kind of eating can contribute to cavities and other oral health problems.

Every time you eat anything with carbohydrates in it, you're feeding the bacteria in your mouth, which in turn produce acids. If you're constantly eating, it doesn't allow your saliva time to bring the pH of your mouth back into a more alkaline, neutral state. It takes your saliva about 20 minutes to neutralize the acids in your mouth after eating.

It's especially easy to harm your teeth in this way with soft drinks, sipping all day long. So, it's best to avoid sugary drinks and junk food, and if you need a snack opt for healthy vegetables or what are known as "detergent foods." If you do decide to drink a soft drink or eat something sugary, have it all at once and not over the course of the day.

3. Flossing is one of the most important oral hygiene techniques

Although most of our patients are aware that they need to brush, sometimes they can get lackadaisical when it comes to flossing. And that's a big mistake. Flossing is one of the most important (and we daresay, easiest) things someone can do to help prevent cavities and tooth decay.

You see, as we've already mentioned, the bacteria in your mouth that cause cavities feed on the food you eat. So if you've got pieces of that food stuck between your teeth all day and night, every day, that's asking for a problem.

Flossing clears that bacteria-feeding food out from between your teeth. Floss daily and whenever you decide to do it, morning or night, just do it!

4. A dry mouth can lead to cavities and tooth decay

Your teeth's best defense against cavities and tooth decay is actually your saliva! We've already talked about the pH neutralizing effect saliva has. So if you find you have a dry mouth often, make sure to have some water to sip on. Or why not try some xylitol mints or gum to get your saliva production kicked into action?

5. Over-brushing can damage your enamel

If you brush like a construction worker with a jackhammer, you should ease up! Brushing too hard can scrape away at your teeth's enamel, which leaves them more susceptible to cavities and decay. Brush lightly, with your brush angled at the gum line for two minutes, twice a day. That's all that is required!

Are baby teeth really that important?

September 5th, 2017

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

  • Do not let your baby fall asleep with a bottle in his or her mouth.
  • Brush your child’s baby teeth twice a day as soon as they come in.
  • Floss your child’s teeth as soon as he or she has two teeth that touch.
  • Visit Northwest Smile Design for your baby’s first checkup when the first tooth arrives.

Dental Visits Are Not So Bad

August 29th, 2017

Many people dread going to the dentist. Dental visits have the reputation of being painful and uncomfortable, and it is common for people to compare unfortunate situations such as having a root canal or feeling the dentist’s drill. However, at Northwest Smile Design, dental visits are not that bad.

Your regular cleaning and checkup are noninvasive. They require no drilling, Novocain, or needles, and you go home with refreshingly clean teeth. When your hygienist cleans your teeth, you are literally receiving individualized care from a professional as you sit back and relax.

In the days before the use of Novocain or other anesthetics, dental work could be painful. Thankfully, those days are gone! Now you are unlikely to feel a thing, even during the most extensive procedures. In addition, most dental work such as fillings, root canals, and crowns can be performed in one to two visits, so you do not need to keep returning to Northwest Smile Design.

An incentive for getting over your fear and coming to the dentist is that getting your dental work done can dramatically improve your quality of life. Dr. Kelly Peterson can address tooth problems that have caused toothaches or prevented you from eating the foods you like. As a bonus, regular visits with Dr. Kelly Peterson and our staff allow us to identify conditions such as periodontal disease, which can indicate risk for seemingly unrelated health conditions, such as heart disease and diabetes.

Fluorosis: What is it?

August 22nd, 2017

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

  • Fluoridated mouth rinse, which young children may swallow
  • Bottled water which is not tested for fluoride content
  • Inappropriate use of fluoride supplements
  • Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Dr. Kelly Peterson.

Easing Your Allergies with Latex-Free Dentistry

August 15th, 2017

Imagine this scenario: you go to the dentist to have a cavity filled, and an hour after the procedure you have a runny nose, scratchy throat, and your arms are breaking out in blotchy, red hives. In other words, you’re in worse shape after the visit to the dentist than you were before you walked in to have the cavity fixed. If you experience any of these types of symptoms or side effects, chances are you have a latex allergy.

What is a latex allergy?

A latex allergy is a hypersensitivity to latex proteins. If you have this allergy, the Centers for Disease Control and Prevention recommend that you avoid direct contact with any materials that contain latex. While latex gloves are known to cause allergic reactions in people with a latex allergy, certain metals, plastics, and other materials used in dental care can also cause an adverse response.

A runny nose and itchy eyes are common allergic reactions to latex. However, Dr. Kelly Peterson and our team at Northwest Smile Design want you to know it can also trigger more severe symptoms, including asthma, wheezing, and cardiovascular and gastrointestinal ailments.

A latex-safe dental environment

Many dental offices screen patients for a latex allergy. This is only beneficial, however, if you’re already aware you have a latex allergy. The best thing you can do to ease your allergies is to find a dentist who has a latex-safe environment. A latex-safe dental environment observes the following protocols:

  • All patients are screened for a latex allergy.
  • No personnel use latex gloves.
  • All latex products are removed from the patient’s vicinity, including rubber dams and elastics.
  • Work areas contaminated with latex powder are cleaned frequently.
  • Signs are posted to communicate all latex allergy procedures in case of an emergency.

If a latex allergy is part of your medical history, then it’s in your best interest to find a latex-free dental environment. To learn more about latex-free dentistry, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

What are mini implants used for?

August 8th, 2017

The use of mini dental implants (MDIs) is on the rise. MDIs are about the diameter of a toothpick (1.8 to 2.9 millimeters with lengths between ten to 18 millimeters) and are primarily used to secure loose upper or lower dentures or partial dentures.

MDIs are particularly useful for patients who suffer from osteoporosis or otherwise aren't well enough to get the bone grafts sometimes required by traditional dental implants. Their diminutive size also allows them to replace smaller teeth where the placement of a dental implant isn't feasible or called for.

Some of the benefits of MDIs include:

  • The procedure is quicker and less invasive – Since MDIs don’t require the cutting of gum tissue or sutures, Dr. Kelly Peterson can place the implant quickly, resulting in a shorter healing process. MDIs go directly through the gum tissue and into the jawbone.
  • Lower cost – MDIs run in the range of $500 to $1500, whereas traditional dental implants can cost around $4,000.
  • Less risk of surgical error – Since MDIs don't go as deep into the tissue or jawbone, there is less risk of surgical error, like hitting a nerve or sinus cavity.
  • Can be used in thinner areas of the jawbone – Since MDIs don't require as much gum tissue or jawbone, they can be used in thinner areas of the jawbone, where a traditional dental implant would require a bone graft.

Although there are many advantages to MDIs, they aren't for everyone or every situation. There are some drawbacks, especially when it comes to their durability and stability. MDIs also haven't been studied nearly as much as dental implants.

Whatever your situation, it's best to speak with Dr. Kelly Peterson about your options, and whether an MDI or a dental implant would work best for your specific case. Schedule an appointment at our Marysville, WA office to learn more.

Periodontics and Braces Treatment

August 1st, 2017

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

  • Let Dr. Kelly Peterson know about your desire to get braces
  • Get an exam to make sure you're in good periodontal health and a good candidate for braces
  • If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Marysville, WA office.

Why should I have my child’s wisdom teeth removed?

July 25th, 2017

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

  • Completely erupted and non-impacted
  • Completely functional
  • Painless
  • Free of decay
  • Disease-free
  • Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Kelly Peterson; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Kelly Peterson and our team at Northwest Smile Design may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

The Importance of Baby Teeth

July 18th, 2017

Dr. Kelly Peterson and our team know it can be easy to underestimate the significance of baby teeth. At Northwest Smile Design, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient Marysville, WA office.

Common Emergency Care Visits: Toothaches or abscesses

July 11th, 2017

Dental problems do not always wait for normal office hours. Broken fillings or damaged teeth are common reasons for emergency treatment. Toothaches and abscesses can also require prompt attention. Dr. Kelly Peterson can provide you with the information and treatment you need to prevent the problem from becoming worse. Emergency dental care is only a phone call away, 24 hours a day, seven days a week.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Antibiotics are not always necessary, but you should seek treatment quickly. Left untreated, an infection can spread and cause serious complications.

Toothache

There are many reasons that you may develop a sudden toothache. The cause of the pain may be a particle of food lodged between your tooth and gum line. One of the first steps you can take is to rinse your mouth with warm water. You may also try gently flossing the area to dislodge the particle. Do not continue flossing if bleeding occurs.

Toothaches can occur from a carie — a cavity in the tooth — or from a fracture. Sensitivity to heat or cold may also cause tooth pain. You should make an appointment to ensure that a minor problem does not become serious. We may recommend acetaminophen or another pain reliever to reduce the pain before your visit.

Additional tips and treatments:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly on a damaged tooth or gum area as it can cause tissue irritation.
  • If you suspect that your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, call us or seek other medical attention immediately.

Our team at Northwest Smile Design is ready to assist you when you have an emergency dental need. When you call, please provide us with as much information as possible so we can offer recommendations that will assist you until your appointment. Do not delay; emergency treatment is available and immediate treatment is the best course of action.

Fun Facts for the Fourth

July 4th, 2017

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at Northwest Smile Design.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in Marysville, WA, or even participating in a hot dog eating contest, Dr. Kelly Peterson and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

Tips for Managing Oral Pain

June 27th, 2017

Experiencing tooth or oral pain is not fun. If you cannot get to Northwest Smile Design right away, the pain may even seem to increase. The old saying that a tooth will stop hurting once you get to a dentist is not that far from true. However, there are many tips you can try to relieve your oral pain until you can see Dr. Kelly Peterson.

Common Pain Relief Options

First, try to determine the source of the pain. This is sometimes not possible, but it may help. If you are experiencing pain between your teeth or along the gum line, try swishing some warm salt water in your mouth. One teaspoon of salt in eight ounces of warm (not hot) water is all you need.

The pain you are experiencing could be a particle of food stuck under your gum. You can also try flossing as long as bleeding is not present. Salt water soothes other mouth irritations to reduce pain.

You can try over-the-counter pain relievers, including oral medications or topical gels. Avoid taking aspirin; it thins your blood, which could end up being a problem for dental work. Wash your hands before applying any topical pain treatments to avoid spreading germs.

Clove Oil

Clove oil works quickly to relieve most oral pain. Place a few drops of clove oil on a damp cotton ball and place the cotton in your mouth near the painful area. Do not use this method overnight, because you don’t want to swallow the cotton.

Whole cloves can also be used, but try to remove any sharp edges first. Place a few pieces in your mouth and allow your saliva to soften the clove. Some sources say that chewing the clove helps, but you shouldn’t do this if you have a fractured tooth.

Other Household Remedies

If you have cough drops that include benzocaine or menthol, you can try sucking on a cough drop for relief. Placing a warm, wet tea bag against a painful oral area can sometimes reduce the pain as well.

Toothpastes designed to relieve pain from sensitive teeth may work. While these pastes do take time to reach full effectiveness, they can be helpful if you have to wait several days.

Remember that these tips are only designed to provide temporary pain relief. You need to schedule an appointment at Northwest Smile Design quickly. Call and schedule an emergency appointment with Dr. Kelly Peterson as soon as possible.

Anatomy of a Smile Makeover

June 20th, 2017

A smile makeover is usually a combination of one or more cosmetic dental procedures. To achieve your desired result, Dr. Kelly Peterson may perform or suggest a variety of options. The entire process is designed specifically for your unique cosmetic needs, and Dr. Kelly Peterson will make sure all your concerns regarding your smile are addressed.

Here are some of the most common procedures in cosmetic dentistry and how they work:

  • Tooth whitening – Whiter teeth are achieved through a bleaching process typically using hydrogen peroxide or carbamide peroxide. Yellower teeth usually respond well to this procedure, while brown-colored teeth stained by fluorosis or taking tetracycline do not respond as well to whitening. Tooth whitening is not for everyone; if you have sensitive teeth, gum disease, or poor enamel, Dr. Kelly Peterson may recommend against tooth-whitening services.
  • Orthodontics – Braces are one of the tried-and-true ways of achieving a healthier smile. Braces are typically worn between 12 and 24 months to reposition the teeth in a straighter and safer alignment. Since your bite is also corrected during this process, it helps ensure you won't have any trouble down the line. There are several different types of braces available these days including: traditional metal braces, clear ceramic braces, lingual braces, and clear aligners.
  • Veneers – Veneers are thin, tooth-colored material (porcelain or resin) designed to be placed on the front surface of teeth to improve their overall appearance. They can be used in cases where the color, shape, size, or length is not as desired. Veneers are usually used in cases where teeth are discolored, chipped, worn down, misaligned, irregular, or have gaps.
  • Implants/bridges – Dental implants and bridges are used to replace missing or broken teeth. Nowadays, both implants and bridges are commonly performed procedures. Implants integrate directly with the jawbone, while bridges are placed over the adjacent teeth to the missing tooth. Implant technology has advanced a great deal in recent years and highly biocompatible ceramic materials are becoming more commonplace.

Getting your perfect smile will take time and patience, but the end result will be well worth it! Please schedule an appointment at our Marysville, WA office about the cosmetic dental services we offer, and achieve the smile you've always wanted!

Are you a tooth grinder?

June 13th, 2017

Perhaps you had a particularly irritating commute home from work, and you realize at the end that your jaw was clenched tight the entire time. Or maybe you grind your teeth when you are nervous or anxious about an upcoming business meeting. Most people grind their teeth from time to time, but it’s important to recognize the signs and symptoms of chronic tooth grinding. Known as bruxism, this condition can lead to oral health problems and dental issues later.

Signs and symptoms of bruxism

  • Your partner might complain about the fact that you grind your teeth while you sleep. People who grind their teeth on a regular basis often do so during the night, and aren’t necessarily aware it is happening. However, your partner will more than likely notice if you develop this condition. If he or she mentions that it happens often, you might want to contact our team at Northwest Smile Design.
  • You may experience a persistent and unexplained headache if you grind your teeth too often. You may not realize why you have this headache, because you are not aware of the fact that you have been grinding your teeth. Take note of any headaches you have, and if you cannot attribute them to another source, please give us a call to set up an appointment with Dr. Kelly Peterson.
  • Your jaw will more than likely become sore if you suffer from bruxism. If you wake up in the morning and have any discomfort in your jaw, you might have spent the night grinding your teeth. Our team can give you tips and advice for managing bruxism.

While many people associate their teeth grinding with stress, it actually is caused more often by crooked teeth, an overbite, or an under bite. If left untreated, bruxism can lead to a variety of complications, including dental injuries, hearing loss, and the onset of TMD. If you think that you might be a chronic tooth grinder, it might be time to set up an appointment at our Marysville, WA office in order to find out which treatment options are available to you.

The Secret to Fresh Breath

June 6th, 2017

Bad breath: We’ve all dealt with it. You’ve been around people who have it and, like it or not, you have had it yourself. It can be embarrassing and uncomfortable, but how do you know if you have it? There is actually a simple test you can do to see if you have bad breath.

Wash your hands well, then put your finger in your mouth, way in the back. Scrape a little saliva from the back of your tongue, and then dab it on the back of your hand. Wait for one minute, then hold your hand to your nose and sniff. Is it fresh as a daisy? Or do you need to keep reading and learn how to freshen your breath?

How Bad Breath Starts

There are several ways that bad breath starts. Knowing the causes of bad breath is a solid start toward the cure.

  • The bacteria in your mouth: Bacteria is always in your mouth. It covers your gums, hides between your teeth, and hangs out on your tongue. As it multiplies, it produces toxins that cause the foul odor in your mouth.
  • Your bad habits: If you smoke cigarettes, a pipe, or cigars, or chew tobacco, you are not only harming your mouth and body, you are creating some really smelly breath.
  • Your tonsils: If you still have your tonsils, they can be the cause of bad breath. They are pitted, so smelly substances can collect in the pits and lead to bad breath.
  • Stomach issues: A stomach virus, ulcer, GERD, and other stomach issues could be the cause of your bad breath. A low-carb diet can put your body into a state of ketosis, which causes very bad breath.
  • The foods you eat: Garlic, onion, and other pungent foods will linger with you … on your breath.

Tips for Busting Bad Breath

Achieving fresh breath isn’t difficult, but it does require a little work. Try these tips for fresher breath and a healthier mouth.

  • Brush your teeth after every meal. You can also pick up a tongue scraper to use a couple of times a day to remove any lingering bacteria on your tongue.
  • Floss once a day to remove food particles between your teeth as well as plaque. Your mouth will thank you.
  • Gargle with special mouthwash to banish bad breath. The oxygen in it will kill the bacteria in your mouth that is causing your bad breath, and leave you fresh as a daisy!
  • Drink water to avoid dry mouth, which is a common cause of bad breath.
  • Ease your tummy troubles with antacids and other remedies. Ginger tea is a great tummy tamer.
  • Chew gum that contains xylitol. Saliva keeps your mouth moist, and chewing gum makes you salivate. Bye bye, bad breath!
  • Eat yogurt. It contains “good” bacteria that helps balance your gut and gives you a healthier mouth.
  • Soothe your sinuses. Sinus infections can cause you to have bad breath. Actually, it is the post-nasal drip that causes the foul odor. Cure the infection and your breath will improve.
  • Avoid all tobacco products (cigarettes, pipes, cigars, chewing tobacco, and snuff).
  • Eat a healthy diet of fresh fruits and vegetables, lean meats, and whole grains.

And don't forget! Get regular dental checkups at Northwest Smile Design.

Zirconia Dental Implants

May 30th, 2017

Since dental implants first started being implemented in the 1980s, they have been primarily made of titanium. Recent advances in implant technology have allowed dental implant manufacturers to shift from all-metal implants, to part-metal and part-ceramic implants, to the newer all-ceramic or zirconia implants.

Zirconia implants are made of high-impact resistant ceramic called tetragonal zirconia polycrystal (ZrO2+Y2O3). They remedy many of the issues and complaints doctors and patients have with traditional metal implants and have several advantages—let’s take a look at some of them.

Advantages of Zirconia Implants

  • Do not cause allergic reactions – Although titanium is considered non-toxic, some people still have allergic reactions to titanium. Zirconia implants are inert, non-corrosive, and hypoallergenic.
  • Have been used for decades in medical applications – Millions of patients have had zirconia used safely and effectively as the base material for their hip replacements. The zirconia used for medical applications also undergoes strict radiation monitoring to ensure its safety for use within the body.
  • They are incredibly strong – Unlike titanium implants, zirconia offers a much higher degree of resistance to scratching, corrosion, and fracture. The aerospace industry even uses zirconia (ZrO2) due to its high resistance to heat and fracture. This all means a safer and more aesthetically pleasing result for the patient.
  • One-piece design is more hygienic – Zirconia implants are a one-piece design, meaning there is nowhere for bacteria to build up or liquids to penetrate like with titanium implants. They are highly biocompatible (how a material reacts with the human body) which leads to healthier gums and no risk of corrosion.
  • Implant margin is at gum not bone level – With titanium implants the margin (or gap between the implant and the tooth) is at bone level, which can lead to bacterial buildup since you can’t brush there. The zirconia implant margin, which is at gum level, allows you to brush and clean your implant and restoration regularly.

If you are in need of a restorative dental implant, it would be wise to consider zirconia due to its many advantages. It might not work in every situation, but feel free to discuss your options with Dr. Kelly Peterson or one of our Marysville, WA staff members.

HPV and Oral Cancer

May 23rd, 2017

Human papillomavirus, or HPV, is best known as a sexually transmitted infection. In the United States, HPV is the most common sexually transmitted disease, with 79 million Americans currently infected, according to the Centers for Disease Control and Prevention. In addition to increasing risk for cervical cancer, HPV is a contributing factor in some cases of oral cancer. Each year an estimated 1,700 women and 6,700 men develop oropharyngeal cancer, which affects the tongue and throat.

Connection between HPV and oral cancer

There are more than 40 strains of HPV that live in the skin and mucosal areas. Some of these affect the genitalia, while others are found in the mouth and throat. Of the strains of oral HPV, only one, called HPV16, increases the risk of oral cancer, the Oral Cancer Foundation reports. A retrospective study conducted found that oral cancer developed an average of 15 years after exposure to HPV, making it a relatively slow-growing form of cancer.

In general, 80% of Americans will have an HPV infection at some point in their lifetimes, while 99% develop no ill effects. Getting oral HPV is associated with multiple sexual partners and engaging in oral sex; however, even some individuals who have been with only one partner may contract the infection. Although overall risk of oral cancer from HPV infection is low, it is essential to be proactive about oral health.

How to prevent HPV-related oral cancer

Scientists continue to study how HPV infections lead to oral cancer, so little is known about the progression of the disease. However, one recent study found that poor oral health, including gum disease and poor oral hygiene, is associated with oral cancer risk. Thus, being vigilant about brushing and flossing your teeth regularly may reduce HPV-related oral cancer. Getting the HPV vaccine also protects against the oral form of the virus.

Another key way to reduce mortality from oral cancer is to have regularly scheduled appointments with at Northwest Smile Design. Having Dr. Kelly Peterson examine your mouth at least two times a year increases the likelihood that a sign of oral cancer, such as a sore or patch, will be detected. If you’re concerned about HPV-related oral cancer, please give us a call at our Marysville, WA office for advice about oral hygiene and disease prevention.

Top Five Reasons to Choose Veneers

May 16th, 2017

If you notice every imperfection in your smile and you are aiming for a more ideal-looking smile, veneers might be for you. Veneers are common tools in cosmetic dentistry for improving the look of your teeth. They are thin layers, either made of resin composite or dental porcelain, that go over your teeth. If you are considering dental veneers, these five reasons to choose them may help persuade you.

1. They hide imperfections.

The basis of cosmetic dentistry is providing an attractive smile, and veneers are designed to hide imperfections such as chipped, uneven, or badly aligned teeth. With veneers, teeth are even and uniformly colored.

2. They are durable.

Dental veneers can last for a decade to up to 30 years, so you do not need to continually go back to our Marysville, WA office to replace them. On average, veneers last longer than standard fillings.

3. You can get the process done quickly.

Often, you can get a full set of dental veneers in a three visits and within a few weeks. The first appointment is a consultation to evaluate your teeth and plan your treatment. At the next visit, Dr. Kelly Peterson and our team prepare your teeth for veneers and take an impression of your teeth so the laboratory can custom-make your veneers. During the final visit, we bond the new veneers to the surfaces of your teeth.

4. They can whiten the appearance of your teeth.

Coffee, smoking, excessive fluoride, and certain drugs can yellow your teeth over time. Dental veneers can be colored to have a bright white appearance so your teeth appear noticeably whiter. This can be especially beneficial for individuals whose teeth are naturally off-white and do not respond well to bleach-based whitening treatments.

5. They can fix minor dental problems.

Dental veneers are not solely cosmetic. They can improve a variety of dental concerns, such as teeth with uneven spaces. They can hide the appearance of chipped and broken teeth, and make more even teeth that are worn down, spaced unevenly, or shaped irregularly. Since Dr. Kelly Peterson can manufacture the veneers to match your natural tooth color, these thin layers are more attractive than unsightly fixes such as metal fillings.

Alleviating Anxiety before Your Implant Procedure

May 9th, 2017

Does the thought of getting a dental implant put knots in your stomach? There are many people who don't enjoy getting dental work done and there is a myriad of reasons why. For whatever reason you aren't at your best when you arrive at our Marysville, WA office, we'd like to offer some tips that can help put you at ease for your implant procedure.

Sedation

For lengthy visits like an implant procedure, sedation dentistry may be an option for you. With sedation dentistry you are given sedation medication, usually orally with a pill or intravenously, which allows you to drift through the entire procedure without any memory of it afterward. If you decide on oral sedation, typically you take the medication about an hour before your procedure starts.

To avoid any complications, a complete medical background check is made along with a record of any allergies before any sedation is administered. Your vital signs are also monitored throughout the entire procedure.

If you decide sedation is not the right option for you, there are other techniques that you can benefit from. Some of these include:

  • Communication: This may seem obvious, but communicating any fears or anxiety you may have about your procedure with us is extremely helpful. Not only does this build a relationship of trust but it allows us to try and alleviate your anxiety as much as we can.
  • Herbal teas: Drink some herbal tea (like chamomile or lemon balm) before you visit the office. Many patients find this is a great help in relieving anxiety and putting them sufficiently at ease.
  • Relaxing music: Bring a pair of headphones along and listen to your favorite music during treatment (preferably something low-key). Or why not catch up on your reading when you visit us — some patients like to listen to audiobooks too!
  • Meditate or practice deep breathing: Meditation and deep breathing are good to practice in general, since they relax both the body and mind. They can be effective in the case of anxiety, too!

Oh no, not the dentist!

May 2nd, 2017

If you or your children suffer from dental anxiety, you aren’t alone. According to the Cleveland Clinic, between nine and 15 percent of Americans admit to feeling sufficiently afraid of going to the dentist to avoid making an appointment. The potential consequences of dental anxiety extend beyond poor oral health. Lack of dental care can cause serious but easily preventable medical conditions.

Dental Anxiety versus Dental Phobia

Dental anxiety provokes a sense of fear in people, typically before they arrive at Northwest Smile Design. Those fears or worries are often exaggerated. Dental phobia shares many of the symptoms that characterize dental anxiety. It is a much more serious manifestation of that anxiety, and may provoke a sense of panic or terror in people. While people who suffer from dental phobias know that their feelings are irrational, they are unable to control, stop, or change those thoughts.

People who have dental phobias often avoid going to the dentist, and they come up with every possible excuse to justify not going. The only time a person who suffers from a dental phobia will go to the dentist is when he or she is forced to do so, or because of intense tooth pain. People who have dental anxiety don’t go to such extremes to avoid going to the dentist; anxiety usually begins in anticipation of the appointment.

What We Do to Ease Patient Anxiety

Dr. Kelly Peterson and our staff have many techniques we can use to help patients feel more comfortable at their appointments. Dental Fear Central gives some simple suggestions to help children and adults who are apprehensive about going to the dentist, even if they suffer from the more severe form of anxiety: full-blown dental phobia.

  • The Tell-Show-Do Approach: We help our patients relax by making sure they understand what is involved in the exam and any procedure they may undergo. We tell patients about the procedure, show them the tools and equipment we intend to use, and answer questions before actually performing the procedure. This is helpful for patients who don’t know what to expect.
  • Distraction: We offer personal music players and a collection of CDs that patients can listen to. The relaxing qualities of music may help distract a patient enough to make the process less stressful. In-office televisions allow you to watch TV while waiting for your appointment.

Dr. Kelly Peterson and our staff know that some patients are anxious about dental treatment, and we go to great lengths to make you feel more comfortable. Good oral health is very important, and when your mouth isn’t healthy, you can suffer from many other easily preventable medical problems.

Fluoride Use in Adolescents

April 25th, 2017

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

Dr. Kelly Peterson and our team at Northwest Smile Design recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

Dr. Kelly Peterson may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Top Five Dental Myths

April 18th, 2017

Sometimes the line between fact and fiction is easily blurred. This is certainly the case when it comes to dentistry, where myths and misconceptions abound. In a bid to put an end to health hoaxes, here are five dental myths to chew over.

Sugar Is the Number One Culprit of Tooth Decay

Sugar will rot your teeth. If you’re a parent, chances are you tell your children this every time they ask for something sweet. And chances are your parents told you the same thing. There’s no denying that sugar leads to cavity formation, but it's not the number one culprit of tooth decay. Sugar adds fuel to the fire, but it doesn’t light the match.

Going to the Dentist Is a Painful Experience

There are people who don’t go to the dentist because they think it’s going to be a painful experience. It’s time to put this myth to rest. New dental technology, developments in anesthetics and analgesics, and more conservative dental procedures have made visits to our Marysville, WA office a more comfortable experience.

Bad Breath Means You’re Not Brushing

Poor dental hygiene can cause bad breath, but it’s not the only thing that will leave you looking for a breath mint. There are many factors that can cause bad breath, including illness, acid reflux, medication, and dehydration. In addition, sometimes what you eat or drink can give you bad breath no matter how many times you brush and floss. Next time you order a sub for lunch, skip the onions and garlic.

Bleaching Products Weaken Teeth

Gels, pastes, strips — there are all sorts of products available to make our pearly whites even whiter. If used according to the directions, bleaching products are harmless. They do not affect the health or strength of the teeth, only the color. At the same time, too much bleaching can cause temporary tooth sensitivity or irritated gums; the enamel, however, is not weakened.

You Will Know When You Have Tooth Decay

This is the type of false information that can lead to serious dental problems. There are no early symptoms of tooth decay. By the time you experience pain, your tooth decay has led to nerve damage, which means your decay is advanced and extensive. The only way to know if you have tooth decay —and to prevent it — is to visit Dr. Kelly Peterson twice a year for a checkup and cleaning.

Alleviate Tooth Sensitivity

April 11th, 2017

If a sip of ice water, spoonful of ice cream, or piping hot latte is enough to send shivers up your spine from tooth sensitivity, be assured you are not alone. It’s estimated that as many as one in eight adults suffers from tooth sensitivity.

What causes sensitive teeth?

Some of the causes of tooth sensitivity include brushing too hard, a cracked tooth, receding gums, periodontal disease, tooth bleaching, or other conditions that expose the sensitive roots of your teeth. For example, brushing too aggressively can injure your gums, and lead to exposed roots and tooth sensitivity.

When the enamel on the outside of the tooth or tissue located between the teeth breaks down or wears away, nerves inside the tooth trigger sensitive teeth that are particularly noticeable when you drink or eat anything hot or cold.

How to alleviate tooth sensitivity

Fortunately, there are a number of things you can do, both at home and at the dental office, to reduce the discomfort of sensitive teeth. Brushing with desensitizing toothpaste is one of the ways to reduce tooth sensitivity: it works well for many patients, and is typically the first course of action.

  • Brush with toothpaste specifically designed for sensitive teeth.
  • Change the way you brush by using a soft toothbrush and not brushing too aggressively.
  • Avoid brushing teeth after consuming acidic foods and beverages, like orange juice and pickles.
  • Drink water or milk after eating or drinking acidic foods or beverages.
  • Sip through a straw when you drink acidic beverages.
  • Wear a mouthguard at night to prevent teeth grinding that wears down teeth.
  • Ask Dr. Kelly Peterson about fluoride dental treatments or plastic resin.

For moderate-to-serious cases of tooth sensitivity, more invasive professional dental treatments are available. These include a bonding agent designed to seal/cover the exposed root, obtaining new gum tissue through graft (for receding gums), fillings, crowns, inlays, or bonding. When tooth sensitivity is persistent and results in hypersensitivity, endodontic treatment in the form of root canal may be recommended.

To learn more about tooth sensitivity, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

My teeth feel great. Do I still need to see the dentist?

April 4th, 2017

Absolutely. Checking in with Dr. Kelly Peterson on a regular basis—usually every six months—is essential to keeping your smile looking its best. At Northwest Smile Design, we are proud to offer a number of preventive procedures to ensure the health of your mouth and the beauty of your smile. Your smile is just as important to us as it is to you!

Another good reason to visit our Marysville, WA office is to check for hidden issues in your mouth you may not even realize you had. Bacteria, tartar, and cavities are known to form in the hard-to-reach crevices of your mouth and may only be detected through a professional exam. If left untreated, these cavities and decay can get worse, requiring more extensive treatment, and costing you even more time and money down the road. During your routine exam, Dr. Kelly Peterson and our team will also check to make sure your fillings or other dental restorations you may have had are in good shape.

Preventing problems before they start is the key to optimal oral health. If it has been more than six months since your last visit, please contact our Marysville, WA dental office to schedule your routine checkup! See you soon!

Diet Soda vs. Regular Soda: Which is better for teeth?

March 28th, 2017

When most patients ask Dr. Kelly Peterson this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

  • Drink your soda or acidic beverages through a straw to minimize contact with teeth
  • Rinse with water immediately after consumption of the beverage
  • Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
  • Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Marysville, WA office a call and we’d be happy to help!

IV Sedation Dentistry: What is it, and how can it help?

March 21st, 2017

While Dr. Kelly Peterson and our team at Northwest Smile Design strive to offer a comfortable and unmatched experience for all our patients, we realize that fear or anxiety while visiting the dentist still affects some of our patients. For those of our patients who need extra comfort and relaxation during their visits, we are more than happy to offer IV sedation, a safe and effective option that provides a deeper and more complete relaxing state than most common oral medications.

Sedation dentistry at our Marysville, WA office can turn a nerve-wracking and sweaty-palmed visit into a comfortable and pleasant one, and allows our patients to drift through their appointments, including complex dental work, feeling completely relaxed and without any discomfort or pain.

During sedation, Dr. Kelly Peterson and our team will monitor your comfort, providing as much medication as necessary to keep you relaxed. We will also use the best tools we have at our disposal to monitor your vital signs so that you can have peace of mind before your procedure.

Dr. Kelly Peterson and our team will be able to tell you if you are a candidate for sedation dentistry and will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit. By talking with us about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Northwest Smile Design. Give us a call today!

What are dental sealants and how do they work?

March 14th, 2017

A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.

Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Dr. Kelly Peterson and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.

Simple Application

Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.

Sealant Benefits

The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.

A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.

After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Dr. Kelly Peterson may recommend fluoride treatments to strengthen and protect your child's teeth further.

If you have any concerns about sealants, please discuss them with during your child's next appointment at Northwest Smile Design. We want your little one's teeth to stay healthy for life.

Good Nutrition Leads to Healthy Mouths

March 7th, 2017

At Northwest Smile Design, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to Dr. Kelly Peterson about it. See you soon!

Is it possible to over brush?

February 28th, 2017

Our team at Northwest Smile Design will tell you brushing on a regular basis is critical for a healthy mouth, but you can definitely overdo a good thing. Known as “toothbrush abrasion,” over brushing can lead to sensitive teeth and receding gums, not to mention the wearing down of the protective layers of your tooth enamel. Over brushing can also push back your gums, and in the process, expose the dentin layer under the enamel.

“So, how do I avoid over brushing?”

  • Use a soft or extra-soft bristled toothbrush to prevent gum damage and wear on the soft tooth dentin
  • Keep in mind which direction bristles face when you brush. They should be perpendicular, not parallel. Place the head of your toothbrush with the tips of the bristles at a 45-degree angle to the gum line and brush away!
  • Move the toothbrush with short strokes and a scrubbing motion, several times in each spot – don’t saw back and forth across the teeth with your toothbrush.
  • Apply just enough pressure to feel the bristles against the gums. If you are squashing the bristles, you're brushing too hard.
  • Replace your toothbrush when you notice frayed and bent bristles.
  • Brush for two minutes at a time

If you have any questions about proper brushing techniques, ask us about it at your next appointment or give us a call today!

What is gum disease?

February 21st, 2017

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Dr. Kelly Peterson. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Northwest Smile Design for an exam and learn the best course of action.

Periodontics and Pregnancy

February 14th, 2017

Periodontal health — which refers to the condition of the structures that support your teeth — is an important part of your oral and overall health. However, periodontal health becomes even more important when you're pregnant. Bad oral health can have detrimental effects on the health of your unborn child and can lead to low-birth weight babies and giving birth to a pre-term baby, according to reports by the American Academy of Periodontology (AAP), the European Federation of Periodontology (EFP), and several research studies.

Periodontal disease (gum disease) is a set of chronic, bacteria-induced, inflammatory diseases that attack the gum tissue and in more severe cases, the bones supporting the teeth. Early signs of periodontal disease usually include tenderness, swelling, and redness. Symptoms can also include bleeding gums when flossing or brushing, receding gums, loose teeth, and bad breath. These signs shouldn't be ignored, especially if you're pregnant.

Prevention is the best tool you have to fight periodontal disease. Here are some steps you can take to keep your gums in tiptop shape:

  • Brush your teeth properly twice a day – angle your toothbrush at the gum line to help disrupt the bacterial growth that eventually leads to periodontal disease, and make sure you don't brush too hard.
  • Floss daily and clean behind the back molars on the top and bottom of your mouth.
  • Use antiseptic mouthwash to rid your mouth of the bacteria that can cause gum disease.
  • Get regular checkups at our Marysville, WA office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Dr. Kelly Peterson and our team urge women to care for their periodontal health during pregnancy to avoid complications. If you have any questions regarding periodontal health and how it affects you and your baby's overall health, please contact our Marysville, WA office for more information.

What is nitrous oxide and is it safe?

February 7th, 2017

Our team at Northwest Smile Design understands that the sights, sounds and sensations at a dental office can be unsettling for some patients. One effective technique that we use to comfort you is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is nitrous oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your nose. Within minutes, you should feel calm and experience an overall sense relaxation. You will be able to breathe on your own, move your limbs, and be conscious enough to hear and respond to our dentist's questions. The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from your body.

Is nitrous oxide safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. Nitrous oxide inhalation is a safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication.

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for people with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Dr. Kelly Peterson about whether nitrous oxide would be a good option for you.

Our team wants to help all patients in Marysville, WA to overcome dental anxiety, so please, give us a call at Northwest Smile Design.

Warning Signs of Impacted Wisdom Teeth

January 24th, 2017

You might suspect that your wisdom teeth are starting to emerge, but knowing the signs of impacted wisdom teeth can help you be more proactive about your dental care. Impacted wisdom teeth can be extremely painful and can make your life truly miserable until they are removed. Therefore, looking for the early warning signs listed below, and seeing Dr. Kelly Peterson if you experience them, can help you conquer the problem before it conquers you.

There are three primary signs of impacted wisdom teeth. While every person may not have all three of these signs, you can usually expect to experience at least one of these if your wisdom teeth are impacted.

Unusual Pain

If you are feeling a type of teeth pain you've never felt before, especially when it is focused in the back area of your jaw, this may be a sign that you have a tooth impaction. You may be fortunate enough to catch it early, before all of your wisdom teeth become impacted, if you see Dr. Kelly Peterson as soon as you feel the pain.

Swollen Jaw

If your jaw is suddenly swollen and the area feels tender to the touch, you have a high chance of having an impacted tooth. Since the wisdom teeth are set so far back in your jaw, the swelling tends to show itself low in the jaw, towards the ears, when they are impacted.

Bleeding Gums

If your gums are bleeding, something you may notice when you see a pink or red tinged toothbrush, you may be dealing with a wisdom tooth issue. When the wisdom teeth are impacted, they put a lot of pressure on your back teeth and gums, which often leads to bleeding.

Visit our Marysville, WA office as soon as possible if you have any of the above signs of impacted wisdom teeth. The sooner you get treatment, the sooner the pain will be behind you for good!

Good Oral Health Habits When You’re Pregnant

January 17th, 2017

Dr. Kelly Peterson and our team at Northwest Smile Design will tell you that good oral health habits when you are pregnant are very important. A plaque or infectious buildup can affect the baby in gestation, and cause some unforeseen issues during birth. There are a few steps relating to oral health that can help prevent complications and other pregnancy issues. Here are a few things to consider about oral health when you are expecting.

Proper brushing

Brushing your teeth at least twice a day is essential when you are pregnant. This will peel away any buildup that you have on your teeth, and help create a shield against future buildup. Swallowing large amounts of plaque or bacterial buildup can and will affect the gestation of the fetus, and can cause certain complications.

Floss

Flossing will also help remove a lot of the buildup in your teeth that can promote infection. Make sure you floss at least once a day. Bacterial infections fester on food buildup, and certain destructive viruses can also breed and grow on these remnants.

Morning sickness

The acidity of vomit can erode the enamel on your teeth, and create buildup of damaging particulates in your teeth. If you are experiencing regular morning sickness, rinse your teeth with a mixture of baking soda and water. This will remove buildup, and alleviate some of the acidity from the vomit.

Alcohol-free, antimicrobial mouthwash

Regardless of whether you are trying to or not, you will swallow small amounts of your mouthwash. Alcohol can affect your gestating baby. Use an antimicrobial, alcohol-free mouthwash.

Visit the dentist

If you have any dental issues, please give us a call at our convenient Marysville, WA office away. We will be able to diagnose and treat any oral health issues immediately, and make sure they do not affect your developing child. Protecting your baby includes protecting your oral health.

Tooth Discoloration: Common causes and what you can do to stop it

January 10th, 2017

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options at Northwest Smile Design that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

  • Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
  • Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to Dr. Kelly Peterson. Never discontinue the use of a medication without consulting your doctor, however.
  • Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
  • Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
  • Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, Dr. Kelly Peterson can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our Marysville, WA office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to Dr. Kelly Peterson to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

What stinks?

January 3rd, 2017

Spilling soda on someone’s white shirt, telling an off-color joke at an inappropriate time, or sneezing chewed food all over the dinner table all pale in comparison to the socially unacceptable, embarrassing blunder of having ... bad breath!

Five Possible Causes of Halitosis

  • Poor oral hygiene practices. Failing to brush your teeth encourages anaerobic bacteria growth, which involves a type of bacteria that emits volatile sulfur compounds (gases) responsible for smelly breath.
  • If you have tonsils, you may have tonsil stones embedded in the fissures of your tonsils. Tonsil stones are hard, tiny pieces of bacteria, dead oral tissue, and mucus that form inside tonsil crevices. When accidentally chewed, they release extremely foul odors that others can smell and you can actually taste.
  • You have a chronically dry mouth due to medications, allergies, or persistent sinus conditions that force you to breathe through your mouth. Anaerobic bacteria thrive in dry, stagnant environments where oxygen content is minimal. Consequently, a dry mouth tends to lead to smelly breath.
  • You have acid indigestion or GERD (gastroesophageal reflux disease). If you constantly belch stomach gases, this not only causes your breath to smell fetid but it can lead to enamel erosion and tooth decay.
  • You have one or more oral diseases: gingivitis, periodontitis, or infections in the gums known as abscesses.

Improving oral hygiene practices may eliminate bad breath, but if brushing, flossing, and rinsing with a fluoride mouthwash twice a day doesn’t stop people from backing away from you when you open your mouth, it’s time to visit Northwest Smile Design.

How Computers Help Dental Implants Look Natural

December 27th, 2016

Never before have dental implants looked as natural and aesthetically pleasing as they do today. With the help of computer-aided design and computer aided manufacturing (CAD/CAM), Dr. Kelly Peterson and our team are able to create implants with impeccable fit and finish. Although these technologies have been in use since the 1980s, it's only recently that they became efficient and cost-effective enough to be useful.

Dr. Kelly Peterson can also take digital scans of your teeth, providing a much more in-depth and accurate representation of them when compared to traditional X-rays. This scan can be used to create a physical model of your teeth through the use of 3D printing technology, allowing for the utmost in accuracy when planning your implant treatment.

Since each of our patients are unique, these CAD/CAM technologies offer a highly customized approach to implant dentistry that helps avoid the "one-size-fits-all" ways of the past. The goal is to have an implant look and function as closely as it can to the tooth it's replacing. That’s why these implants are typically milled using ceramic or composite resin — materials chosen due to their durability and resemblance to teeth.

Even the planning of your surgery can be aided and guided by computers. 3D CT scans create a digital representation of your mouth including all significant anatomical markers. This data is imported into planning software which, coupled with CAD/CAM implant technology, is able to 3D print surgical guides that snap into place over a patient's teeth. This means less risk for surgical error and much more accurately placed dental implants.

The main benefits of CAD/CAM dental implants are that they:

  • Are extremely accurate for every patient, down to 50 micrometers
  • Have better long-term results and more natural-looking implants
  • Can be manufactured quickly, the same day in many cases

Of course this is just a quick summary of the benefits, and a computer-modeled implant may not always be the best option. If you have questions about the dental implants or the technologies we use to make them look as natural as possible, feel free to contact our Marysville, WA office.

Dental Implants vs. Natural Teeth

December 20th, 2016

If you're considering getting an implant, you'll most certainly have questions for Dr. Kelly Peterson. You might be wondering how a dental implant compares to a real tooth. Let's look at some of the differences between implants and natural teeth.

It should be noted that one of the primary goals of implant dentistry is to try to provide the same form and function as your natural teeth. However, with that in mind, know that an implant is not a tooth. An implant does not decay and does not have dental pulp or periodontal membrane like teeth.

An implant won't always work in every case, but they do have some great advantages when they are called for. Some advantages of an implant:

  • Often last for decades without needing to be replaced
  • Create a functional and aesthetically pleasing replacement for your missing tooth
  • Don't require surrounding teeth for support
  • Do not decay like natural teeth
  • Can be fixed or removable
  • Are able to replace single tooth or multiple teeth

There are downsides to implants where natural teeth win out. The disadvantages of implants include:

  • Higher cost compared to traditional dentistry
  • It's a surgical procedure which requires a period of healing afterward
  • Fracturing of fixtures and loosening of screws can occur (only in about 5% of patients)
  • Since there is no cushion between the implant and the bone, fracturing of crowns and bridges is more common with implants than with natural teeth, though this is rare.

It's best to speak with Dr. Kelly Peterson about your options regarding implants. Let us know what you want to achieve and we'll work with you as best we can to accomplish that. And don't hesitate to contact our Marysville, WA office for further questions about the procedure.

Headaches: The Dental Connection

December 6th, 2016

Many people suffer through headaches for years without getting to the root cause of their problem. If you find yourself constantly popping painkillers to get through the day, it might be worth a trip to see a medical professional – but it may not be the person you think.

Talking to Dr. Kelly Peterson can be a great start when dealing with chronic headaches, because dental issues frequently contribute to head pain. In fact, the American Academy of Craniofacial Pain estimates that 80% of headaches are caused by muscle tension, which often originates in the jaws.

What Do Tension Headaches Feel Like?

A tension headache can originate on one side of your head or can pervade your entire skull. Typically, tension headaches feel like a dull, throbbing ache inside your head. Some patients at our Marysville, WA office report that they feel as though a metal band has been wrapped around their head and is causing significant pressure. Several common symptoms suggest that tension headaches may be caused by dental issues:

  1. Feeling as though your head or scalp is painful to the merest touch
  2. Experiencing a dull or throbbing pain behind the eyes
  3. Clicking or popping sounds in your jaw joints
  4. Grinding teeth or clenching the jaws, particularly in times of anxiety or during the night
  5. Feeling as though your jaw muscles are sore when you wake up from sleep

Dental Origins of Headaches

Several dozen muscles control your facial expressions, jaw movements, and motions such as swallowing. When these muscles are contracted for long periods of time, tension builds up within the muscle and can lead to headaches. This may happen if you clench or grind your teeth at night, your bite is misaligned, or you have muscle imbalances in the jaw or neck.

Dental Treatments for Tension Headaches

Fortunately, a trip to Northwest Smile Design can be a fruitful way to alleviate your headaches, including the following treatments:

  1. Bite. In many cases, correcting your bite through orthodontics releases the stress on your jaw and muscles, and reduces the frequency of headaches.
  2. Nightguard. A nightguard, which resembles a sports mouthguard, may also be helpful if you frequently grind your teeth or clench your jaws during sleep. Nightguards distribute the tension from your clenched jaws and reduce the possibility of dental damage.
  3. Physical therapy and relaxation. Correcting the posture of your shoulders, neck, and head may alleviate muscle tension associated with headaches.

Does smoking affect oral health?

November 29th, 2016

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. Kelly Peterson and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our Marysville, WA office to schedule an appointment with Dr. Kelly Peterson.

What's the best dental floss?

November 22nd, 2016

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Kelly Peterson and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Marysville, WA office.

Ease up on your gums — don’t brush your teeth too hard!

November 15th, 2016

A lot of patients go at their teeth like they were sanding an old floor—that is to say, way too hard! Brushing too hard is probably the most common mistake patients make in their oral care routine, and it can be detrimental to the gums and teeth.

What can brushing too hard cause?

  • Receding gums
  • Bone loss around teeth
  • Loss of teeth
  • Tooth sensitivity, especially to hot and cold
  • Worn down enamel

Brushing too hard wears away at your gums, which can lead to the neck of the teeth being exposed. This part of the tooth isn't covered by hard enamel like the rest of the tooth and hence the soft inner layer, or dentin, is exposed. Dentin is very sensitive to hot and cold and much more susceptible to bacterial decay. Once the gums recede due to improper brushing, it’s usually irreversible.

How to brush your teeth properly

You know you're supposed to brush your teeth twice a day, so why not do it right? First and foremost, you should only ever brush with a soft bristled brush—not medium or hard—unless directed otherwise by Dr. Kelly Peterson. Unless you have braces or specific oral health issues, brushing twice a day for two minutes is usually plenty.

The main purpose of brushing is to remove plaque from your teeth and gums. Plaque is actually soft and is a buildup of bacteria, saliva, and food debris. You really don't need to brush hard to remove it, just make sure you aim your toothbrush at the gum line (where plaque grows) and brush in small circular motions, never a back-and-forth motion.

It's also wise to hold your toothbrush gently. People tend to brush harder the tighter they hold their toothbrush.

Still have questions about proper tooth brushing technique or gum health? Ask any staff member or Dr. Kelly Peterson during your next visit to our Marysville, WA office; we'd be happy to help!

Does the placement of implants hurt?

November 8th, 2016

If you're scheduled to get a dental implant, it's only natural to have questions about it. The pain involved is usually on the mind of most patients. Of course, some discomfort is possible, as with any major dental procedure. Having a well-defined plan ahead of time, which is carried out by Dr. Kelly Peterson, reduces the risk of complications or side effects post-surgery.

During the procedure you won't feel a thing, since it is performed under general or local anesthesia that totally numbs your mouth. It's more likely that you will feel some pain or discomfort after the anesthesia has worn off.

There are usually three things that will affect the length and intensity of any discomfort:

  • The complexity of your surgery (for example if you need a bone graft or sinus lift beforehand)
  • How well-trained the dental team which works on your case is (it may be multiple people, including a periodontist, oral surgeon, and/or general dentist)
  • How quickly your body is able to heal itself post-surgery

The pain experienced from an untreated case will usually far outweigh that experienced from a dental implant. Good oral hygiene after your surgery is important to avoid infection. Salt water rinses are generally recommended 24 hours after your surgery. Brush your teeth gently around the implant.

It's also a good idea not to eat any food that is too hot, cold, or hard. Soft or pureed foods will help you to avoid chewing for the first few days after surgery and will help your mouth to heal faster. You'll typically be prescribed pain medication, but some patients find that ibuprofen or acetaminophen work well enough. Just remember, the most severe discomfort is usually experienced within the six hours after your anesthesia wears off.

Getting a dental implant is a big decision, and we want to make sure you get through it easily. Our Marysville, WA team is here to help if you have any questions about the procedure or post-surgery care.

Dental Infections

November 1st, 2016

Dr. Kelly Peterson and our team at Northwest Smile Design will tell you that dental infections can be very serious; sometimes, they develop into a life-threatening situation. Cavities are caused by acid-generating microorganisms that deposit themselves on teeth surfaces. Over time, acid erodes tooth enamel, compromising tooth strength. The major culprit or cause of cavities is sweets, but even diet soda plays a substantial role in tooth erosion, largely because the phosphoric acid it contains alters the oral pH. Cavities can pave the way for other, more serious infections to develop.

Types of infections

Pulpitis

Pulpitis is an inflammation of the tooth pulp. It typically occurs when cavities get deep enough to allow infection to reach the pulp. When this happens, bacteria travel through the pit or fissure that the cavity created. It can also develop from a fractured tooth. The symptoms may include moderate pain that comes and goes. Pain may intensify when cold liquids touch the pulp.

Periodontitis

Periodontitis is a consequence of chronic gingivitis, which occurs when the supportive bone structure of the tooth erodes, causing the periodontal tooth ligament to detach from the tooth. Kids between the ages of 12 and 17 and adults over age 30 are most likely to develop this disease. In severe cases of periodontitis, a periodontal abscess may form. Symptoms of the infection typically include redness, sensitivity to touch, and swelling.

Pericoronitis

Pericoronitis is an infection that occurs when food particles and other microorganisms get trapped under gum flaps. It typically happens when impacted wisdom teeth erupt. Pain at the site of the infection is a common symptom. You should try to prevent food particles from lodging in the gingivitis flaps.

Dental abscesses

A dental abscess is one of the most serious dental infections anyone can get. It begins at the base of the tooth, but without treatment can spread rapidly. When the abscess is more severe, the bacteria spread, often very rapidly, and cause severe facial swelling, pain, and discomfort.

The best way to minimize the risk of developing a dental infection is by practicing good oral hygiene, making sure that food or other particles aren’t trapped between the teeth for too long, flossing, using oral rinses that bear the ADA seal of approval, and seeing the dentist regularly. If or when there are any symptoms of infection, even if the only symptom is pain, be sure to visit the dentist. Early intervention may prevent the infection from escalating into something far more severe, painful, and costly to treat.

To learn more about dental infections, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

My child has autism. What should we expect at your office?

October 25th, 2016

At Northwest Smile Design, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Dr. Kelly Peterson and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Dr. Kelly Peterson and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our Marysville, WA office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at Northwest Smile Design genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Dr. Kelly Peterson.

My gums are inflamed. What can I do?

October 18th, 2016

Inflamed gums are a fairly common dental issue, but unfortunately, many people don't take the problem seriously enough. If you ignore inflamed gums and continue your usual routine, you could be encouraging a much more severe inflammation problem, and the pain that goes along with that. Fortunately, it is quite easy to relieve inflamed gums if you use the tips below.

Use Soft Bristles

A soft-bristle toothbrush - the softest you can buy - is a must for anyone with inflamed gums. Anything that makes contact with your gums can cause you pain, so fine and soft bristles are always the best choice.

Use Sensitive Formula Toothpaste

The toothpaste marketed as “Sensitive Teeth Formula” contain special ingredients to help relieve sensitivity. When your gums are inflamed, even light brushing can cause some pain. Using a special toothpaste will help reduce that pain and make it easier to brush your teeth effectively. The effect becomes stronger as you use the toothpaste more, so use it for each brushing.

Visit Our Office

If your gums remain swollen for more than a few days or a week, set up an appointment with Dr. Kelly Peterson. There is a long list of conditions that could be causing your swollen gums, everything from gum disease to pregnancy, so you need to find out where your issue is coming from. Most of the time, Dr. Kelly Peterson can easily treat the swollen gum issue at our Marysville, WA office, or can give you an effective treatment to take home.

Can I use mouthwash instead of flossing?

October 11th, 2016

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Kelly Peterson can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Marysville, WA team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

How do I know if I’m at risk for oral cancer?

October 4th, 2016

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Dr. Kelly Peterson and our team at Northwest Smile Design want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Marysville, WA office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Dr. Kelly Peterson and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

  • Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
  • Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
  • Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Your gender. Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV).
  • A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

  • A sore or irritation that doesn’t disappear
  • Red or white patches
  • Pain, tenderness, or numbness in mouth or lips
  • Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
  • A change in the way your teeth fit together when you close your mouth

During your next visit, Dr. Kelly Peterson will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Marysville, WA office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

Are dental implants painful? What You Need to Know

September 27th, 2016

Whether it is the result of tooth decay, gum disease, or injury, millions of people suffer tooth loss. Dental implants provide a strong replacement tooth root for fixed replacement teeth that are designed to match your natural teeth. Of course, there is one question all patients have about dental implants: are they painful?

Dental implant placement is performed under local or general anesthesia and is not considered a painful procedure. However, if the surgery is more complicated and involves bone or tissue grafts, there may be slightly more discomfort and swelling. At the same time, every patient has a different threshold for pain, so what may bother one person may not bother another. If you experience any pain from dental implants, there are several things can do to relive it.

Relieving Pain from Dental Implants

1. The initial healing phase can last up to seven to ten days. Over-the-counter painkillers such as Tylenol, Ibuprofen, and Motrin work well to alleviate any pain or discomfort you may experience. However, only take these if instructed to by Dr. Kelly Peterson.

2. Once you leave our Marysville, WA office, you can reduce inflammation and any swelling to your cheek or lip by holding an ice-pack on your face over the implant area.

3. Your gum will be tender for the first few days. We often recommended that you bathe your gums with warm salt water.

4. Steer clear of crusty or hard foods for the first day or two. Ice cream, yogurt, and other soft foods are ideal as your gums will be tender.

5. Dental implants are a relatively straightforward oral procedure. Many people take time off from work to have dental implant surgery, and then return to regular activities. However, if you are feeling any pain or discomfort, there is nothing wrong with taking the day off, relaxing, and putting your feet up.

There is typically no severe post-operative pain with dental implants. When most people return for a follow-up appointment about two weeks later, they often say that getting a dental implant was one of the least painful procedures they’ve experienced.

Is soda really bad for your teeth?

September 20th, 2016

You take a sip of soda – and someone remarks, “That’s going to ruin your teeth!”

Is that true? Is sweet soda the enemy of a healthy smile? The answer, unfortunately, is that one glass might not hurt your teeth, but drinking soda regularly can do some real damage.

Sodas are one of America’s favorite drinks. The American Academy of Cosmetic Dentistry says about half of us drink soda regularly, averaging 2.6 glasses each day.

That’s a lot of soda considering the drinks are acidic, full of sugar, and have little or no nutritional value. It may surprise you to learn that it’s actually the acidity of cola, not the sugar, which poses the biggest threat to teeth. Over time, repeated exposure to soda wears down tooth enamel, leaving teeth stained and less able to prevent cavities.

As enamel wears away, teeth can become discolored, take on a rough texture, and become highly sensitive to hot or cold. Your teeth may start to tingle, and brushing or flossing can cause pain. If not checked by dental care, teeth may start to erode, becoming thinner and more likely to crack. It’s a pretty high price to pay for a glass of soda.

Of course, sodas are not the only culprits in tooth erosion. Coffee, wine, and some fruit juices are also acidic, though these drinks tend to have less acidity that a typical soda.

So what can you do to protect your teeth?

1. Cut back – way back – on acidic drinks.

2. Add more water to your daily diet in place of sodas.

3. Use a straw when you drink.

4. Don’t confuse diet soda with a healthy alternative. Diet drinks are just as acidic as regular sodas.

5. Rinse your mouth with water after drinking soda. The rinse may remove some acid from your teeth, although abstaining from the soda would do more good.

6. Hold off on brushing your teeth after drinking soda. Brushing too hard can weaken enamel that is already covered in acid.

7. Pay attention to your teeth, both how they look and how they feel. Let Dr. Kelly Peterson know if you see signs of discoloration or erosion, or feel tingling. Make an appointment at our Marysville, WA office if you feel tooth or gum pain when eating or drinking.

When do children usually lose their baby teeth?

September 13th, 2016

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Kelly Peterson and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Kelly Peterson.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at Northwest Smile Design encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

  • Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
  • Help your child floss his or her teeth at bedtime.
  • Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
  • Schedule regular dental visits for your child every six months.
  • Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Kelly Peterson at our Marysville, WA office, please give us a call today!

September is National Gum Care Month!

September 6th, 2016

Can you believe it's already September? At Northwest Smile Design, we know that gingivitis, the early stage of periodontal disease, can be difficult to recognize. Many people don’t recognize the warning signs, bleeding and swollen gums, as a precursor to gum disease. This month, a national campaign is under way to raise awareness about gum health and periodontal disease, and we wanted to help do our part to spread the word!

Dr. Kelly Peterson will tell you early recognition and action are the most important steps to health gums, and ultimately a health body, too! Studies are published every year linking oral health, including the gums, to the health of other areas of the body, such as your heart. One of the most important steps to improving the care of your gums is recognizing the warning signs for gum disease. These can include:

  • Gums that appear red or swollen
  • Gums that feel tender
  • Gums that bleed easily (during brushing or flossing)
  • Gums that recede or pull away from the teeth
  • Persistent halitosis, or bad breath
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If you happen to notice any of these signs with you or your child, please schedule an appointment at our convenient Marysville, WA office as soon as possible. Dr. Kelly Peterson and our team can take proactive steps to prevent gingivitis and gum disease, while showing you how to improve gum care in your or your child’s daily oral hygiene habits.

Improve Your Oral Health with CEREC®

August 30th, 2016

You can improve your oral health with CEREC, the most technically advanced tooth restoration method available today. Broken, worn, decayed, misshapen, or otherwise damaged teeth do not function well and are difficult to clean. This means imperfect teeth do more than ruin your smile; even one bad tooth can negatively affect your oral health.

If you are like millions of people with broken, slightly crooked, or misshapen teeth, you have a hard time cleaning in all the nooks and crannies around these teeth. This leaves these areas vulnerable to buildup of bacteria and plaque that can lead to painful gum infections and tooth decay.

Dentists often perform dental restorations, using synthetic materials to create crowns and fillings that restore the tooth’s shape and size, strength, and improve its appearance. Dental restoration reduces those hard-to-clean nooks and crannies, making it easier for you to maintain good oral hygiene. Dental crowns can even protect a tooth from further decay, halting oral disease in its tracks.

CEREC® to Improve Your Oral Health

CEREC is one of the most revolutionary ideas in dental restorations that improve oral health. CEREC is an acronym, short for CEramic REConstruction. The system uses a special camera, computer, and an in-office milling machine to create restorative pieces in just one office visit.

To use the CEREC system, Dr. Kelly Peterson and our team use the camera to take a 3D picture of your teeth and mouth. The camera then sends the images to the computer, where we use the information to create your new dental crown or other restoration. The milling machine then creates the actual restoration used to restore your imperfect tooth or teeth.

Because CEREC restorations are computer generated, they fit better than traditional crowns and restorations. This superior fit leaves fewer gaps for bacteria to hide, reducing your risk for gum disease and tooth decay. Dr. Kelly Peterson can perform CEREC in just one office visit, so you never leave your teeth vulnerable to bacteria while you wait for days or weeks for your conventional crown to come back from the lab.

Make an appointment at our Marysville, WA office today to learn how you can improve your oral health with CEREC.

Top Five Things to Keep Your Dentist Smiling

August 23rd, 2016

Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Dr. Kelly Peterson!

Stay fresh. At Northwest Smile Design, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our Marysville, WA office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

I’ve lost a filling; now what?

August 16th, 2016

Dental fillings usually protect our teeth, but sometimes they need to be protected, too. If you lose a filling, contact our Marysville, WA office immediately and let us advise you on the next steps to take.

Fillings serve an important function in oral health by preserving the structural integrity of your tooth. With the materials we use today, dental fillings usually last for many years, but they are subjected to the same stresses as your natural teeth are.

You can wear down, chip, crack, or break your fillings by eating, clenching, and grinding, and sometimes they can fall out completely. While you may not notice normal wear and tear, you should not ignore any fillings that loosen or fall out. Contact us as soon as possible so we can advise you about whether you need to be seen immediately.

If your fillings get damaged or fall out, a timely response can be important. There may be gaps or holes in your tooth which provide an easy access point for bacteria. Once bacteria begin working into your tooth structure, your tooth could become damaged even worse. Since cavities usually form in hard-to-reach places, it will be difficult for you to remove these bacteria through brushing alone.

When is a lost filling an emergency?

A lost or cracked filling is usually not an emergency unless you are in great pain or are bleeding excessively. In that case, contact our office immediately so we can schedule an emergency appointment. Otherwise we will schedule a regular appointment to evaluate and repair your filling. Before coming in for your appointment, try to avoid chewing on that side of your mouth, rinse with warm salt water, and be sure to brush and floss thoroughly after every meal.

Once you come to our office, Dr. Kelly Peterson will examine your tooth, assess the situation, and advise you of your options. We may be able to replace the filling and can discuss whether an amalgam or composite material would be the best for your teeth. If the filling was large, a root canal or a dental implant and crown may be necessary.

A lost or cracked filling may not always pose a dental emergency, but it’s always important to contact us so our team can help you take the proper action to preserve your oral health.

My child has canker sores! How can I help?

August 9th, 2016

According to the American Association of Pediatric Density, roughly one in five children suffers from canker sores. Canker sores are small sores that appear inside the cheeks, on the lips, on the surface of the gums, and under the tongue.

Even though, canker sores are not contagious, they do tend to run in families. There are several reasons your child may be suffering from canker sores including:

  • Children who have Vitamin B12, iron, and folic acid deficiencies tend to get canker sores more often than children who have normal levels of these vitamins and minerals.
  • Children who suffer from food allergies are also at a higher risk for developing canker sores. It’s difficult to determine what your child may be allergic to. If you feel strongly that the canker sores are related to an allergy, then a visit to an allergist is highly recommended.
  • Biting their lip or cheek can also result in a canker sore.
  • Any injury to mouth, where the skin breaks can cause a canker sore.
  • Brushing their teeth too hard can also be a problem.
  • Your child may be sensitive to an ingredient in their toothpaste. Try switching toothpastes and see if it makes a difference.
  • Emotional disturbances and stress are also factors to consider.

If your child has frequent canker sores a visit to our Marysville, WA office will be beneficial. Canker sores are painful and usually last about 14 days. Dr. Kelly Peterson may recommend one or a few of the following treatment options:

  • Avoid food that is acidic, salty, and spicy.
  • A toothbrush with soft bristles may be helpful.
  • Avoid mouthwash and toothpaste that contain SLS.
  • Do not feed your child foods that they may be allergic to.

Canker Sore Remedies

  • Eating yogurt that contains Acidophilus will relieve the pain and help the canker sore heal faster.
  • Put one teaspoon of baking soda in an eight-ounce glass of lukewarm water. Have your child gargle and swish it around his or her mouth several times a day. Not only does this remedy relieve the pain, the canker sore could be gone in as little as 24 hours.
  • Place a wet tea bag on the sore and hold it there for a few minutes several times a day. This remedy will help with the pain and quickly heal the sore.
  • Camphor, Benzocaine, Lidocaine, and Orajel are over-the-counter medications that can help.

If you have questions about your child’s canker sore, contact Dr. Kelly Peterson to schedule an appointment.

Is periodontal disease contagious?

August 2nd, 2016

According to the Centers for Disease Control and Prevention, half of adults age 30 and over suffer from some form of gum disease. Caused by plaque buildup, gum disease is an infection of the tissue that surrounds and supports the teeth. In its advanced stages, it is known as periodontal disease. If left untreated, it can result in the loss of tissue and bone that support the teeth, causing teeth loss. It’s a preventable condition seen far too often by Dr. Kelly Peterson.

Research between periodontal disease and other diseases is ongoing. Some studies have indicated that gum disease is linked to other health conditions such as stroke or diabetes. Furthermore, while most factors that lead to periodontal disease are dependent on the individual (genetics, diet, poor oral hygiene) there is a possibility that periodontitis is capable of spreading from one person to another.

What the Research Says

Periodontitis is a gum infection, and the bacteria that cause the gums to become infected travels in saliva. Researches have used DNA coding techniques to track the path of infection from one person to another. In other words, kissing and close contact play a role in the transmission of the infection, so if you’re married to a spouse with periodontal disease, then your chances of having gum problems are slightly increased. Other studies have indicated that saliva contact is common in family settings through coughing, sneezing, and shared utensils and food. Children with parents who have periodontal disease are at a somewhat higher risk of developing it. At the same time, just because you exchange bacteria with your loved ones doesn’t mean you will get periodontal disease.

It is important to note that the scientific evidence supporting the spread of periodontal disease is limited and ongoing. The best way to prevent gum disease is through proper plaque control, which includes brushing, flossing, mouthwash, and twice a year trips for professional cleanings. Contact our Marysville, WA office if you have any questions about periodontal disease.

CEREC® Single-Visit Crown Benefits

July 26th, 2016

Have you ever had a sinking feeling when you bite into something and hear an unsettling crunch? You know you’ve broken a tooth, and worry about just how long it will take to get it fixed. You’ve heard that it can take two dental appointments and several weeks to get a crown, while the dentist waits for a dental lab to make your new tooth. But who wants to wait that long?

That’s why our Marysville, WA office invested time and money into the equipment and training necessary to offer CEREC single-visit crowns to our patients. CEramic REConstruction means that our dental practice can produce metal-free dental restorations to match your smile in just one visit.

CEREC uses CAD/CAM technology, an advanced computer program that acts as a dental restoration tool, so you don’t have to worry about dealing with the mess and discomfort of traditional crown placement. No more choking on dental trays while we make an impression of your teeth. When you come to us with a broken or damaged tooth, we perform a thorough examination and then create a 3D optical impression of your mouth. After that, we use CEREC technology to design and mill a precision ceramic restoration right in our office.

Feel Better Faster With CEREC Restorations

As a patient, you experience many benefits from this one-visit approach to dental restorations. CEREC allows Dr. Kelly Peterson to preserve more of your original tooth structure, which means less drilling for you. No temporary crowns are required, because we can take you from diagnosis to restoration in one office visit.

Patients say they love the results, too. Natural tooth-colored porcelain materials are used to create your restoration so it matches your natural coloring as closely as possible.

There is no mess, less discomfort, and no long wait with CEREC, and you get great results, too. Technology is changing the way we provide dental services. If you experience a broken tooth, or are thinking of replacing a cracked or damaged tooth, contact our Marysville, WA office today and ask whether a CEREC single-crown visit is right for you.

How Smoking Increases the Risk of Oral Cancer

July 19th, 2016

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

  • Ulcers inside the mouth or on the lips that do not heal
  • White or dark red patches inside the mouth
  • Lumps inside or around the mouth (a lump could appear on your neck)
  • Bleeding, numbness, and soreness in the mouth
  • Chronic halitosis
  • Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Dr. Kelly Peterson and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

How does a tooth decay?

July 12th, 2016

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Marysville, WA office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Northwest Smile Design immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Dr. Kelly Peterson, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

Tell us about your summer!

July 5th, 2016

The dog days of summer are upon us, and what better time for Dr. Kelly Peterson and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Marysville, WA and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

How do I care for my dental implant?

June 28th, 2016

Dental implants are designed to be strong and durable, able to withstand the everyday rigors of chewing and biting, but to keep them functioning the way they should and looking their best, you need to care for them properly. Luckily, dental implant care is fairly straightforward; in fact, your implants can be cared for the same way you care for your natural teeth, with regular brushing and flossing performed correctly, as well as regular visits with Dr. Kelly Peterson to ensure your implants, the neighboring teeth, and your gums are as healthy as possible.

Before the actual replacement tooth is attached to the implant post, you may want to avoid harshly abrasive toothpastes, such as those with baking soda or those designed to get rid of significant staining. These abrasives may damage the threads of the posts or irritate the gum and soft tissue surrounding the posts, causing inflammation or bleeding.

As the implant heals and “settles in,” a special kind of protective tissue called “keratinized” tissue will form where the implant meet the gum. This natural development in healing helps ensure the implant post and the soft tissue beneath the gum line are protected from bacteria.

As you care for your implants, always look for signs of infection, like swollen, tender, or bleeding gums – just as you would with your normal teeth. If you're nervous about caring for your implants or you feel you may be reluctant to floss around them, ask our team to provide you with care tips and walk you through the process of flossing.

Your implants represent a considerable investment both in time and money, so it's only natural you'd want to be sure you're doing all you can to keep them in top shape. Remember: dental implants are designed to replace your natural teeth, and they're also designed to be cared for in much the same way as you care for your natural teeth. Although you may be a little nervous at first, you'll soon become as used to your new implants as you are to your natural teeth, and caring for them will become second nature.

More questions? Simply as at your next visit to our Marysville, WA office!

Can my body reject my dental implant?

June 21st, 2016

According to the International Congress of Oral Implantologists it is rare that your body will reject your dental implants. However, this does not mean that your dental implant will not fail. A successful dental implant is one that is placed in healthy bone and is properly cared for after the surgery takes place.

There is only one major reason why a dental implant would be rejected: a titanium allergy. The majority of dental implants are made with titanium because it has proven to be the most biologically compatible of all metals. On average, less than one percent of potential dental implant recipients reported an allergy to titanium.

Dental Implant Failure

The most common cause of dental implant failure in the upper and lower jaw is bacteria. Everyone has bacteria in their mouth. If you have bacteria in your jawbone at the time of your dental implant, it can spread from implant to implant, causing dental implant failure.

If you do not take proper care of your dental implants, that could also cause them to fail. You also have to take proper care of the implant and keep your mouth clean. The development of excessive bacteria around the implant and in surrounding tissues can lead to implant failure.

Teeth grinding is another reason dental implants fail. When you grind your teeth, it can move the implants out of position. Therefore, you should wear a mouthpiece when you go to sleep if you know you grind or clench.

If you take care of your implants by practicing good oral hygiene and visit our Marysville, WA office, you should not have any problems with your new dental implants. As always, ask Dr. Kelly Peterson about any questions or concerns you have about you dental implants.

Five Reasons for Your Bad Breath

June 14th, 2016

Bad breath, or halitosis, is probably not a matter of life or death. But it can make you feel self-conscious and have a negative impact on your life. The majority of people suffering from bad breath are dealing with oral bacterial. However, there are other causes of this embarrassing problem. Learning more can help you fight this solvable problem.

Five Causes of Embarrassingly Bad Breath

  1. Dry Mouth. A decrease in saliva flow can be caused by several things. Most often, medication or mouth breathing are the culprits. As saliva helps wash away food particles from your mouth, it prevents bad breath. Dry mouth can be dealt with by stimulating salivation.
  2. Gum Disease and Poor Oral Hygiene. Not brushing and flossing well enough or with enough frequency can lead to gum disease, which leads to bad breath. Halitosis can be a sign that plaque is present on your teeth.
  3. Food-Related Bad Breath. Food particles that aren't brushed or flossed away attract bacteria that leads to bad breath. It's especially important to brush after eating strong-smelling foods, such as garlic or onions.
  4. Smoking and Tobacco. Tobacco is bad for your health, and that includes your oral health. Smoking or chewing tobacco can contribute toward the development of gum disease, as well as oral cancer.
  5. Mouth Infections and Other Medical Problems. A mouth infection, sinus infection or even the common cold can cause you to temporarily have bad breath. Even conditions such as diabetes and reflux can cause halitosis. It's always wise to see Dr. Kelly Peterson to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Dr. Kelly Peterson at our Marysville, WA office to deal with or avoid problems with bad breath. We can help you uncover the cause of halitosis, while also providing solutions that allow you to enjoy fresh breath without relying on mints and breath fresheners. As is the case with all things related to oral health, we are your number-one ally when it comes to eliminating the problem of bad breath.

Getting Ready for Summer Sports

June 7th, 2016

With the warmer and longer days here, we know many of our patients at Northwest Smile Design will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at Northwest Smile Design before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our Marysville, WA office! Have fun!

Five Common Reasons for Emergency Care Visits

May 31st, 2016

A dental emergency can strike anywhere, anytime, and without warning. Perhaps you’re playing a game of touch football on Thanksgiving and your brother-in-law decides to up the ante and tackles you, accidentally knocking out your two front teeth. Or maybe you’re on vacation somewhere in the tropics and decide to go deep-sea fishing, but when you’re climbing onto the boat you slip on the dock, fall, and chip three of your teeth. From misplaced fly balls to bagel seeds causing a painful bout of inflammation, there are all kinds of dental emergencies.

Here are the five most common reasons for emergency care visits.

  1. Somehow you've managed to knock out a tooth. Whether it's the result of a sports injury or because of decay, when you lose a tooth, you need emergency dental care. If the tooth is salvageable, then it can be reattached to the socket, but this needs to be done within a one- or two-hour window.
  2. A chipped tooth is the most common dental emergency. Small chips can be caused by food (chicken bones and nuts have sent many people to the dentist); however, it's usually some sort of accident or injury that more often causes a chip. While you might be embarrassed to walk around with a gaping chip in your front tooth, it is easily fixed with a bond, crown, or veneer.
  3. A broken tooth is more severe than a chipped tooth. When a tooth breaks, it might be due to a small or hidden chip. However, chances are the pain and discomfort will be more severe.
  4. It might seem comical, but getting a piece of food lodged in the wrong place can result in a dental emergency. If something gets stuck deep in a crevice, it can cause pain and inflammation.
  5. The loss of a filling happens more often than you think. When you lose a filling, you need to receive emergency care immediately. If you don’t, you risk further damage to your tooth.

When you injure your teeth or mouth, you need to seek emergency care as soon as possible. In the event of a suspected emergency, don't wait. Contact Dr. Kelly Peterson immediately.

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 24th, 2016

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Northwest Smile Design wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Marysville, WA area or beyond, Happy Memorial Day to you and yours from Dr. Kelly Peterson!

How do I know if I need a root canal?

May 17th, 2016

Tooth decay affects everyone, with studies reporting that 92% of adults have had a cavity at one point in their lifetime. In more serious instances of tooth decay, however, the nerve of the tooth may become infected. This type of infection requires a root canal, in which the affected nerve is removed, and the interior of the tooth is cleaned and filled.

Tooth Anatomy

Although each tooth is covered by a hard outer shell, the interior of a tooth consists of dental pulp. This pulp is soft, containing blood vessels that bring nutrients to the tooth. Each tooth also has an associated nerve, which resides within a root canal passing from the tooth’s root into the dental pulp. This nerve provides information about temperature, allowing teeth to sense heat or cold.

Symptoms of Nerve Infection

Damage to the dental pulp or nerve tissue leads to a rapid multiplication of bacteria within the interior of the tooth. The result may be an abscess, a small pocket near the root of the tooth that becomes full of pus. This infected area commonly causes the following symptoms:

  • Intense pain or sensitivity when pressure is applied to the tooth
  • Sensitivity to hot or cold temperatures, even after the heat or cold has been removed
  • Darkening or discoloration of the affected tooth
  • A small, persistent pimple that forms on the gums
  • Swollen or tender gums
  • Swelling in other areas of the face, neck, or head

Nerve infection may occur due to deep decay, although repeated dental procedures, facial trauma, chipping or cracking of a tooth, or large fillings may also contribute to an abscessed tooth.

What to Do if You Think You Need a Root Canal

Only a visit to Dr. Kelly Peterson can confirm whether a tooth’s nerve has become infected. We will perform an oral examination and X-rays to confirm whether the tooth is abscessed. If a root canal procedure is needed, a small hole will be placed in the tooth. The pulp and nerve tissue are removed from the tooth, which is thoroughly cleaned and filled. Then, the hole is sealed with a special compound to prevent bacteria from entering the tooth’s interior. The entire procedure is performed under local anesthesia to numb pain.

If you think you may have tooth or nerve decay, call our Marysville, WA office today to schedule a diagnostic appointment.

Dangers of Alcohol and Oral Health

May 10th, 2016

We often have patients who ask, “Can drinking alcohol affect my oral health?” There are, in fact, a few reasons why that martini may not be good for your pearly whites.

In addition to creating an overly acidic environment in your mouth, alcohol severely dehydrates oral tissues because of its desiccant and diuretic properties. Because alcohol saps oral tissues of their moisture so readily, saliva glands can't keep enough saliva in the mouth to prevent dry mouth. In addition, saliva contains antibacterial properties that inhibits growth of anaerobic bacteria, a destructive type of oral bacterial responsible for tooth decay, gingivitis, chronic bad breath, and periodontitis.

What are anaerobic bacteria?

When there is a lack of saliva flow in the mouth and the mouth cannot naturally cleanse itself of oral debris (food particles, dead skin cell, mucous), conditions develop that promote activity of anaerobic bacteria, or bacteria that thrive in dry, airless places. These anaerobes also flourish when an unending supply of proteins (food debris) are available to consume, creating rapidly multiplying layers of plaque that stick to teeth and demineralizes tooth enamel unless removed by brushing and professional dental cleanings.

Oral Cancer and Alcohol

Acetaldehyde is a chemical compound leftover after the liver has metabolized alcohol. Capable of causing genetic mutations, acetaldehyde is also a known carcinogen that contributes to the ill feelings of hangovers. Although most metabolism of alcohol is done in the liver, evidence shows that metabolism also occurs outside the liver and that enzymes in the mouth could encourage accumulation of acetaldehyde in oral tissues.

When combined with poor oral health, smoking, and other detrimental lifestyle factors, alcohol may be considered a primary contributory factor in the development of oral cancer.

Even if you don't drink or drink only occasionally, remaining aware of symptoms that may indicate oral cancer will improve your chances of recovering successfully when you start treatment in the early stages of oral cancer. Signs include red or while speckled patches in the mouth, unexplained bleeding, lumps/swellings, chronic ear or throat pain, and areas of numbness in the mouth or on the face.

If you have any questions about alcohol and its connection to oral health, don’t hesitate to ask Dr. Kelly Peterson at your next visit to our Marysville, WA office.

May Marks National Physical Fitness and Sports Month!

May 3rd, 2016

The merry month of May also happens to be National Fitness and Sports Month, so take advantage of the warmer days to get outside and exercise! Bringing a friend, family member, or coworker with you when you go for a brisk walk during a lunch break can provide an opportunity to socialize as well as health benefits. If you need a little more motivation, here are some good reasons to stay active and fit.

Exercise provides:

  • Improved stamina and energy as well as toned muscles and bone strength and density
  • Improved circulation and breathing for a healthier heart and lungs
  • Reduced risk for Type 2 diabetes and certain forms of cancer
  • For older adults, regular exercise may help improve balance and reduce the risk of falls as well as improved cognitive abilities

Children and Teens

Children and teenagers spend long hours at their desks in school, on the computer, watching television, and involved in other sedentary activities that result in obesity and poor health later in life. Getting them engaged in school or community sports teams can help them form good life-long exercise habits. One important note: If they are participating in contact sports, Dr. Kelly Peterson and our team at Northwest Smile Design recommend your kids wear an approved mouthguard to protect those valuable teeth from injury! Ask us for a proper fitting of your safety appliance during your next visit!

A gym membership is nice but not necessary to stay fit; try these easy ways to work some exercise into your daily routine.

At Home

  • Take a friend along for company on a walk through your neighborhood.
  • Pursue gardening or other yard work, including mowing or raking.
  • Take your kids on a bike ride or have them push a baby stroller around the block.

Couch potatoes take note: simply moving from the sofa to the floor for some sit-ups, leg-lifts, or push-ups while you’re watching television can help you get in better shape in no time.

At Work

  • Take the stairs instead of the elevator.
  • Take exercise breaks for walks around the building or parking lot.
  • Walk or ride a bike to work.

So what are you waiting for? Get moving!

For more information on exercise techniques, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

How can parents help prevent tooth decay?

April 26th, 2016

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Dr. Kelly Peterson and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Dr. Kelly Peterson and our staff recommend parents bring their children to Northwest Smile Design for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Marysville, WA office to schedule a dental consultation and checkup.

Every Day is Earth Day

April 19th, 2016

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Northwest Smile Design wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

What is gum recession?

April 12th, 2016

Gum (gingival) recession occurs when gums recede from the tops of the teeth enough to expose sensitive roots. People typically experience increased sensitivity to sugary or cold foods when gums no longer cover and protect teeth roots. In addition, untreated gum recession may lead to loosening of teeth and accelerated tooth decay, something Dr. Kelly Peterson see all too often.

Causes of Gum Recession

  • Periodontal disease – a serious oral disease arising from poor oral habits
  • Gingivitis – gum disease characterized by bleeding and swollen gums
  • Aging
  • Overly aggressive brushing and/or flossing – brushing hard in a scrubbing fashion will erode gum tissue at the roots of teeth
  • Genetic predisposition to gingival recession – having inherited thin, insufficient gum tissue facilitates gum recession
  • Bruxism – a condition where someone regularly grinds their teeth, usually during sleep
  • Chewing tobacco/smoking – promotes chronically dry mouth and reduced gum health

Periodontal gingivitis may also cause causing drooping of the gums instead of gum recession. A gingivectomy removes excess gum tissue weakened by bacterial decay while a gingivoplasty can reshape gums around the teeth. If sagging or receding gums are left untreated, they may develop pockets (gaps) that provide hiding places for food particles, mucus and other mouth debris conducive to anaerobic bacteria growth. As the most destructive type of oral bacteria, anaerobic bacteria is responsible for tooth decay, cavities, gum disease, and chronic halitosis.

Treatments for Gum Recession

Corrective actions need implemented as soon as possible to reverse gum recession by addressing the cause. For example, people who brush with hard-bristled toothbrushes should switch to a soft-bristled toothbrush and brush more gently. If gum recession is the result of poor oral hygiene, improve oral hygiene habits by brushing after meals, flossing, rinsing with non-alcoholic mouthwash, and getting dental checkups and cleanings every six months. For severe cases of gum recession, soft tissue grafts can add gum tissue to exposed roots by removing tissue from the person's palate and attaching it to existing gums at the area of recession via laser surgery.

If you’re worried about gum recession, visit our Marysville, WA office and talk to a member of our team.

Three Signs You May Have Gingivitis

April 5th, 2016

Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Dr. Kelly Peterson to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

  • You are a smoker.
  • You are a female going through puberty, pregnancy, or menopause.
  • You have diabetes.
  • You have a compromised immune system, as is the case if you have HIV/AIDS.
  • You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Dr. Kelly Peterson can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Dr. Kelly Peterson to keep it in check. Contact our Marysville, WA office to schedule an exam today!

Dental Veneers

March 29th, 2016

Are you looking to improve the appearance of your front teeth? Dental veneers are widely used to improve the appearance of front teeth and are a much more conservative option than a full dental crown. Veneers can be used to improve the appearance of staining, large gaps, large fillings, chipped teeth, or overall shape. Veneers are a thin covering over the front and biting end of the tooth used to restore the beauty of a smile. Over the years we have helped many patients who opted for veneers and now have the confidence to smile again.

Dental veneers are made in a lab from long-lasting porcelain materials. The shade can be chosen to a desirable color to whiten the appearance of your smile. Dental veneers are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as the back teeth. The process of placing veneers is relatively easy requiring only two dental appointments. In some cases, only one appointment is needed. It depends on the fabrication process.

The first appointment is to “prep” the teeth and take an impression to be sent to a lab to fabricate the veneers. Veneers are fairly conservative in the preparation as it requires a small amount of space to be created on the face (front), bottom, and sides of each tooth to allow space for the veneer to be placed and look natural. You will leave the office with temporary veneers for the next week or two while the permanent veneers are being made.

The second appointment is to place the veneers and make minor adjustments if needed. What a difference it makes in the appearance of the teeth! If you’re interested in learning more, give Dr. Kelly Peterson a call today!

Aging and Dental Health

March 22nd, 2016

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at Northwest Smile Design will tell you that keeping your teeth healthy is an equally important part of the aging process. Older adults are at increased risk for a variety of oral health conditions, which makes it essential for you to speak with your dentist to create a prevention plan that’s best for you.

Oral health conditions associated with aging

Just as the rest of your body continues to change as you age, your mouth changes, too. Certain conditions become more likely to develop as you reach older adulthood, including:

  • Dry mouth. Although your salivary glands continue to produce saliva as you get older, medications and chronic health problems often cause dry mouth.
  • Root decay. Your teeth have lasted you a lifetime, but improper nutrition or cleaning may lead to decay at the roots of your teeth.
  • Diminished sense of taste. Your eyesight and hearing aren’t the only senses affected by aging. The ability to taste naturally diminishes over the course of older adulthood.
  • Tissue inflammation. Are your gums tender, bleeding, or inflamed? Tissue inflammation may indicate gum disease or may be a consequence of wearing dentures that don’t fit well.
  • Oral cancer. Risk for most cancers increases with age, and oral cancer is no exception. Older adults are at increased risk for oral cancer compared to younger individuals.

Ways you can prevent dental problems

Fortunately, many age-related oral health problems are preventable. Begin by improving your diet to include plenty of fruits and vegetables. Choosing water over coffee or soda will keep your teeth whiter and cavity-free. Also remember to practice good brushing habits to prevent cavities and gum disease.

Visiting the dentist at least twice a year is vitally important when you reach older adulthood. Your dentist is familiar with your oral health and may be the first person to notice a sore, discolored patch, inflammation, or other abnormality that indicates oral cancer or gum disease.

If you’re experiencing any problems with dental health, let your dentist know immediately. Together, you can troubleshoot solutions and create a plan that keeps your mouth and gums healthy.

For more information, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

St. Patrick's Day

March 15th, 2016

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Kelly Peterson - have a great St. Paddy’s day!

What are the advantages of dental implants?

March 8th, 2016

Losing a tooth can affect a lot more than just the look of your smile. Missing teeth affect your ability to chew and can also cause problems for your other teeth. It is essential to replace missing teeth in order to maintain oral health as well as your overall well-being. Dental implants are an excellent option to replace your natural tooth and its root without affecting your neighboring teeth, and are available from Dr. Kelly Peterson.

Why choose dental implants?

There are many reasons to choose dental implants to replace your lost or damaged teeth. According to the American Academy of Implant Dentistry, dental implants are often considered more predictable than other treatment options and are known to provide long-term successful outcomes.

Dental implants provide many benefits over other treatments such as bridgework and dentures:

  • Unlike other treatment options for missing teeth, dental implants allow Dr. Kelly Peterson to replace your tooth without impacting the healthy teeth surrounding the space.
  • Dental implants also protect healthy bone by preventing potential bone loss and deterioration in the jaw.
  • This treatment option allows you to speak and eat normally without worrying about slippery or uncomfortable removable dentures.
  • The closest thing to natural teeth, dental implants allow you to maintain your smile and natural face shape.
  • These implants are built to last, providing you with a long-term solution to missing teeth.

Overall, dental implants are the next best thing to natural, healthy teeth. Choosing to undergo surgery to replace your lost or damaged teeth is an important decision. To avoid the issues caused by lost teeth, consult Dr. Kelly Peterson or visit our Marysville, WA office to see if you are a candidate for dental implants.

The CEREC® Treatment Process

March 8th, 2016

If you’ve ever wondered why restorative dentistry takes so long or requires so many appointments, you’ll be pleased to learn about CEREC, or Chairside Economical Restoration of Esthetic Ceramics, also known as CEramic REstoration. This high-tech approach can get you finished with your treatment in a single dental visit at our Marysville, WA office. This is what you should know about the CEREC treatment process.

You get digital impressions with CEREC.

CEREC is a type of computer-aided design and computer-aided manufacturing (CAD/CAM) dentistry. Dr. Kelly Peterson and our team will prepare your tooth and then take a digital image using specialized equipment and software. Next, the onlay, crown, or other restorative device is manufactured on-site. Since the process is digitalized, it’s comfortable and accurate.

Treatment only takes a single visit.

Nobody likes going to the dentist multiple times for a single problem. Among the most inconvenient parts about getting a crown is needing two appointments. During the first visit, you not only need to have a mold taken, which is uncomfortable enough in itself. You also need to have a temporary crown put on the tooth and hope that it lasts, without much discomfort, until your second visit.

With CEREC, the digital impression is used to quickly produce your final crown on-site. That means we can apply your crown and you’ll be ready to go. You don’t need to return for a second appointment in a few weeks.

CEREC materials are made of porcelain or ceramics.

Some crowns, bridges, and fillings are made of metal. While lead-free metals can be safe, silver and gold-colored objects in your mouth aren’t attractive. CEREC crowns and bridges are made of ceramic, and fillings are porcelain. They are closer to the natural color of your teeth. In addition, porcelain fillings can be more durable than composite ones.

CEREC lets you avoid multiple trips to the dentist, and it can also give better results. Ask Dr. Kelly Peterson about CEREC to find out whether it is an option for you.

Timing Matters!

February 23rd, 2016

Many patients at Northwest Smile Design are under the impression that harder brushing leads to cleaner teeth, but that is not true. Gentle brushing is just as effective, and less likely to cause damage. Other good brushing habits include brushing your teeth at least twice a day, replacing your toothbrush after a few months, and brushing for at least two minutes each time. It can be tough to keep track of the time when you are aiming for two minutes, but these tips can help.

Set a Timer

Setting a timer is a sure-fire way to hit your two-minute goal on the dot. Leave a kitchen timer in your bathroom so that it is easy to set each time you start brushing your teeth. Hit each surface of all of your top and bottom teeth, and keep brushing until the timer rings. Many electric toothbrushes have a built-in timer that you can use instead of a kitchen timer.

Entertain Yourself for Two Minutes

Time flies when you are having fun, and you can stay entertained as you brush your teeth for two minutes. These are some ideas.

  • Time your favorite song and sing it in your head as you brush your teeth.
  • Find a two-minute video on the Internet that you want to watch, and start it when you begin to brush your teeth.
  • Do squats in the bathroom as you brush. Go down for three slow counts, and up for three slow counts. By the time you get to 20 squats, your two minutes will be over.

Let Your Children Use Technology

Toothsavers is an app designed to inspire children to brush. The app was developed and released by the Ad Council and the Partnership for Healthy Mouths, Healthy Lives. It includes:

  • A game to fight an evil sorceress who causes cavities
  • A two-player version that lets children interact with friends and parents
  • Real-life reminders to brush twice a day
  • A built-in timer that helps kids brush for two minutes

How long do dental implants last?

February 16th, 2016

The average dental implant can last a lifetime if taken care of properly. In fact, studies have shown that the success rate of implants after ten years is about 90%! Of course, Dr. Kelly Peterson and our team know that the better you care for your implant, the longer it will last.

There are a few factors that must be taken into consideration, when you are considering dental implants. These factors all play a role in how long your dental implants will last.

  • Bone Structure – You must have enough bone in your mouth for the implants to be inserted. Over time, the bone can wear down and become too thin or to short. In cases, where you may have just enough bone for the implants, over the years, the bone will continue to become smaller and thinner and the implants will not last nearly as long as the suggested minimum of ten years.
  • Healthy Gums – Diseased gums will not support dental implants for very long. It is important to maintain regular dental visits to maintain your healthy gums.
  • Good Oral Hygiene – Just because your implants are not your “real” teeth, doesn’t mean you have to take care of them. That means brushing, flossing, and regular professional cleanings.

Bone structure, healthy gums, and good oral hygiene all play a crucial role in the length of time your dental implants will last. Whether you have full dental implants, partial implants, or a single tooth implant. The bottom line is you have to take care of them if you want them to last as long as possible.

For more tips on how to maintain the health of your dental implant, visit our Marysville, WA office!

Valentine's Day History

February 9th, 2016

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Northwest Smile Design wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

Does getting a dental implant hurt?

February 2nd, 2016

Getting a dental implant is a surgical procedure and everyone’s pain tolerance level is different. Therefore, what one person may perceive as pain is only a slight discomfort for another person. The general consensus about pain and dental implants is that the majority of people feel discomfort, not pain.

A dental implant is a complex procedure. Let’s take a look at what may cause discomfort:

  • Some people may find that having the IV put in is uncomfortable, especially if the healthcare worker has to try more than once. If you have a fear of needles or if you have anxiety about the procedure, we can prescribe a sedative, which you take before you arrive.
  • Of course, during the dental implant surgery, you will be asleep. Therefore, you will not feel any pain or discomfort at all.
  • When you awake from the surgery, your mouth should still be numb. In many cases, we can give you a “block” – it is basically a 24-hour pain medication, so you will not feel any pain or discomfort at all.
  • We will also provide you with a prescription for a strong pain killer, and you will most likely sleep while you are taking them. If you are still in pain, do not take more than is prescribed without calling us first. You will need someone to stay with you for 24 hours after the surgery, and they will be instructed on how to give you any prescription medication. The anesthesia tends to make people a bit loopy and forgetful the first 24 hours.
  • After the first 24 hours you may feel some discomfort. The most important thing you can do is take your pain medication regularly, whether you are taking the prescription medication or an over-the-counter pain reliever such as Tylenol or Advil.
  • You should not need pain medication for more than the first few days.

Most people do say there mouth is sore and they have to be careful what they eat, so it’s best to stick to soft foods. If you have any additional questions, please contact our Marysville, WA office and speak with Dr. Kelly Peterson.

How to Care for a CEREC® Restoration

January 26th, 2016

Our Marysville, WA office often provides CEREC for patients who need tooth restorations. Quite simply, patients love their new smiles. And they love the durable, easy-to-care-for natural of CEREC.

For many people, a CEREC restoration is like getting a childhood smile back again -- only more brilliant than ever before.

After treatment, Dr. Kelly Peterson and our team hear a lot of questions about how to keep the repaired smile looking fresh and clean. Keep these tips in mind:

Talk to us: Please don’t leave our office with any unanswered questions about your new restoration. Let us know if you have any concerns about diet, tooth and gum care, or if you feel any discomfort.

Check your smile: People who aren't thrilled with their smiles often avoid looking at their teeth and gums. You may be in the habit of brushing and flossing without even checking the mirror.

With a new smile, the mirror becomes your friend again. Use the mirror when you clean your teeth to make sure you've removed all visible food particles. Check your gumline for redness or tender areas.

Chew things over: Your CEREC restoration should provide a very normal and comfortable eating experience. In fact, if your teeth were giving you problems while eating, the treatment should help relieve the discomfort. If you still experience pain or chewing feels uncomfortable, call our office and let us know.

Brush and floss: CEREC dental restorations need the same care as your natural teeth. Keep brushing and flossing after meals. Use a mouthwash if you prefer or if we recommend one for gum care. Follow any special advice the doctor or the hygienist gives you during your exam.

Finally, make sure to come see us every six months for a cleaning and exam. Caring for your CEREC restorations is that simple, and has the added benefit of helping keep teeth and gums in good shape, too.

Before and After

January 20th, 2016

What She Wanted: Eliminate aged smile from staining, broken down resins, poor alignment without the use of orthodontics.

What We Did: Eight upper EMAX porcelain veneers.
The Successful Result: Proper planning allowed us to “un-rotate” and decrease flaring of Sarah’s upper front teeth with porcelain veneers only (no orthodontics), while simultaneously achieving a very natural smile of consistent color. Sarah is thrilled with her new vibrant look.

Do adults need fluoride treatments?

January 19th, 2016

Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Dr. Kelly Peterson at your next appointment whether you might benefit from a topical fluoride application.

You broke your tooth; now what?

January 12th, 2016

You may have bitten down on a hard food or object, or perhaps you had a cavity that weakened your tooth. Either way, your tooth is now broken, and the steps you take to care for it will determine whether you get to keep your natural tooth or not. Millions of people suffer from broken teeth every year, so you are not alone. However, that does not mean your newly cracked tooth does not need immediate attention.

What is a broken tooth?

A broken tooth is one that has been fractured, chipped, cracked, broken apart, or completely knocked out of the mouth. You may or may not feel your tooth break, depending on the extent of the break and whether your tooth was decaying prior to the break. It is usually very easy to diagnose a broken tooth, because the evidence will be visible. In the case of hairline cracks in the teeth, you may start to note a sensitivity to hot or cold in the neighborhood of the fracture.

The Right Way to Handle a Broken Tooth

As soon as you know your tooth is broken, chipped, or fractured, make an appointment to visit our emergency dental office. Even the tiniest fractures require attention: bacteria can infect the fractured area, which could cause you to lose the tooth altogether.

Until you are in our office, you can manage your pain using over-the-counter pain medication, such as Tylenol, or you can apply a cold compress to prevent swelling and inflammation. Be sure to rinse your mouth with warm salt water after every meal until you are able to visit us.

Keep in mind that while pain medication is an effective way to manage a broken tooth at home, it is only a temporary fix. Broken teeth should not be treated solely at home, and over-the-counter solutions are not substitutions for professional dental care. Failing to make an appointment with Dr. Kelly Peterson after breaking or chipping a tooth can place your health at risk.

Treatment

Treating your broken tooth will depend on the type of break you have and how much of the tooth is affected. A minor chip or tiny fracture line may easily be repaired with bonding. On the other hand, a more serious break that exposes the tooth's pulp may require a root canal or extraction to prevent infection. Ultimately, our team here at Northwest Smile Design will explain to you the best treatment plan based upon our evaluation of the condition and extent of your break.

If you have broken, cracked, chipped, or fractured one or more of your teeth, don’t hesitate to contact our office immediately. We specialize in emergency dental care and are available to serve you 24 hours a day, seven days a week.

What can I expect during my implant procedure?

January 5th, 2016

Dental implants are a surgical procedure done by Dr. Kelly Peterson right here at our Marysville, WA office. Screw-like parts made of titanium are inserted into your jaw bone and act as the root of your tooth. An artificial tooth will be placed on top of the screw, usually made out of ceramic or layered porcelain. The dental implant will look and feel just like the natural tooth you lost.

How much time will the dental implant surgery take?

There are numerous factors that determine the length of time for the dental implant procedure:

  • If you’re having one tooth replaced or several
  • The teeth that are being replaced
  • If you need a tooth or teeth extracted before the implant placement
  • The amount of time it takes for your IV to be placed
  • Any last minute questions or concerns you may need addressed

All of the above factors will also govern the amount of visits to our Marysville, WA office you will need to make throughout your dental implant treatment period. For example, a single tooth dental implant surgery typically takes one to two hours from the time you arrive until you awaken from the anesthesia. This also includes the amount of time it takes to put on your gown, hair cap, and other surgical dressing preparations before you are able to enter the sterile surgical environment.

Does getting an implant hurt?

With nearly any surgical procedure, you will feel some sort of discomfort. Whether it is the insertion of the IV for the anesthesia, or discomfort you may feel after the surgery. However, most patients report that their pain was tolerable after their dental implant surgery. In fact, the majority of patients said the discomfort was a lot less than they expected. Dr. Kelly Peterson will prescribe pain medications to help with any discomfort you may experience once you get home.

How will I feel after the dental implant treatment?

It is normal to have some bruising and swelling in the soft tissue and gum area. Usually the pain or discomfort does not require the use of anything more than an over-the-counter pain medication such as Tylenol or ibuprofen. In addition, you will have the prescription for a stronger pain medication if you need it. You should be able to work the following day.

New Year's Day Around the World

December 29th, 2015

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Kelly Peterson. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Northwest Smile Design wishes you a healthy, prosperous, and happy New Year!

Breaking Bad Oral Habits

December 22nd, 2015

The effects of bad oral habits are something our team sees all too often. You might have bad oral habits that stem from childhood, possibly because your parents did not know about proper oral care or force you to follow it. Or, your bad habits could develop gradually, like slacking on your frequency of brushing.

Bad oral habits can lead to tooth decay, gum disease, and consequences such as losing teeth and experiencing bad pain. They may be deeply ingrained and easy to continue, but you can break them with a little effort. Focus on developing good habits to replace your current ones, and eating a diet that is healthy for your teeth.

Replace Bad Habits with Good

Breaking your bad oral habits may not be as difficult as you expect when you focus instead on developing good habits. These new good habits can naturally replace your bad habits.

  • Brush your teeth after each meal or at least twice a day.
  • Visit a dentist every six months for an exam and a professional cleaning.
  • Floss your teeth every day.

These good habits may not seem natural, so you can take steps to make sure you follow these behaviors. For example, make a daily checklist with your scheduled sessions of brushing and flossing your teeth and using mouthwash. You can also set a timer to be sure you brush your teeth for the full recommended two minutes.

Eat Properly

Poor eating habits can be detrimental to your teeth. A common mistake is to let food, especially carbohydrates such as starch and sugar, stay on your teeth for a long time. You can stop doing this by rinsing your mouth with water after each meal or snack. Also, avoid candy and soft drinks between meals, since the sugar sits on your teeth.

A healthy diet provides the nutrients you need to maintain strong teeth. The mineral calcium is key for healthy teeth, so try to get your three daily servings of high-calcium foods, such as low-fat milk or yogurt, canned fish, or fortified soy or almond milk. Also include vegetables and fruits, which have a high water content.

If you need more tips about breaking your bad oral health habits, contact our Marysville, WA office and speak with Dr. Kelly Peterson or a member of our team.

I haven’t been to the dentist in years; what should I expect?

December 15th, 2015

Time flies when we are not at the dentist! Before you know it, years may have gone by. Let’s take a moment to explain what takes place when a patient comes back to receive care after an extended period of time.

After a while, small dental concerns or issues can grow into an unexpected journey of discovery and expense. Anxiety is common and expected. Let’s discover first of all, “What brings you here today?” It is a good place to start and once the initial concerns are addressed, a comprehensive plan to restore optimum dental health can be arranged. During the first appointment Dr. Kelly Peterson and our team want you to feel comfortable, and establish a confidence allowing you to be open with any questions.

Your visit will take approximately 90 minutes. First, a complete medical and dental history will be recorded and reviewed in one-on-one interview style. This is the time to voice any concern, anxiety issues, worries, etc. Then, X-rays are taken to provide additional information about what is happening beneath the surface of your teeth and gums. Finally, a series of screenings including those for oral cancer, home care evaluation, and periodontal disease are conducted to complete your oral health evaluation.

The hygienist has a great eye for other conditions such as broken fillings, cracked teeth, active decay, and other dental concerns. Then, Dr. Kelly Peterson will come in for a comprehensive exam and list and prioritize your dental needs. Our treatment coordinator will present scheduling options, insurance coverage, and payment plans.

Our team will coach you and help you gain control of your own dental destiny with good home care habits. You will receive a bag with a toothbrush, floss, appropriate toothpaste, and any other specialized tools for your needs. You will know how often you need to return for hygiene visits or other dental appointments.

Our patients at Northwest Smile Design are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Marysville, WA office. From phone conversations to financial arrangements to clinical treatment, we want you to feel confident that our team will meet your needs.

What did the first dentures look like?

December 8th, 2015

Remember hearing about George Washington and his wooden choppers? Not his tools for cutting down cherry trees, but his false teeth.

Actually, George’s teeth were made of ivory but were so stained that they appeared to be made out of wood. You might think those were the earliest dentures. In fact, the history of false teeth goes back centuries before President Washington.

Ancient Times

The earliest known dentures consisted of human or animal teeth tied together with wires. Examples of such dentures have been found in Egyptian and Mexican archeological sites. Other ancient peoples use carved stones and shells to replace lost teeth. These early dentures were probably made for cosmetic purposes. The materials they used were not likely to stand up to the pressure placed on teeth during eating.

The earliest surviving set of complete dentures were actually made out of wood (sorry, George). They were found in Japan and date back to the 16th century.

Human and animal teeth continued to be popular materials for dentures until the 20th century in some parts of the world. But the difficulty obtaining healthy teeth (and the risk of disease from unhealthy teeth) led dentists to search for other substances.

Modern Era

In the 18th century, dentists began using porcelain, ivory, gold, silver and even rubber as tooth substitutes. Dentures made with these substances could be used in eating. They were often ill-fitting, however, which may explain why George Washington looks puffy and glum in many portraits.

Porcelain and metals were the most popular denture materials until about 1950, when plastics and resins were developed. Tough and durable, these materials make up most of the dentures Dr. Kelly Peterson and our team use today.

Still, what goes around comes around. Researchers at the University of Texas are looking at using human teeth for dentures once again. Only in this case, the researchers hope to use biotechnology to spur the growth of new sets of teeth to replace those lost over a lifetime.

The History of Dental Implants

December 1st, 2015

The earliest endeavors for dental implant tooth substitutes on record dates back to the Mayan civilization, to 600 AD. Archeologists recovered primeval skulls in which the teeth had been replaced with materials the ranged from wood, stones, and jewels to small pieces of seashells.

Like most scientific progresses, the finding of what makes todays dental implants so successful was unexpected. In 1952, a Swedish orthopedic surgeon, named Dr. Branemark, placed a very small titanium cylinder into a bone to learn how the bone would heal. What he discovered was that the titanium cylinder had fused (melded to the bone.) Out of this experiment dental implants would be born within two decades.

In 1970s, modern dental implants made their first appearance. Of course, over the past four decades, the original dental implant has undergone several improvements in both structure and design, but has always been based on the original theme.

Dental implants were first made available to individuals who had lost all of their teeth and had difficulty wearing dentures, mainly because they had lost of much of their jawbone were dentures set. Today, most dental implants are used in place of dentures, for multiple teeth that are missing, or to replace a single tooth.

When dental implants were first designed, they were a one size fits all. The original dental implants were all the same circumference, while the length of each tooth varied depending on the type of tooth it was replacing. The dental implants were smoothed out and polished by a machine, but still did not produce the natural looking dental implants we have today.

Now, with the help of state-of-the-art equipment and advanced technology, implants come in a wide variety of sizes and shape to match the teeth that are missing. The surfaces of today’s dental implants give them a more natural look and feel. In addition, the surface of the dental implant also attaches to the bone much easier and for a longer period of time.

Dr. Branemark's discovery has left an impression on dental professionals, all over the world, including Dr. Kelly Peterson. If you are considering dental implants to improve your smile’s health, beauty, and function, be sure to contact our Marysville, WA office to schedule an appointment.

Thanksgiving in North America

November 24th, 2015

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Northwest Smile Design!

Oral Health Concerns Specific to Pregnant Women

November 17th, 2015

A lot of changes occur in a woman's body during pregnancy. Hormone fluctuations are responsible for many of those changes, including the need for additional attention to the teeth and gums. Women who are expecting are at an increased risk for oral health complications, including gingivitis and tooth decay, which can lead to irreversible damage. Fortunately, there are steps pregnant women can take to keep their teeth and gums in optimal health from the first trimester to delivery day. Today, Dr. Kelly Peterson and our team at Northwest Smile Design thought we would share them.

At-home dental care

At-home dental care should not vary much from what you did prior to pregnancy. The American Dental Association recommends brushing at a minimum of twice per day using fluoridated toothpaste. Follow up with floss to keep bacteria from accumulating in hard-to-reach spaces.

Dental checkups

It is safe and recommended to continue visiting Dr. Kelly Peterson for routine dental checkups and cleanings during pregnancy. However, it is very important to inform Dr. Kelly Peterson about an existing pregnancy. Special steps must be taken to protect pregnant women from certain medications or X-ray radiation that could be harmful to a growing baby. On the other hand, avoiding teeth cleanings during pregnancy can lead to serious consequences, including advanced tooth decay and infection.

Food and cravings

It is no secret that pregnancy can cause a woman to crave specific foods. Sugary treats like candy, cookies, or sodas may satisfy a sweet tooth, but they can also cause serious dental problems when consumed frequently or without brushing afterward. Trade out these treats for naturally sweet fruits when possible, and never forget to brush and floss thoroughly after eating sugar-filled foods.

Signs of complications

It is important to know and recognize the signs of oral health problems during pregnancy; an early diagnosis usually translates to an easier, less-invasive treatment. Symptoms of potential problems include gums that easily bleed or are swollen, reddened, or painful. These are symptoms of gingivitis, which can lead to a receding gum line and tooth loss if left untreated.

Call our Marysville, WA office if you experience any of these symptoms or pain in a tooth, loss of a tooth, a broken tooth, or bad breath that does not go away with brushing.

How Missing Teeth Can Affect Your Health

November 10th, 2015

According to the American Academy of Periodontology, an estimated three out of four Americans suffer from gum disease. In milder cases, the disease is called gingivitis. More severe cases are called periodontitis. Despite the prevalence of periodontal disease (and it is very common), only three percent of people who suffer from periodontal disease get treatment for it. Gum disease has been linked to other serious diseases, including cancer, diabetes, and heart disease.

Periodontal Disease Is Common Among Americans

The Journal of Dental Research published the findings of a joint study from the Centers for Disease Control (CDC) and the American Academy of Periodontology (AAP). The study compared the full periodontal exam that participants received for this study against partial periodontal exams participants received for an older study.

The results show the rate of periodontal disease today could be as much as 50 percent higher than earlier estimated. Shockingly, this means that about twice as many Americans as previously believed suffer from gum disease – either moderate or severe.

The Link between Chronic Illness and Periodontal Disease

Many people who have chronic medical problems don’t have dental insurance, or the money to spend on dental care. Not surprisingly, this and a lack of understanding about proper oral hygiene leads to situations in which an initially minor problem turns into something far more severe, and probably preventable.

Gum diseases and cavities are caused by infections. When you get a cavity, the infection develops in the tooth itself. You may never feel anything, so unless you get regular, twice-a-year dental exams, you might not know there is a problem.

With gum disease, the infection occurs in the bones and tissues that form the gums and support the teeth. The tissues that surround teeth, and the bones that lie below the gums, are necessary to hold your teeth in. When those aren’t strong enough to support your teeth, you lose them.

Tooth loss has been linked to heart disease, diabetes, and an increased risk for kidney disease. Gum disease and severe infections in the mouth can spread to other parts of the body faster than people realize. A healthy mouth is alkaline. It’s vital for you to maintain an alkaline pH to keep harmful bacteria away.

When people eat, their pH changes, and the environment inside the mouth becomes more acidic. Since the typical American diet is very acidic, harmful bacteria thrive in the mouth. Typical foods include breads, grains, starches, and sweets – the foods people love the most. Since it isn’t always possible for people to brush after every meal, the mouth pH remains acidic, and the acid contributes to faster tooth erosion.

What does all this mean for you? The health of your mouth is more important than you realize. Get those regular dental exams, and make sure that you and your family keep to a regular routine of brushing and flossing. Good oral hygiene can help prevent periodontal disease, and that will lower your risk of tooth loss.

Sealants: What are they and how do they help?

November 3rd, 2015

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. Kelly Peterson of Northwest Smile Design can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our Marysville, WA location is available to answer your questions so give us a call today!

I drink a lot of coffee. Could it be hurting my smile?

October 27th, 2015

At Northwest Smile Design, we know most of our patients enjoy a cup of coffee or two throughout the day. But what many of you don’t know is that coffee can be especially tough on your teeth because tannic acid (the substance that makes the dark color) etches into the pits and grooves of tooth enamel, staining your pearly whites and being generally detrimental to your smile.

Coffee is one of the most popular beverages in the world, with more than 50 percent of people drinking a cup daily. Other foods and drinks such as wine, chocolate-flavored beverages, and soft drinks can all cause tooth enamel discolorations. A hot cup of Joe, however, goes one step farther: extreme temperature changes in your mouth can cause teeth to expand and contract. This allows stains to penetrate deep into the micro-cracks of your tooth enamel.

Additionally, caffeine is considered a diuretic, which means it causes the body to lose fluids. So when you enjoy coffee or any kind of caffeinated beverage, it slows the production of saliva and causes dry mouth, which can potentially lead to bad breath and even tooth decay.

If you just can't make it through the day without a cup of java, we encourage you to consider these tips to help make sure your teeth stay in tip-top shape:

    • Drink a glass of water with your coffee or rinse with a glass of water after every cup. Not only does it help neutralize and rinse away the acid left behind from the coffee, but it also helps replenish fluids drawn out of your body by caffeine.
    • Chew gum after you drink coffee. Chewing gum will help keep your saliva production up and prevent dry mouth.
    • Enjoy your beverage with a straw so that tannins don’t make contact with your front upper and lower teeth.
    • Switch to decaf. Each cup of regular coffee you drink has an average of 110 milligrams of caffeine. Decaf has the same great taste with only two to 12 milligrams of caffeine.

Dr. Kelly Peterson and our team also invite you to visit our convenient Marysville, WA office for whitening options. We can help bleach your teeth with proven and professional products. To learn more about whitening options available at Northwest Smile Design, please give us a call!

Oral Health Concerns for Teens

October 20th, 2015

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. Kelly Peterson and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Northwest Smile Design to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

  • Drink plenty of milk.
  • Limit candies and sugary snacks.
  • Wear a mouthguard if you play a contact sport.
  • Visit Northwest Smile Design twice a year.
  • Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

Don’t procrastinate about dental work!

October 13th, 2015

When you have dental issues or just need routine care, you may try to put off making an appointment at Northwest Smile Design. Common reasons for procrastination are not having the time or fear of pain. Avoiding Dr. Kelly Peterson is not a good idea, though. Putting off dental care can turn small problems into large ones. Short appointments turn into long ones with significantly more work and expense.

What happens when you wait?

The small cavity that could have been filled easily has turned into a large cavity. The larger the cavity, the more work required to fill it. However, this is only a minor problem compared to more advanced issues. The minor toothache you are trying to ignore could be a small fracture or an abscess. Small fractures can sometimes be repaired, but if you wait and the fracture increases, you may need to get a crown.

An abscess can be treated in the early stages. Ignoring an abscessed tooth may lead to root damage and the need for a root canal. Infection can spread to other teeth, which multiplies the damage. These treatments will require more of your time than you would have spent taking care of the problem early.

Perhaps you are just putting off a routine cleaning. Even if you brush, rinse, and floss the way you are supposed to, you need a professional cleaning at Northwest Smile Design. Plaque that is left behind hardens into calculus or tartar that you cannot remove by yourself. A build-up of calculus can also lead to gum disease.

Unfortunately, avoiding appointments due to a lack of time may mean that you have to give up substantially more time later on. You also can experience needless pain from tooth problems. It’s always best to visit Dr. Kelly Peterson for regularly scheduled cleanings and exams to ensure your smile stays healthy and beautiful.

What's on your fall reading list?

October 6th, 2015

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Kelly Peterson and our team at Northwest Smile Design encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Marysville, WA for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

How Tooth-Colored Fillings Improve Your Smile

September 29th, 2015

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 Northwest Smile Design!

Osteoporosis and Oral Health

September 22nd, 2015

Today, Dr. Kelly Peterson and our team at Northwest Smile Design thought we would examine the relationship between osteoporosis and oral health, since 40 million Americans have osteoporosis or are at high risk. Osteoporosis entails less density in bones, so they become easier to fracture. Research suggests a link between osteoporosis and bone loss in the jaw, which supports and anchors the teeth. Tooth loss affects one third of adults 65 and older.

Bone density and dental concerns

  • Women with osteoporosis are three times more likely to experience tooth loss than those without it.
  • Low bone density results in other dental issues.
  • Osteoporosis is linked to less positive outcomes from oral surgery.

Ill-fitting dentures in post-menopausal women

Studies indicate that women over 50 with osteoporosis need new dentures up to three times more often than women who don’t have the disease. It can be so severe that it becomes impossible to fit dentures correctly, leading to nutritive losses.

Role of dental X-rays in osteoporosis

The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) released research that suggest dental X-rays may be used as a screening tool for osteoporosis. Researchers found that dental X-rays could separate people with osteoporosis from those with normal bone density. As dental professionals, our team at Northwest Smile Design are in a unique position to screen people and refer them to the appropriate doctor for specialized care.

Effects of osteoporosis medications on oral health

A recent study showed that a rare disease, osteonecrosis, is caused by biophosphenates, a drug taken by people for treatment of osteoporosis. In most cases, the cause was linked to those who take IV biophosphenates for treatment of cancer, but in six percent of cases, the cause was oral biophosphenates. If you are taking a biophosphenate drug, let Dr. Kelly Peterson know.

Symptoms of osteonecrosis

Some symptoms you may see are pain, swelling, or infection of the gums or jaw. Additionally, injured or recently treated gums may not heal: teeth will be loose, jaws may feel heavy and numb, or there may be exposed bone. Some of the steps you can take for healthy bones are to eat a healthy diet rich in calcium and vitamin D, regular physical exercise with weight-bearing activities, no smoking and limited use of alcohol, and report problems with teeth to our office, such as teeth that are loose, receding gums or detached gums, and dentures that don’t fit properly.

For more information about the connection between osteoporosis and oral health, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Are dental X-rays safe?

September 15th, 2015

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Northwest Smile Design, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Are you at risk for sleep apnea?

September 8th, 2015

If you are one of the more than 12 million North Americans who suffers from sleep apnea, Dr. Kelly Peterson and our team want you to know we can help. Sleep apnea, a disorder that causes frequent disruption to your body’s sleep patterns, is also potentially dangerous, as it causes abnormal pauses in breathing or very shallow breathing during the night.

For those who suffer from sleep apnea, it may seem impossible to wake up feeling rested and energized. You may, for example, sleep for eight hours, but your body might have only received three or four hours of quality sleep.

Besides losing a good night’s sleep, the risk of heart attack and stroke have been linked to sleep apnea. Other conditions associated with sleep apnea include depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for anywhere from ten to 20 seconds, which is dangerous because it lowers the oxygen level in the brain.

Sleep apnea can affect anyone at any age, and CPAP devices (continuous positive airway pressure), among other treatments, are often prescribed for sleep apnea treatment. Another treatment option is an oral sleep apnea appliance, which positions your mouth in a way that brings your lower jaw forward and opens up your airway for unobstructed breathing.

At Northwest Smile Design, we truly care about the health and well-being of our patients. In fact, we regularly screen our patients for sleep disorders during their regular checkups, and we will refer you to a sleep apnea specialist if an issue is detected. Please don’t hesitate to give us a call at our Marysville, WA office if you think you have sleep apnea or if you have any questions or concerns!

Labor Day: Our favorite holiday to rest!

September 1st, 2015

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Northwest Smile Design hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Marysville, WA area, or travel out of town, have fun, and don't forget to brush!

What is CEREC® and what are its benefits?

August 25th, 2015

When you are having trouble with your teeth, one of the worst parts of the experience can be making multiple trips to the dentist instead of getting everything done in one trip. CEREC allows you to save time and get better results by taking advantage of advanced technology to restore your teeth with a crown, inlay, or onlay.

What is CEREC?

CEREC is the short term for Chairside Economical Restoration of Esthetic Ceramics, or CEramic REConstruction. CEREC uses CAD/CAM (computer aided design/computer aided manufacturing) technology to take impressions quickly and generate a precisely fitted filling so you can leave Northwest Smile Design sooner.

How can CEREC help you?

One of the biggest advantages of CEREC is its convenience. If you need a crown, inlay, or onlay, you can get your teeth restored during a single trip to Northwest Smile Design. Traditionally, these procedures require two trips to the dentist.

During the first, the dentist cleans the tooth, makes a mold, and places a temporary restoration onto the tooth. In a couple of weeks, after the permanent restoration is ready, you need to return to the office so that the dentist can remove the temporary fix and place the permanent one.

The CEREC process lets you receive your permanent restoration right here in our Marysville, WA office, so you do not have to live for weeks with a temporary fix and schedule another appointment. In addition, Dr. Kelly Peterson and our team use digital impressions to make a mold for the filling. This is more comfortable and accurate than traditional impressions with plaster.

Another benefit of CEREC is that it uses a single block of solid ceramic materials instead of pressed ceramic and metal. CEREC restorations are able to withstand moderate chewing so yours will last for years. The lifespan of a CEREC restoration is longer than similar work with traditional methods. In addition, the color of CEREC ceramic is closer to the color of your natural teeth, which will make your restoration virtually unnoticeable.

For more information about CEREC single-visit restorations, contact Northwest Smile Design.

How do I pick the right toothpaste for my needs?

August 18th, 2015

With so many toothpastes available in so many price ranges, it can be difficult to be sure you are selecting the right one for your needs. You need a product that not only protects against tooth decay, but also addresses any special concerns that Dr. Kelly Peterson and our team have raised. Look for the American Dental Association seal and do some research to find the toothpaste that best meets your needs.

Choose a Product Approved by the American Dental Association

The American Dental Association approves dental products such as toothbrushes, dentures, mouthwashes, dental floss, and toothpastes when they meet certain quality standards. Before products can display the seal, the American Dental Association must verify that the product does what it claims to do. Look for the American Dental Association seal on the toothpaste package before you buy it. Also, check to make sure that the toothpaste contains fluoride, which helps protect against decay.

Consider Special Needs

You may be depending on your toothpaste to perform extra tasks beyond cleaning your teeth. These are some common concerns that the right toothpaste can address.

  • Bad breath (halitosis)
  • Sensitive teeth
  • Plaque or gingivitis
  • Tartar
  • Yellowing teeth

The American Dental Association’s website has a tool that lets users input their requirements and view a list of the toothpastes that carry the American Dental Association’s seal and address those particular oral health needs.

Make Your Children’s Tooth-Brushing Experience Fun

If you select toothpaste that contains fluoride and has the American Dental Association seal, most types of toothpaste will be fine for your children as long as they have no special needs. Allowing your kids to select fun toothpaste can encourage them to enjoy the brushing experience more, so that they brush more frequently and do a better job.

The following toothpaste characteristics can make brushing more fun for children.

  • Fun flavors, such as bubble gum, berry, and watermelon
  • Sparkles and swirls that make the toothpaste appear more attractive
  • Toothpaste that comes in a pump
  • Toothpaste with a container decorated with superheroes

Common Emergency Visits: From lost fillings to broken dentures

August 11th, 2015

You never know when you're going to experience a dental emergency, but if you do, it should give you peace of mind to know that emergency dental care is available at our office 24/7. Whether you chip your front tooth playing softball, or your child knocks out a couple of teeth in a playground fall, receiving the emergency dental treatment you need is accessible and convenient.

If you're experiencing a dental emergency, our team at Northwest Smile Design is here to help you any time of the day or night. Dental emergencies should not be taken lightly, so don't delay. Contact our office as soon as possible. Common dental emergencies include the following:

Lost Fillings and Crowns

Fillings are used to repair cavities. Crowns, on the other hand, are used to cover broken or damaged teeth. Over time, it’s possible for both of these items to loosen and fall out. A lost filling or crown can be painful, because the exposed tissue may be sensitive. Hot and cold temperatures will cause discomfort. While a lost filling or crown might not be as severe a dental emergency as a broken or chipped tooth (most people respond quicker to pain than self-consciousness about their looks), you need to get it fixed as soon as possible.

Broken Dentures

If your dentures are broken, everyday tasks may become trying and arduous. If you can’t chew, swallow, or eat properly, the situation calls for emergency care. Depending on how damaged your dentures are, Dr. Kelly Peterson may need to send out a mold of your mouth in order to have the manufacturer make a new pair. On the other hand, if the dentures are not damaged too badly, then we may be able to fix them in-house. If you're having problems with your dentures, you should give us a call as soon as possible.

From chipped and cracked teeth to lost fillings and broken dentures, dental emergencies come in all shapes and sizes. Emergencies are unexpected, but we want you to know that treatment is available, day or night. When your dental health is at risk, we are here to help. In the case of a dental emergency, don't wait; contact our Marysville, WA office at your earliest convenience.

Teeth Grinding: Not just a bad habit, but a dental concern

August 4th, 2015

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and a visit to Northwest Smile Design can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:

  • Wearing a protective nightguard
  • Stress management techniques
  • Medications and muscle relaxers

When you make an appointment with Dr. Kelly Peterson at our Marysville, WA office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

Hypersensitive Teeth

July 28th, 2015

It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Northwest Smile Design can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. Kelly Peterson can reduce the sensitivity, and provide you with some relief!

Adults Can Get Cavities Too

July 21st, 2015

Sure, you brush your teeth and floss regularly, so you might think you’re off the hook when it comes to the dental chair. However, it’s just as important for adults to get regular dental exams as it is for kids. Cavities are common among adults, with 92% of people aged 18 to 64 having had cavities in their permanent teeth, according to the National Institute of Dental and Craniofacial Research.

How cavities form

Our mouths are teeming with hundreds of types of bacteria. Some are helpful and maintain good health, while others are harmful. Certain types of bacteria process the sugars in food and release acid in return. Although minor decay can be naturally reversed by your body, Dr. Kelly Peterson and our team at Northwest Smile Design will tell you that eventually the acid wears away the enamel and creates small holes in the surface of teeth.

Cavity prevention for adults

Some people are naturally more prone to cavities than others. However, making a few lifestyle changes can dramatically reduce your likelihood of developing cavities.

  • Food choices. Eating plenty of fresh fruits and vegetables increases saliva production, and reduces cavity risk. It is also important to avoid foods that get stuck in the ridges of your teeth. Candy, cookies, and chips should be eaten sparingly.
  • Beverages. Most people know that drinking soda contributes to tooth decay. However, fruit juices and energy drinks also contain large amounts of sugar. Whenever possible, replace these sugary beverages with tea or water, which rinses your mouth and prevents decay.
  • Fluoridated water. Fluoride is a naturally-occurring chemical that facilitates enamel growth. Most municipal water supplies are fortified with fluoride, so drinking tap water is a great way to keep teeth healthy. People with well water may use fluoridated toothpaste or other supplemental forms of fluoride to decrease cavity risk.
  • Brush teeth and floss frequently. Gently brushing teeth several times a day removes the harmful bacteria that cause cavities to develop. If possible, brush your teeth after each meal or when drinking sugary beverages. Flossing regularly removes small particles that get trapped between teeth, which further decreases tooth decay.

One of the most important steps in cavity prevention is visiting your dentist at least twice a year. Consistent dental exams ensure that cavities are caught early, before they cause major damage to your teeth.

For more information about avoiding cavities, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

The Link Between HPV and Oral Cancer

July 14th, 2015

Cancer has become a common word, and it seems like there is new research about it every day. We know antioxidants are important. We know some cancers are more treatable than others. We know some lifestyles and habits contribute to our cancer risk.

Smoking increases our risk of cancer, as does walking through a radioactive power plant. But there is a direct link to oral cancer that you many may not know about—the link between HPV (Human Papilloma Virus) and oral cancer.

This may come as a shock because it has been almost a taboo subject for some time. A person with HPV is at an extremely high risk of developing oral cancer. In fact, smoking is now second to HPV in causing oral cancer!

According to the Oral Cancer Foundation, “The human papilloma virus, particularly version 16, has now been shown to be sexually transmitted between partners, and is conclusively implicated in the increasing incidence of young non-smoking oral cancer patients. This is the same virus that is the causative agent, along with other versions of the virus, in more than 90% of all cervical cancers. It is the foundation's belief, based on recent revelations in peer reviewed published data in the last few years, that in people under the age of 50, HPV16 may even be replacing tobacco as the primary causative agent in the initiation of the disease process.” [http://www.oralcancerfoundation.org/facts/]

There is a test and a vaccine for HPV; please discuss it with your physician.

There are some devices that help detect oral cancer in its earliest forms. We all know that the survival rate for someone with cancer depends greatly on what stage the cancer is diagnosed. Talk to Dr. Kelly Peterson if you have any concerns.

Please be aware and remember that when it comes to your own health, knowledge is power. When you have the knowledge to make an informed decision, you can make positive changes in your life. The mouth is an entry point for your body. Care for your mouth and it will care for you!

Teeth Whitening For a Bright Summer

July 7th, 2015

Summer brings sunshine and warm weather, and many of our patients begin thinking about brightening their smiles this time of year. A whiter smile is one just one visit away at Northwest Smile Design!

Teeth whitening is safe, quick, and inexpensive. It can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted. Just let us know at any appointment if you would like a brighter smile.

Get your beautiful smile today! Give us a call at our convenient Marysville, WA office to schedule an appointment!

Happy Fourth of July

June 30th, 2015

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Kelly Peterson and our team at Northwest Smile Design wish you a safe and happy Fourth of July!

Understanding Cavities

June 23rd, 2015

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, Dr. Kelly Peterson will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our Marysville, WA office.

What are the five things I should do in between visits?

June 16th, 2015

When it comes to keeping your smile looking its best, good oral hygiene is a must! Good oral health habits should start early and continue throughout your lifetime. Here, Dr. Kelly Peterson and our team at Northwest Smile Design suggest five habits worth adopting that will help keep your teeth healthy:

  • Brush and floss regularly. Brush gently at least twice a day, paying special attention to the gum line to rid your mouth of food and bacteria that may lurk in between your teeth. Floss at least once a day. Replace your toothbrush every three to four months or sooner if the bristles are frayed.
  • Make regular visits to see Dr. Kelly Peterson. Regular checkups (twice yearly) will help diagnose any dental problems early on when they can be more easily treated.
  • Stop smoking. Did you know smokers are four times as likely as nonsmokers to develop periodontal (gum) disease? Tobacco, whether in the form of cigarettes, pipes, cigars, or chewable tobacco, increases oral and throat cancer risks, and raises the risk for candidiasis, an oral fungal infection. Smokeless tobacco contains sugar, which furthers your risk for cavities.
  • Limit your alcohol intake. Heavy drinking dramatically increases the risk of developing mouth and throat cancers.
  • Eat healthy. Avoid snacking on foods that contain high levels of sugar or starch. We encourage you to eat plenty of fruits and vegetables, which are known to help stimulate the flow of saliva to re-mineralize tooth surfaces and neutralize cavity-causing bacteria.

To learn more about the habits you should practice in between your visits to Northwest Smile Design, or to schedule an appointment, please give us a call today!

Sleep Apnea and Snoring

June 9th, 2015

Snoring may not be something you take seriously. You might even laugh or joke about it. But the fact is, anytime you or your partner snore to the point of waking, it could be a sign of serious health problems.

Sleep Apnea and Its Effects

Sleep apnea is a sleep disorder that is potentially dangerous, and the most common symptom is loud snoring. Breathing repeatedly starts and stops throughout the night, and you wake up feeling tired. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed.

Besides losing a good night's sleep, you may experience difficulty concentrating. Depression, risk of heart attack, irritability, high blood pressure, memory loss, sexual dysfunction, and chances of stroke all increase when sleep apnea is not treated.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for ten to 20 seconds. This lowers the oxygen level in the brain. As the brain senses the inhibited oxygen levels it rouses the sleeper awake so the airway can reopen. Normally, the reawakening is so brief the person won't remember it.

If you think you may have sleep apnea, visit our Marysville, WA office and let Dr. Kelly Peterson determine what treatment is needed. Without it, you could risk losing more than a restful night's sleep.

Prevention and Treatment

Anyone can develop sleep apnea, but it is more common among middle-aged adults who are overweight. Dr. Kelly Peterson can help you determine the cause and suggest positive treatment.

A common treatment for apnea is the placement of oral devices that are designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and thereby discourages snoring. We are experienced in sleep apnea appliances, and Dr. Kelly Peterson can prescribe a fitted device and monitor its success with follow-up therapy.

A continuous positive airway pressure mask, known as a CPAP, is among the other treatment options. A mask is fitted over the mouth and forces oxygen through the throat while you sleep. The pressure holds the soft tissue and throat muscles open.

Our professionals at Northwest Smile Design can advise you of other ways to prevent sleep apnea, including weight loss, avoiding alcohol, or alternative sleeping positions. We can help you sleep return to easy sleep, knowing you are safer and healthier during your resting hours.

June is National Smile Month: Show off your smile!

June 2nd, 2015

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Dr. Kelly Peterson and our team at Northwest Smile Design thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

  • Brush at least twice a day with fluoride toothpaste
  • Floss every day to clean between your teeth
  • Eat a healthy, well-balanced diet
  • Reduce your intake of sugary foods and drinks
  • Visit Dr. Kelly Peterson for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!

What to Look for when Choosing a Mouthwash

May 26th, 2015

Mouthwash is important for more than just keeping your breath fresh and smelling great. Combined with other forms of dental hygiene, it can help prevent plaque, cavities, gingivitis, and other gum diseases. But it may be difficult for you to choose the right mouthwash off the shelf. Dr. Kelly Peterson and our team at Northwest Smile Design wanted to share a few things to look for when choosing a mouthwash.

Fluoride mouthwashes

Fluoride has been the subject of many debates in the oral health community. If you live in the United States, the tap water already contains small amounts of fluoride to promote dental health. You may not need to use a fluoride mouthwash if this is the case. However, if you are cavity-prone, fluoride creates a protective film over the teeth that protects against these buildups. It also helps strengthen the enamel over the teeth, maintain good dental hygiene, and keep your teeth strong for the rest of your life.

Alcohol mouthwashes

Alcohol in mouthwash works as an antiseptic: it clears the mouth of germs and some viral infections. However, if you have issues relating to dry mouth, alcohol can exacerbate the problem. If this is the case, consider using an alcohol-free mouthwash. This will free your mouth from the drying effects of the alcohol base. Also, if you have children, you will want to get an alcohol-free children’s mouthwash, because kids are prone to swallowing the substance, and this can lead to toxic side effects. Even if you are an adult using the mouthwash, if it contains alcohol, you should avoid swallowing it.

Antibacterial mouthwashes

Antibacterial mouthwashes have chemicals to help fight gum disease and other infections. Most mouthwash products contain at least trace amounts of these antibacterials; however, some mouthwashes are made specifically to fight bacterial infections. Remember that mouthwash is prevention, not a cure, so if you are presently suffering from a bacterial infection, you should visit our Marysville, WA office right away. Dr. Kelly Peterson may be able to recommend a more powerful antibacterial mouthwash that can help you reduce your pain and other symptoms.

Memorial Day and Getting Ready for Summer

May 19th, 2015

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

  • Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
  • Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
  • Visit Dr. Kelly Peterson Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Northwest Smile Design wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

Energy Drinks and Dental Health

May 12th, 2015

Are energy drinks bad for your teeth? Many of our patients at Northwest Smile Design ask us this question, so here’s the scoop.

Energy drinks have been on the rise, taking up more and more space on grocery store shelves. Drinks such as Red Bull, 5-Hour Energy, Monster Assault, Rockstar, and the like promise to jump-start your day, give you more energy, and help you feel more alert. But they also do a lot more than that. Turns out, they do a pretty good job of stripping your teeth of enamel, which is a very bad thing.

Many of these energy drinks are loaded with a lot of citric acid. In addition, they are laden with preservatives (not to mention sugar), not only to enhance flavor, but extend shelf life. While enamel loss, tooth decay, teeth sensitivity, and cavities cannot be blamed entirely on energy drinks (improper oral hygiene at home and lack of professional dental care also play a role), they can wreak havoc on the health of your teeth and gums, especially when consumed in more than moderation. Over time, energy drinks can strip enamel, which is the outer layer that protects your teeth.

What can you do?

Although Dr. Kelly Peterson and our team aren't recommending you drink energy drinks at all, if you must drink one occasionally, there are a few things you can do to minimize the damage to your teeth.

  • Drink through a straw.
  • Don’t hold the drink in your mouth before swallowing.
  • Rinse your mouth with water immediately after drinking this kind of beverage. Water helps both to neutralize the acid and to increase the production of saliva.
  • Chew sugar-free gum immediately after, to increase saliva production.
  • Don’t brush your teeth right after drinking an energy drink. Wait at least an hour instead, because the combination of the acid and brushing will further damage tooth enamel.

The best advice is to refrain from drinking energy drinks altogether. One of the best hydrators is water. Water is a natural energy-booster and hydrator, and it doesn’t contain calories.

Give us a call today at our Marysville, WA  office if you have any questions or concerns about energy drinks and dental health. We can provide additional tips and a treatment plan to help reduce enamel loss, eliminate tooth sensitivity, and repair cavities and tooth decay as a result of drinking energy drinks.

Summer is Almost Here: Tips for a bright, white smile!

May 5th, 2015

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at Northwest Smile Design.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

Diabetes and Dental Care

April 28th, 2015

When most people think of complications of diabetes, they think of an increased risk of blindness, limb amputation, heart disease, and neuropathy. However, Dr. Kelly Peterson and our team want you to know that emerging research is revealing a possible connection between uncontrolled diabetes and dental problems. Whether you have type 2 diabetes or type 1, uncontrolled high blood glucose level increases the risk of certain oral health conditions, including:

  • Cavities
  • Tooth decay
  • Gingivitis (early gum disease)
  • Periodontal disease (advanced gum disease)

Diabetes and proper dental care

If you have diabetes, it is more important than ever to take your dental care seriously and practice excellent oral hygiene. These recommendations will help:

  1. Manage your diabetes. First and foremost, it is vital to control your high blood sugar in accordance with your physician’s instructions — not only for the sake of your oral health, but your overall health. With properly controlled blood sugar, you reduce your risk of developing gingivitis and other oral health issues.
  2. Practice good at-home oral hygiene. This means brushing at least twice a day AND flossing. At a minimum, brush your teeth in the morning and at night, but after meals and snacks if you can. Use a soft toothbrush to avoid injuring your gums. Don’t neglect flossing, because it helps to remove plaque below the gumline and between teeth.
  3. Visit the dentist regularly. While it is important to see the dentist every six months even if you don’t have diabetes, it is even more crucial to have a professional teeth cleaning and dental exam if you have the disease. As dental professionals, our team at Northwest Smile Design is able to detect early dental conditions before they develop into something more serious and costly.
  4. Tell your dentist that you have diabetes. If you were recently diagnosed with diabetes, be sure to let us know as soon as possible, and remind us at every appointment.
  5. Be conscientious about examining your own gums and teeth. By looking for early signs of gum disease, which can include bleeding gums, irritated gums, gums that are red (versus a healthy pink), or swelling, we can get started on treatment right away.

Managing diabetes takes effort, not only in watching your diet, exercising, monitoring your blood sugar levels, and taking your medication, but obtaining proper dental care.

To learn more about the link between diabetes and oral health, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Make Every Day Earth Day

April 21st, 2015

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

  • Planting trees
  • Picking up litter
  • Reducing energy consumption
  • Walking, bicycling, or carpooling to work or school
  • Disposing of hazardous waste properly
  • Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important, too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at Northwest Smile Design to schedule an appointment. Have a happy and healthy Earth Day, from Dr. Kelly Peterson!

Fewer Adults are Visiting the Dentist

April 14th, 2015

Our team at Northwest Smile Design recently learned that in the decade between 2000 and 2010, the amount of adults who regularly visited their dentist declined, according to research released by the American Dental Association's Health Policy Resources Center (HPRC). In fact, the HPRC found that the percentage of adults who had regular checkups every six months declined from 41 percent in 2003 to 37 percent in 2010. The largest decline in dental care occurred in the 35- to 49-year-old age group. That’s down from 43 percent in 2003 to just 38 percent in 2010.

There is some good news, however. While adult visits may have decreased, children's visits were on the rise, particularly among low-income families. More low-income children are visiting the dentist now than they were ten years ago. And the HPRC notes that between 2000 and 2010, dental visits among low-income children increased in 47 states.

Have you ever wondered why the American Dental Association and Dr. Kelly Peterson recommend that you come in for a dental checkup and cleaning every six months? While daily oral hygiene habits are essential to good oral health, professional dental cleanings at Northwest Smile Design ensure your and your child’s teeth are treated to a deeper level of cleaning. In addition to a thorough cleaning and teeth polishing, regular visits at our Marysville, WA office help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue for symptoms of any oral disease. We will also check old fillings and restorations, as these can wear away over time from constant chewing, clenching, or grinding at night.

If you are predisposed to oral diseases due to age, pregnancy, tobacco use, or medical conditions such as diabetes or dry mouth, Dr. Kelly Peterson may recommend you visit our office more often than every six months.

If you are overdue for your next checkup and cleaning, please give us a call to schedule an appointment!

April is National Facial Protection Month

April 7th, 2015

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Dr. Kelly Peterson and our team at Northwest Smile Design want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Northwest Smile Design for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

The Safety of Dental X-Rays

March 31st, 2015

An article was released to the public stating that dental X-rays contribute to a type of brain cancer. After reading an article like this, your first thought may be to avoid dental X-rays, but you may want to hold off on that quick judgment. As with any treatment we offer at Northwest Smile Design, education is your most valuable tool in deciding what is best for you.

How often dental X-rays are taken is based on risk for infection, physical symptoms, and clinical findings. The American Dental Association (ADA) is a governing body over the dental profession. The ADA states, “ . . . healthy adults receive routine mouth X-rays every two to three years. Dental X-rays are recommended every one to two years for children and every 1.5 to three years for teens. Children often require more X-rays than adults because of their developing teeth and jaws and increased likelihood for cavities.”

A "caries risk category" often determines how often dental X-rays are taken. The most recent documented resource to determine a caries risk is Caries Management by Risk Assessment (CAMBRA). This was adopted by the ADA and is used by dental professionals giving interval recommendations for X-rays.

With knowledge of your risk for dental infection, you will be informed by Dr. Kelly Peterson of the interval at which dental X-rays should be taken. You can rest assured that the standards published by the ADA have been researched extensively and are there to protect your personal health and safety.

Dental X-rays are most commonly digital, which significantly reduces exposure. There is more radiation exposure from the sun or in an airplane than in a dental X-ray. It is common practice to use a lead apron with a thyroid collar for protection during X-ray exposure.

Having a cavity means having an active, potentially harmful infection. Diagnosing such infection with minimal exposure through digital dental X-rays at our Marysville, WA office does more good than harm.

Can my child really avoid tooth decay?

March 24th, 2015

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

  • Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
  • Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
  • Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
  • Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
  • Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Northwest Smile Design approximately every six months for a checkup and routine cleaning! Please give us a call at our Marysville, WA office.

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 17th, 2015

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Northwest Smile Design is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Kelly Peterson !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

How do I avoid bad breath?

March 10th, 2015

At Northwest Smile Design, we see a lot of patients who are concerned about their bad breath, also known as halitosis. So today we thought we would educate our patients about what you can do to keep your pearly whites clean and your breath minty fresh!

Naturally, good oral hygiene on your part is the first step. With proper brushing and flossing you can keep halitosis in check. Even though you may have done an excellent job of brushing and flossing your teeth, if you fail to brush your tongue, you may still have bad breath. Bad breath is caused by odor-producing bacteria that grow in your mouth. Certain foods, medications, smoking, sinus issues, or even gum disease can cause bad breath.

Besides proper brushing and flossing, bad breath can be prevented if you:

Stop smoking/chewing tobacco-based products: Ask Dr. Kelly Peterson and our team for tips on kicking the habit.

Keep your mouth hydrated: Because a dry mouth typically leads to bad breath, drinking water or eating oranges or celery may help.

Visit our Marysville, WA office for regular dental checkups: By visiting Northwest Smile Design at least twice a year, you will keep bad breath at bay. Dr. Kelly Peterson will conduct an oral exam and will be able detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor.

March is National Nutrition Month!

March 3rd, 2015

While you don’t have to wait to start eating right, March is the month the Academy of Nutrition and Dietetics asks everyone to pay special attention to what goes into our bodies. The Academy has designated the month of March for focusing the public’s awareness on what they eat.

What Not to Eat

The academy points out that the foods you eat have a direct effect on the health of your teeth and specifically on tooth decay. Bacteria rely on carbohydrates to thrive. That is why Dr. Kelly Peterson and our team at Northwest Smile Design tell our patients to cut back on both candy and sweets. They consist of simple sugars that feed the bacteria in your mouth and enhance tooth decay.

It’s the hidden sugars that will cost you, though. Get in the habit of reading labels on food and looking for products with added sugar. This includes ingredients that end with the suffix “ose.” When it comes to nutrition, these foods offer little value beyond satisfying that sweet tooth.

What You Should Eat

Turn to foods that not only taste good but are good for your teeth too. Dairy products, for example, provide the body with nutritional items that support tooth enamel. Foods high in protein feature phosphorus, a nutrient critical to oral health.

You can’t really go wrong by adding color to your diet, either. Fruits and vegetables make for a colorful plate and a healthy meal. Use some caution with acidic fruits like oranges or even tomatoes, because the acid can erode tooth enamel. It is better to include these foods in a meal instead of eating them by themselves.

Remember, good nutrition is something you should worry about all year long, not just when celebrating National Nutrition Month. March just serves as a fun reminder that eating right is a proactive step in managing your dental health.

We encourage you to give us a call at our Marysville, WA office to learn more!

Implants: Why it's important to replace missing teeth

February 24th, 2015

The average adult has 32 teeth, a combination of molars, canines, and incisors. By middle age, however, most adults are missing at least one tooth due to an injury, decay, or gum disease. Though many people choose to forgo tooth replacement, Dr. Kelly Peterson and our team at Northwest Smile Design will tell you that every tooth is important. Each plays a vital role in the structure of the mouth and in relationship to the remaining teeth. Leaving the space where a tooth once stood can have serious consequences. There are many reasons why severely decayed or missing teeth should be replaced as quickly as possible.

  • Speech: A missing tooth can negatively affect the way you speak, depending on its location.
  • Bite changes: The loss of one or more teeth can cause the redistribution of bite pressure onto other teeth. Over time, this can cause the teeth to shift and move into the space the tooth once held.
  • Gum disease: Shifting teeth can make it easier for plaque to accumulate in hard-to-reach places. This can increase the risk of gum disease, which can lead to additional tooth loss.
  • Bone loss: The teeth are place-holders in the jaw. When one falls out and is not replaced, the bone that once surrounded it begins to deteriorate and wear down.
  • Aesthetics: A missing tooth leaves a visible gap between the teeth and can be a source of embarrassment and insecurity.

Advancements in modern dentistry have made it easy to replace missing teeth using natural-looking and functioning prosthetics. Dental implants are permanent solutions for replacing missing teeth with the use of special rods that are anchored in the jaw bone. These implants serve as artificial tooth roots that fuse with the jaw over time. When cared for properly, most dental implants can be fitted to last a lifetime.

To learn more about dental implants, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

The Effects of Biting Your Nails

February 17th, 2015

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Dr. Kelly Peterson and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Kelly Peterson and our team for a recommendation.

The Transformation of Valentine's Day

February 10th, 2015

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dentistry office of Dr. Kelly Peterson.

Periodontal Disease Associated with Cardiovascular Risk

February 3rd, 2015

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

  • Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
  • Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
  • Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
  • Visit Northwest Smile Design. Dr. Kelly Peterson and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

How do I make my child’s diet safe for his or her teeth?

January 27th, 2015

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Dr. Kelly Peterson and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our Marysville, WA office to schedule a consultation.

How can veneers improve my smile?

January 20th, 2015

Dr. Kelly Peterson and our team at Northwest Smile Design know your smile is an important part of your appearance; it can be a source of pride or embarrassment. Everyone deserves beautiful, straight teeth that complement their features, but few are born with natural dental perfection. Fortunately, cosmetic dentistry has come a long way in recent years, with veneers making it possible to make over your smile completely.

With dental veneers, the smile of your dreams can become a reality. These thin, wafer-like shells are crafted of porcelain and completely customized to fit your smile. Once your tooth size, shape, and color have been determined, veneers are adhered to the surface of your natural tooth, instantly transforming your appearance. What used to be a secret of the rich and famous is now highly accessible to dental patients around the world.

Benefits of dental veneers

Appearance

Dental veneers are very natural in appearance and virtually undetectable to other people. Their non-porous surfaces make them resistant to staining, which ensures they do not change color over time.

Improvements

Dental veneers can be used to improve the appearance of many kinds of imperfections. In fact, an entirely new smile can be crafted from veneers, to cover up chipped teeth, discoloration, and gaps between teeth.

Durability

Veneers are long-lasting cosmetic enhancements that can survive many years with appropriate care and maintenance. They are specially fabricated to be resistant to scratches and chipping, which makes them a practical solution for the average person.

Flexibility

Dental veneers are highly adaptable. You can opt for only a single veneer to repair a chipped or cracked tooth, or you can modify multiple teeth at once for a smile makeover.

Considerations

Keep in mind that cosmetic treatments like dental veneers are secondary to primary dental care. You must have healthy teeth and disease-free gums to be a candidate for cosmetic procedures. An initial consultation at our convenient Marysville, WA office will reveal any underlying decay or other problems that must be addressed prior to getting veneers. Give us a call today!

Are thumb sucking and pacifier habits harmful for a child’s teeth?

January 13th, 2015

Depending on how long the thumb sucking or constant pacifier use continues, and how aggressively the child sucks a thumb or the pacifier, it can indeed be an oral health issue. Generally speaking, most children outgrow these behaviors or are able to be weaned off them successfully sometime between ages two and four. When children wean off the behaviors in this age range, long-term damage is unlikely.

Why Kids Suck Their Thumb or Pacifier

Both of these habits are actually a form of self soothing that your child likely uses when he or she is very upset, or feeling stressed, confused, frustrated, or unable to properly express the emotions. If your son or daughters is a regular thumb sucker, or the child wants to use the pacifier almost constantly, it is best to try to taper off these habits at a young age.

If your child continues to suck a thumb or request a pacifier consistently after leaving toddler-hood, this could be a source of concern, and it should be addressed with Dr. Kelly Peterson and our staff. We will be able to evaluate your child's mouth to look for any signs of damage such as palate changes or teeth shifting.

Say Goodbye to Old Habits

In the event that your child is quite reluctant to give up a pacifier or thumb-sucking habit, there are a few things you can do to discourage these behaviors.

  • When you notice that your child is not using a pacifier or sucking a thumb, offer effusive praise. This type of positive reinforcement can be much more effective than scolding the child.
  • Consider instituting a reward system for giving up the habit. If the child goes a certain amount of time without this behavior, award him or her for being such a “big kid.”
  • Employ the help of older siblings or relatives that your child admires. When a child’s role model says that he or she stopped sucking thumbs at a certain age, your child is likely to try to emulate that.

The Secret to Lifelong Teeth Whitening

January 6th, 2015

Have you ever noticed your attention being instantly drawn to peoples’ teeth when they smile at you? Some people have dull and yellowing teeth, while others have teeth that appear bright white. Everyone’s teeth naturally dull over time because of aging and the contact your teeth have with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can help you keep your teeth white for life.

Get Regular Treatments

The effects of teeth whitening or bleaching treatments are only temporary, so regular treatments at Northwest Smile Design are necessary to keep your teeth white for life. Bleaching too frequently, though, can wear away your tooth enamel. The effects of in-office bleaching can last for several months to a year, while you may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach, so you can use them daily. The American Dental Association suggests asking your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white, according to the American Dental Association. Your teeth may naturally be a light yellowish color that lends itself well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Your teeth whitening efforts will not be as effective if your teeth are in poor health. Visible fillings, implants, or bridges that are metallic stand out against the white color you want to achieve. You can help prevent tooth decay and reduce your risk of needing these unsightly treatments by maintaining a good oral hygiene routine. In addition to brushing your teeth twice a day to remove dirt and potential staining agents, the actions below can promote a healthy mouth.

  • Floss every day
  • Visit Northwest Smile Design regularly
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

New Year's Eve

December 30th, 2014

Watching the clock tick down the final seconds until midnight, many of us- Northwest Smile Design included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Marysville, WA, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

Good Dental Hygiene Impacts Overall General Health

December 23rd, 2014

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water, and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the American Dental Association, a staggering 80 percent of Americans over age 65 suffer from some form of periodontal disease.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Dr. Kelly Peterson at Northwest Smile Design regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

How safe are dental X-rays?

December 16th, 2014

Dr. Kelly Peterson and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Dr. Kelly Peterson and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Dr. Kelly Peterson.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

Quit Smoking to Save Your Smile

December 9th, 2014

You’ve likely heard that smoking increases risk of lung cancer and emphysema. But did you realize that your cigarette habit also has an impact on your smile? Chronic smokers suffer from increased dental problems that make their smiles unsightly. Understanding how smoking affects your oral health may provide the momentum you need to kick the habit for good.

Cosmetic Changes Associated with Smoking

Cigarettes contain more than 600 ingredients that, when lit, create in excess of 4,000 chemicals. Of these chemicals, many are known carcinogens while others have been shown to have serious negative effects on health. The nicotine and tar in tobacco products are absorbed by the enamel of your teeth. The result is yellowed teeth that look unsightly; with heavy smoking, your teeth may eventually turn nearly brown in color.

The chemicals in cigarettes and cigars also cause your teeth to become less clean. Smoking is associated with a build-up of tartar and plaque on the surface of your teeth. Over time, this increases your risk of developing cavities and other oral health problems. Furthermore, pursing your lips while smoking leads to wrinkles around your mouth, which detracts from your smile.

More Serious Dental Conditions

In addition to having unsightly teeth, smoking can cause serious health conditions. Because of the carcinogens in cigarettes, smoking is associated with an increased risk of oral cancer, which can be deadly. Smokers are also more likely to develop gum disease, which can lead to tooth loss. You may experience an increased loss of bone within your jaw, which will cause significant problems later in life.

Treatment for Smoking-Related Oral Health Problems

Dr. Kelly Peterson and our team at Northwest Smile Design will tell you that the best defense against smoking-related oral health problems is to ditch your nicotine habit. By decreasing the amount of nicotine and other chemicals you consume, you can decrease your risk of oral cancer and gum disease. Remember to mention your smoking habit when you’re at our Marysville, WA office. We frequently treat smokers and can recommend smoking cessation programs to help you quit. Dr. Kelly Peterson can also advise you about whitening treatments and gum disease prevention activities that ensure you’ll have a beautiful smile for years to come.

Do I lose my wisdom if I lose my wisdom teeth?

December 2nd, 2014

The third molars have long been known as your “wisdom teeth,” because they are the last teeth to erupt from the gums – usually sometime during the late teens to early twenties. This is a time in life that many consider an “age of wisdom”; hence the term, “wisdom teeth.”

Extracting the third molars does not have any effect on your actual wisdom … and Dr. Kelly Peterson and our staff are sorry to say that holding on to them can’t make you smarter, either. So if you somehow feel that you became wiser and smarter when your wisdom teeth appeared, chalk it up to age rather than teeth.

In fact, you may just be showing how smart you are by having your wisdom teeth removed. Mankind once relied on the wisdom teeth to replace teeth that were damaged or missing, thanks to a poor diet. But dietary changes and advances in modern dentistry make it possible for many people to hold on to their teeth for many decades, which eliminated the need for third molars.

For many people, wisdom teeth cause nothing but problems: becoming impacted, irritating surrounding gum tissue, or even causing other teeth to become crooked or overlap. By removing them, patients often enjoy a lower risk of decay, infection, and aesthetic complications.

So rest assured that extracting your wisdom teeth will have no effect on your immediate or long-term intelligence.

Thanksgiving Trivia

November 25th, 2014

At Northwest Smile Design we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Kelly Peterson wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Is there really a link between my mouth and heart?

November 18th, 2014

Yes, indeed! While brushing, flossing, and regular visits to Northwest Smile Design are all key to maintaining a healthy smile and mouth, Dr. Kelly Peterson and our team want you to know the state of your oral health has a significant effect on your overall health.

Our mouths are full of bacteria—some good, and some harmful. Some types of bad bacteria can cause cavities, gingivitis and even periodontal (gum) disease. Without proper oral care and hygiene, these harmful types of bacteria are capable of entering your blood stream through inflamed gums, when inhaled through the mouth or through saliva.

Gum disease, in turn, has been linked to a number of health problems, researchers have found. These include:

  • Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
  • Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries.
  • Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
  • Premature birth: Women who suffer from gum disease during pregnancy may be more likely deliver their baby early, and it is likely her infant may be of low birth weight.

Dr. Kelly Peterson and our team at Northwest Smile Design are experts in identifying and treating periodontal disease. Give us a call today at our convenient Marysville, WA office to schedule an appointment to improve your oral health and your overall health, too!

What are the benefits of visiting a dentist regularly?

November 11th, 2014

Your regularly scheduled dental checkups with Dr. Kelly Peterson are not just meant to make your smile prettier and healthier. Your mouth’s health has an important impact on your overall physical health as well!

While you may brush your teeth twice a day and even floss, we would like to remind you that dental checkups with Dr. Kelly Peterson every six months aren’t just about addressing problems and reacting, they are about cavity and gum disease prevention.

In addition to a twice yearly thorough teeth cleaning and polishing at Northwest Smile Design, these regular visits help us detect and prevent the onset of tooth decay and gum disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It’s important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat.

While Dr. Kelly Peterson and our team always strive to provide unmatched dental care for you and your family, we are also committed to your overall wellness as well! A deep cleaning twice a year is the best way to prevent any problems that may have gone unseen. If you are overdue for your next cleaning, please give us a call to schedule an appointment at our Marysville, WA office!

The Connection Between Your Mouth and Your Heart

November 4th, 2014

At Northwest Smile Design, we know your dental health is closely connected to your overall health. We also know that the mouth can oftentimes be the first place to show signs of other bodily health issues.

Studies have shown possible links between periodontal (gum) disease and heart disease, and researchers have found that people with gum disease have an elevated risk of suffering from a stroke or developing coronary artery disease. Believe it or not, an estimated 70 to 80 percent of North American adults currently have some form of gum disease.

Gum disease, which affects the tissues that surround and support the teeth, is an infection caused by a sticky film of bacteria called plaque that forms on the teeth, mainly along the gum line. In its early stages, called gingivitis, gum disease can be treated by Dr. Kelly Peterson and often reversed.

To help keep your mouth and heart healthy, we’ve provided following tips to help prevent problems before they arise:

  • Brush your teeth with fluoride toothpaste at least twice a day. Make sure you brush gently beneath the gum line around each tooth.
  • Floss at least once a day.
  • Have a dental checkup and cleaning twice a year, or as recommended.
  • Eat a healthy diet. This includes avoiding foods with a high concentration of sugars or starches and consuming more fruits and vegetables.
  • Avoid tobacco and copious levels of alcohol. If you smoke, quit. And remember, heavy drinking dramatically increases the risk of developing mouth and throat cancer.

Don’t put off your next visit to Northwest Smile Design any longer! If it has been a while since your last visit to our Marysville, WA office, please give us a call!

The Intriguing History of Halloween

October 28th, 2014

Halloween is fast approaching, and Dr. Kelly Peterson wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Marysville, WA office, make your Halloween a safe one!

I have sensitive teeth. What are my options?

October 21st, 2014

At Northwest Smile Design, we have patients coming in asking us why a taste of ice cream or a sip of coffee becomes a painful experience, or why brushing or flossing makes them wince or cringe. The answer, usually, is sensitive teeth. Tooth sensitivity typically occurs when the underlying dentin layer of the tooth is exposed in the oral cavity, and most people experience tooth sensitivity at some point in their lives.

So, why do people experience sensitivity and how do you know if tooth sensitivity is something to be worried about? The most common cause of the sensitivity is exposure of the dentin, which is the layer surrounding the tooth’s nerve. Contributors to tooth sensitivity include teeth whitening and dental work such as fillings, periodontal treatment, and the placement or adjustment of braces. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment at Northwest Smile Design. The first step is to determine the cause, and that begins with a visit to our Marysville, WA office.

The reasons your teeth may become sensitive vary, but possible causes include:

  • Tooth decay (cavities) near the gum line
  • Cracked or fractured teeth
  • Fillings that are worn
  • Gum (periodontal) disease, or recession of the gums
  • Worn tooth enamel
  • Brushing too hard
  • Consuming acidic foods

Dr. Kelly Peterson and our team at Northwest Smile Design want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Dr. Kelly Peterson may suggest one the following treatments:

  • Desensitizing toothpaste, which contains ingredients that seal off the microtubules inside the exposed dentin to reduce tooth sensitivity
  • Fluoride gel, which strengthens compromised tooth enamel, helps prevent tooth decay, and decreases hypersensitivity of the teeth
  • A crown, inlay, or bonding, which is used to treat tooth decay and prevents sensitivity
  • A surgical gum graft. If gum tissue has been lost from the root, this procedure will protect the root and reduce sensitivity.
  • Root canal: If you are experiencing severe and persistent sensitivity which cannot be treated by other means, Dr. Kelly Peterson may recommend you undergo a root canal to eliminate the problem.

If you are experiencing tooth sensitivity, give us a call today so that Dr. Kelly Peterson can provide you with some much-needed relief!

How do I handle my child’s dental emergency?

October 14th, 2014

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call Northwest Smile Design right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, wash your child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Dr. Kelly Peterson for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

October is National Dental Hygiene Month: A simple oral health routine for your busy lifestyle

October 7th, 2014

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

  • Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
  • Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
  • Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
  • Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Kelly Peterson can help you learn more about proper care for your teeth and gums.

We are committed to your oral health!

September 30th, 2014

Dental visits are often negatively associated with discomfort in many people’s minds. But at Northwest Smile Design, Dr. Kelly Peterson and our team have created an atmosphere focused on dispelling those myths. Our team is truly passionate about dentistry, and we are trained to gently accommodate each individual patient’s needs, with every procedure and visit performed with the utmost focus on your comfort.

If you are a patient of record at Northwest Smile Design, we are committed to your oral health and are available to you. If you would like to learn more about stress-free dentistry at our Marysville, WA office, or to schedule an appointment, we encourage you to give us a call!

Navigating the World of Dental Insurance Terminology

September 23rd, 2014

Unless you work for an insurance company, you probably do not spend a lot of your time studying all the terminology that dental insurance companies use to describe the treatments and services they cover. If it seems pretty confusing, here are some of the most commonly used dental insurance terms and what they mean.

A Basic Glossary

Annual Maximum–The maximum amount your policy will pay per year for care at Northwest Smile Design. It is often divided into costs per individual, and (if you are on a family plan) per family

Co-payment– An amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care

Covered Services– A list of all the treatments, services, and procedures the insurance policy will cover under your contract

Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures

Diagnostic/Preventive Services– A category of treatments or procedures that most insurance will cover before the deductible which may include services like preventive appointments with Dr. Kelly Peterson, X-rays, and evaluations

In-Network and Out-of-Network– A list of providers that are part of an insurance company’s “network”

  • If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the care, but you will pay a significantly larger share from your own pocket.

Lifetime Maximum– The maximum amount that an insurance plan will pay toward care for an individual or family (if you have an applicable family plan)

  • This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.

Limitations/Exclusions– A list of all the procedures an insurance policy does not cover

  • Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.

Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under an insurance plan

Provider– Dr. Kelly Peterson or other oral health specialist who provides treatment

Waiting Period– A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier

There are many different insurance options available, so you need to find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. Don’t be afraid to ask questions about the policy so you can understand it fully and be confident that you know everything your policy covers the next time you come in for treatment at our Marysville, WA office.

What is CEREC® and what are its benefits?

September 17th, 2014

When you are having trouble with your teeth, one of the worst parts of the experience can be making multiple trips to the dentist instead of getting everything done in one trip. CEREC allows you to save time and get better results by taking advantage of advanced technology to restore your teeth with a crown, inlay, or onlay.

What is CEREC?

CEREC is the short term for Chairside Economical Restoration of Esthetic Ceramics, or CEramic REConstruction. CEREC uses CAD/CAM (computer aided design/computer aided manufacturing) technology to take impressions quickly and generate a precisely fitted filling so you can leave Northwest Smile Design sooner.

How can CEREC help you?

One of the biggest advantages of CEREC is its convenience. If you need a crown, inlay, or onlay, you can get your teeth restored during a single trip to Northwest Smile Design. Traditionally, these procedures require two trips to the dentist.

During the first, the dentist cleans the tooth, makes a mold, and places a temporary restoration onto the tooth. In a couple of weeks, after the permanent restoration is ready, you need to return to the office so that the dentist can remove the temporary fix and place the permanent one.

The CEREC process lets you receive your permanent restoration right here in our Marysville office, so you do not have to live for weeks with a temporary fix and schedule another appointment. In addition, Dr. Peterson and our team use digital impressions to make a mold for the filling. This is more comfortable and accurate than traditional impressions with plaster.

Another benefit of CEREC is that it uses a single block of solid ceramic materials instead of pressed ceramic and metal. CEREC restorations are able to withstand moderate chewing so yours will last for years. The lifespan of a CEREC restoration is longer than similar work with traditional methods. In addition, the color of CEREC ceramic is closer to the color of your natural teeth, which will make your restoration virtually unnoticeable.

For more information about CEREC single-visit restorations, contact Northwest Smile Design.

September is National Gum Care Month!

September 9th, 2014

Can you believe it's already September? At Northwest Smile Design, we know that gingivitis, the early stage of periodontal disease, can be difficult to recognize. Many people don’t recognize the warning signs, bleeding and swollen gums, as a precursor to gum disease. This month, a national campaign is under way to raise awareness about gum health and periodontal disease, and we wanted to help do our part to spread the word!

Dr. Peterson will tell you early recognition and action are the most important steps to health gums, and ultimately a health body, too! Studies are published every year linking oral health, including the gums, to the health of other areas of the body, such as your heart. One of the most important steps to improving the care of your gums is recognizing the warning signs for gum disease. These can include:

  • Gums that appear red or swollen
  • Gums that feel tender
  • Gums that bleed easily (during brushing or flossing)
  • Gums that recede or pull away from the teeth
  • Persistent halitosis, or bad breath
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If you happen to notice any of these signs with you or your child, please schedule an appointment at our convenient Marysville office as soon as possible. Dr. Peterson and our team can take proactive steps to prevent gingivitis and gum disease, while showing you how to improve gum care in your or your child’s daily oral hygiene habits.

Some Benefits to Giving Your Smile an Extra Boost

September 2nd, 2014

For many individuals, autumn brings with it a number of new beginnings. Fall is the time that many people return to school, get back to the daily grind after an enjoyable summer, and even get married. As the weather cools down, it’s easier to enjoy the outdoors. And regardless of what fall-related events are on your calendar, Dr. Kelly Peterson and our team at Northwest Smile Design know you’ll want to look your best.

One of the very first things that people will notice about you is your smile. And if yours has become less dazzling over the years — as teeth tend to do — you know how disappointing it is not to have the beautiful, pearly white look you’re used to.

Benefits to Teeth Whitening

For school-bound students and autumn brides, fall calendars are certainly filled. School and weddings call for large financial investments, loads of social interaction, and a large amount of personal dedication. So the last thing any bride or student wants to think about is a less-than radiant smile.

For many, there is a lack of confidence associated with their smile and investing in teeth-whitening techniques can be an effective solution. Studies suggest that not only can you experience a boost in your level of confidence, but also you may find that other advantages quickly fall into place.

A confident smile can affect:

  • Personal and work-related relationships
  • Job interviews and meetings
  • Success when dealing with customers and potential clients
  • Your personality and general happiness with your age
  • Overall outlook on daily interactions

A Real Effect on Daily Living

All of these benefits can relate directly to how you see yourself. When you are insecure with something as prominent as your smile, it can affect the way that you handle your life, everything from social gatherings to professional situations.

Now is the perfect opportunity to rejuvenate your smile. With the right teeth-whitening product and regular hygienic practices, walking down the aisle or starting the new semester with the utmost confidence has never been easier.

Northwest Smile Design Team Outing!

August 27th, 2014

Sometimes it's good to get out of the office and have a little fun!

Last week, we did a Northwest Smile Design staff bonding activity in Seattle... a Segway tour! This was the best team outing we've ever done, everyone loved it and had so much fun! It was a beautiful day in Seattle and it was also Martti’s (Dr. Peterson’s assistant ) birthday.

After brief instruction of how to operate the Segway, we began our tour along the waterfront in Seattle. Then we headed up to Seattle Center, the Space Needle & the International Water Fountain. We then traveled through Belltown and Pike Place Market!

It truly was an awesome day and we enjoyed our time together outside of the office. If you haven't done a Segway Tour, we highly recommend it!

Happy Labor Day!

August 26th, 2014

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Marysville, WA community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

  • Every year, more than 30 million Americans travel over Labor Day weekend.
  • Canada was the first to celebrate Labor Day, and the US soon followed.
  • President Cleveland made Labor Day and official US holiday in 1894.
  • Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
  • Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our dentistry office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Four Tips for Soothing a Toothache

August 19th, 2014

Whether it’s a dull and throbbing ache or a sharp pain, toothaches can come in many different forms. Chances are you’ve had the discomforting experience once or twice in your life. It’s the type of experience that nobody wants to have, because a toothache can be as annoying as fingernails scratching a chalkboard.

What’s a good way to describe a toothache? Let’s see … your mouth feels as if it’s being besieged by one of those Loony Tunes-style jackhammers. As fate would have it, toothaches always seem to occur over the weekend or after-office hours, leaving you to suffer and forcing you to cancel your reservation at that high-end restaurant you’ve been anticipating all week.

Not so fast!

While you’re probably going to want to skip the rib-eye steak, there are numerous tried-and-true home remedies you can use to ease the pain until you can make an appointment with our office. Here’s a look at four ways to soothe a toothache.

  1. Don’t underestimate the power of salt water. Rinsing your mouth with warm salt water will both soothe your toothache and disinfect your mouth. However, make sure the water is warm; cold water can further exacerbate a sensitive tooth. Follow up the saltwater rinse by swishing your mouth with hydrogen peroxide.
  2. Clove oil, eucalyptus oil, peppermint oil, and vanilla extract are proven to be comforting elixirs. Dip a cotton swab in one of these mixtures and apply it to your tooth and gums. These substances, which you may even have in your kitchen cupboards, are known to have pain-relieving qualities. For the best results, repeat the application throughout the day.
  3. Eating yogurt is good for toothaches and mouth pain. Yogurt is filled with healthy bacteria that combat pain. Afterward, place a cold compress on your jaw.
  4. Try flossing. Your toothache might be throbbing and severe, but there’s always a chance the pain is caused by a piece of food awkwardly lodged in your teeth.

We hope that helps! Give Northwest Smile Design a call to learn more!

Canker sores, cold sores, and mouth sores: What's the difference?

August 12th, 2014

At Northwest Smile Design, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Dr. Kelly Peterson may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Dr. Kelly Peterson if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Marysville, WA office.

Pregnancy: What should I know about my oral care?

August 5th, 2014

Dr. Kelly Peterson and our team at Northwest Smile Design know this is an exciting time as you anticipate the arrival of your new little one. We want to take this opportunity to provide you with some important information pertaining to your oral health during pregnancy. Just as the rest of your body is changing, the amount of bacteria in your mouth also changes. Scientists don’t understand all the reasons why, but during pregnancy, your mouth is more susceptible to bacterial complications that could result in increased risk for gingivitis or periodontal disease. What researchers do know is the change in hormones creates a more favorable environment for gum infections and diseases when you are pregnant.

You may experience an increase in gingivitis, even while continuing with regular daily brushing and flossing, and routine semi-annual month cleanings. You will likely complain of increased bleeding of the gums with routine daily care and more tenderness in the mouth. This is due, in part, to the increased blood flow and volume that naturally occurs with pregnancy. There is a greater amount of blood flowing through your veins, which translates into slightly engorged gum tissues. If gingivitis prevails, you may also experience pain and tenderness. We can help you navigate through your specific needs.

Brushing your teeth two times a day may not be quite enough. Similarly, if you only floss on occasion, consider making this activity a daily habit. Mouthwash is also advised, or sometimes a mild saltwater rinse may feel better than a commercial brand. Consider other products with xylitol and a WaterPik for additional cleaning.

Finally, we now know that bacteria in the mouth circulate throughout the body. These harmful bacteria compromise your immune system and may increase your risk for respiratory illness and cause other strains on your immune system. Remember that nutrients as well as pathogens are shared with your baby. If you feel tired or tempted to slack on your home-care routine, remember the importance and implications of your daily decisions on how your care for your oral health.

Contact our convenient Marysville, WA location if you have more specific questions. We’re here to help you!

What happens if I don’t have my wisdom teeth removed?

July 29th, 2014

One of the things Dr. Kelly Peterson and our team at Northwest Smile Design monitor during your dental appointments is the growth of your wisdom teeth, or third molars. Third molars generally begin to erupt between the ages of 17 and 25. Wisdom teeth may require removal for many reasons, including pain, infection, or growth issues. While not all patients need their wisdom tooth removed, problems can develop if removal is not performed.

Overcrowding

Many patients have smaller mouths and jaws, which do not allow room for the third molars to grow in properly. If these teeth do erupt, overcrowding can occur. Your teeth will begin to shift or overlap each other. Wisdom teeth that erupt after orthodontic care is completed can cause the teeth to shift and negate the work performed.

Impacted Wisdom Teeth

When wisdom teeth are impacted, they are trapped below your gum line. Impacted wisdom teeth can be very painful and may be prone to abscess and infection. The impaction can lead to decay and resorption of healthy teeth.

On occasion, if wisdom teeth are not monitored properly, their growth can shift parallel to the jaw line. They can also shift backward and eventually interfere with the opening and closing of your jaw.

Greater Potential for Decay

Even when wisdom teeth grow in properly, the location can make the teeth harder to care for. This in turn can lead to the growth of more bacteria, and create health issues later in life.

If you do not have your wisdom teeth removed, they will require continued monitoring. Wisdom teeth are just as subject to decay and other problems as the rest of your teeth. Those that appear above the gum surface can often be extracted at a dental office in a fashion similar to any other tooth extraction. Impacted teeth are normally handled by an oral surgeon.

Pain in the back of the jaw and swelling may indicated wisdom teeth that are beginning to rupture or are impacted. A simple set of X-rays will determine the extent and direction of growth. Please do not hesitate to discuss your concerns during your next visit our Marysville, WA office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.

Northwest Smile Design in the Bahamas!

July 24th, 2014

Some of the Northwest Smile Design staff took advantage of some time off of work to go to the Bahamas!

We had the best time and it was so beautiful there!

We swam with sharks AND dolphins!

The team members who went were Anna, Shannon, Karie and Chris's daughter Natasha.

Of course Dr. Peterson was there with his family too!

Stress and Your Oral Health

July 22nd, 2014

Stress symptoms—which include high blood pressure, severe aches, and insomnia—may be affecting your health, even though you might not realize it. You may think illness is the culprit when in fact stress may actually be the reason. While stress can be good for us sometimes, Dr. Kelly Peterson and our team know stress can be physically harmful. But what is often overlooked is that stress can also take a toll on your mouth. Here’s how:

Teeth Grinding

It’s not uncommon for people dealing with stress to develop teeth grinding, also known as bruxism. People who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. If you’re a night-grinder, talk to Dr. Kelly Peterson. We may recommend a night guard.

Mouth Sores

Research suggests stress and depression harm your immune system, making it easier for infections to develop and stick around. That can mean canker sores or a cold sore outbreak. If mouth sores are a recurring problem for you, give us a call to schedule an appointment with Dr. Kelly Peterson.

Bad Habits

Stress can lead to bad oral health habits such as smoking, drinking, and neglecting your daily brushing and flossing routine. If you’ve been feeling under pressure lately, try to keep up with your oral health routine—it will serve you well when your stress levels return to normal.

Dr. Kelly Peterson and our team at Northwest Smile Design know there’s not always an easy way to reduce your stress levels, but eating healthy, exercising regularly, and spending time with friends and family are all good places to start.

Wisdom Teeth Emergencies: Causes and treatment

July 15th, 2014

When you think of a dental emergency, you may picture teeth that have fallen out or severe tooth pain. But it is not uncommon for wisdom teeth to develop conditions or problems that require urgent care from Dr. Kelly Peterson and our team at Northwest Smile Design. Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. If you are experiencing discomfort or pain related to your wisdom teeth, call our office to schedule a wisdom teeth consultation.

Perisoronitis and Infections

You may develop perisoronitis if you have a partially-erupted wisdom tooth that has become inflamed. Often, inflammation is caused by food lodged beneath the gum. Here at Northwest Smile Design, we can gently search for and remove food debris, as well as clean the affected area and treat it with antibiotics. Do not avoid treatment, however, as untreated perisoronitis can lead to infection, which ultimately places your health at risk.

Crowding and Impaction

When your wisdom teeth erupt, they may cause overcrowding of your teeth, which can have a negative effect on their alignment. This can make it harder for you to clean your teeth properly, and it also increases the chances for developing tooth decay and other oral health problems in the future. For some people, the wisdom teeth never erupt, becoming impacted beneath the gum and causing problems with the neighboring teeth.

If you have an impaction or wisdom tooth crowding, make an appointment with our office soon. We will be happy to evaluate the progress of your wisdom teeth, as well as their effect on the rest of your jaw. Depending on our analysis, we will then discuss your options for treatment and whether extraction might be right for you.

Complications from Wisdom Tooth Extraction

If you have recently had your wisdom teeth extracted, blood clots will have formed in the open sockets the teeth previously occupied. In most cases, the gums heal normally, assuming you follow post-surgical care instructions. However, a small percentage of wisdom tooth extractions do not heal according to plan. If you continue to experience pain or other unusual symptoms following a wisdom tooth extraction, please give us a call. We’ll do everything we can to minimize discomfort and help you heal safely and quickly.

Remember, our team is here to support your dental health in every capacity. We are dedicated to providing excellent service before, during, and after all wisdom tooth procedures, so you can rest assured that your oral health is in good hands.

Minimally Invasive Dentistry

July 8th, 2014

As the field of dentistry advances and the use of technology in the field increases, the concept of minimally invasive dentistry has emerged. Preservation of a healthy set of natural teeth for each patient should be the objective of every dentist. Minimally invasive dentistry is characterized by the following core beliefs:

  • Regard original tissue as more valuable than its artificial counterpart.
  • Preserve, rather than replace, original tissue.
  • Focus on the prevention of disease above its treatment.
  • When treatment is necessary, use invasive means as little as possible.

Prevention

  • Prevention begins with good oral hygiene.
  • Dental caries are considered an infectious disease.
  • Early detection of caries and other diseases can prevent the spread of infection and, consequently, further damage to healthy tissue.
  • Infection control can reduce the incidence of restoration practices by as much as 50 percent.
  • Focus on remineralization of enamel and dentin as a preventive effort in treating caries.

Preservation

Our team at Northwest Smile Design will tell you the goal of minimally invasive dentistry is to preserve as much original tissue as possible. The preservation of original tissue leaves a tooth stronger in structure than one which has been modified through invasive measures.

When a restoration, such as a filling, must be made to a tooth, a greater amount of healthy tooth tissue than actual decayed tissue is often removed. An estimated 50 to 71 percent of the work a dentist completes involves repair or replacement of previous restorations. The use of durable restoration materials decreases the need for later repair or restoration work.

Treatments

Tooth tissue can be preserved at a greater percentage through the use of innovative adhesive materials. Glass ionomer cements release minerals into the surrounding tooth tissue and help prevent future cavities. Resin-based composite and dentin bonding agents are designed to bond to the enamel and preserve it.

New technology and the invention of small, hand-held tools allow for a less-invasive form of restoration. One such form is air abrasion, a technique that involves using powerful air pressure to direct aluminum oxide particles toward the tooth, which results in a gentler, less-damaging cut to the tooth.

For more information about minimally-invasive surgeries, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Happy Fourth of July!

July 1st, 2014

Happy Independence Day from Dr. Kelly Peterson and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Northwest Smile Design blog to some fun facts about the Fourth!

  • My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
  • Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
  • The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
  • Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
  • The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

Is sedation dentistry right for me?

June 24th, 2014

At Northwest Smile Design, we are well-aware of the 25 million Americans who fear having to visit the dentist. Dental phobias are known to range anywhere from feeling mildly nervous to experiencing sweaty palms and even a racing heartbeat upon entering a dentist’s office. This anxiety can sometimes be so severe that it prevents people from visiting a dentist for years, postponing dental procedures that often result in costly problems down the road.

For those of our patients who have dental anxiety or dental phobia, it may be time to look into sedation dentistry, a safe and effective option for patients who are anxious or afraid, have a bad gag reflex, limited jaw opening, or for those who have a difficult time getting numb.

Sedation dentistry, a term that we use to refer to the use of anesthesia during treatment to put patients into a relaxed state, comes in many forms of sedation, from simply easing anxiety, to “conscious sedation,” which places patients in what we call a “twilight sleep.” Sedation dentistry at our Marysville, WA office allows our patients to drift through their appointments—including complex dental work—as well as feel completely relaxed throughout their visits, without any discomfort or pain. Sedation dentistry can turn a nerve-wracking visit into a comfortable and enjoyable one.

Dr. Kelly Peterson and our team will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit, and will be able to tell you if you are a candidate for sedation dentistry.

By talking with Dr. Kelly Peterson about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Northwest Smile Design. Give us a call today!

CEREC® Crowns vs. Traditional Crowns

June 17th, 2014

There are different situations for which Dr. Kelly Peterson may recommend a crown, and Dr. Kelly Peterson will recommend different types of crowns depending on your unique situation. Dental crowns are made from various materials, including all-metal, porcelain-fused-to-metal, all-ceramic or porcelain, or resin. The material the crown is made of will dictate the length of time you may have to wait for it, whether or not you will need a temporary, and of course, the cost.

A crown is a protective cap. Possible reasons Dr. Kelly Peterson may want to give you a crown include:

  • To cover a tooth after a root canal
  • To cover a cracked or broken tooth
  • To cover a weak tooth, either because of a large filling, or because of the likelihood that it will crack or break
  • To cover an implant
  • To cover anchor teeth that support a bridge

CEREC crowns

CEREC crowns are made of a solid block of ceramic or resin materials. This type of crown is made right in our office during a single visit. There is no need to construct a temporary crown, take impressions for the permanent crown, and wait for the crown to be made at an off-site dental laboratory to be returned to Northwest Smile Design about a month later.

This type of crown uses computer technology to take a picture of the tooth that will receive the crown, as well as the surrounding teeth. Thanks to CAD software that works with this system, Dr. Kelly Peterson can design the tooth while looking in your mouth, and make sure the color matches the rest of your teeth. Also, because the crown is made from a single block of material, it is considerably stronger than many other types of crowns.

Types of traditional crowns

All metal: All-metal crowns don’t require as much tooth preparation, and therefore don’t alter the existing tooth structure as much as porcelain-fused-to-metal or ceramic crowns. They are the longest-lasting type of traditional or permanent crown, and are far less likely to break or chip. Metals used may include gold alloy, palladium, nickel, or chromium.

Porcelain fused to metal: Porcelain can be matched to your natural tooth color. A disadvantage, however, is that these types of crowns create more stress and wear on the surrounding teeth than either pure metal or resin. The metal sometimes shows through at the bottom of the tooth, near the gum line. Porcelain can chip or break, but can be made to look exactly like your real teeth.

All ceramic/all porcelain: This type of crown is most easily matched to your existing teeth. Because there is no metal, there is no risk that it will show. This type of crown is ideally suited to people who have metal allergies. The greatest disadvantage is that ceramic or porcelain may cause more wear and tear to the surrounding teeth. On the other hand, it is ideal for front teeth because they look very much like real teeth.

Resin: Resin crowns are cheaper than ceramic, porcelain, or metal crowns. This material is more prone to fracturing and causes more wear and tear on the crown itself.

Different situations warrant different types of crowns. Dr. Kelly Peterson will discuss your situation and determine which type of crown you need. Our team at Northwest Smile Design is happy to answer any questions you may have about crowns, CEREC, or any other aspect of your oral health.

To learn more about CEREC, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Toothache: A dentist or the emergency room?

June 10th, 2014

Emergency care dentists are equipped to handle any tooth emergency. Seeing us first takes less time than having to sit in a hospital emergency room, only to be told to see a dentist. When dental emergencies occur, seek emergency care with Northwest Smile Design as soon as possible. We are prepared and equipped for any type of dental emergency: day or night, seven days a week, we stand ready to advise and treat you with great dental care.

There are several types of dental emergencies, but only one or two should require a hospital emergency room visit. If you suspect you have a broken jaw or nose, emergency medical attention is required. For pain associated with teeth and gums or injury to a tooth, Northwest Smile Design is the better choice. Dental pain almost always becomes worse without treatment, and can create other serious health issues.

If a tooth has been traumatized or knocked out of your mouth, our team can treat the sensitive nerves and tissues that could be damaged. If you can replace the tooth quickly enough, chances are it can be saved. There are certain precautions to take during a dental emergency that could help preserve a tooth until you can see our professional dentists for emergency dental care.

Call our Marysville, WA office at the first onset of pain. If you have lost a tooth, crown, or filling, try to keep the tooth or restoration moist. Teeth are strong, but they will crack and shift after an injury or the loss of a bridge or crown. If the crack extends to the root, or the loss of a tooth or crown leaves sensitive tissue or nerves exposed, the pain can be excruciating. Our emergency care dentists will always treat your pain immediately upon examination, and fix the problem or advise you of a plan to address the cause of the pain.

Make your appointment immediately if you have suffered an accident-causing tooth injury. If the pain is the result of decay or cavities, medication for infection may be necessary. Depending on the extent of the decay, a filling, extraction, or root canal may be recommended. These treatments are not available in a hospital emergency room, but can be completed quickly and comfortably at Northwest Smile Design .

Healthy Summer Foods

June 3rd, 2014

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Dr. Kelly Peterson will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

Rotary Scholarships

May 30th, 2014

As part of the Marysville Rotary Education Foundation Scholarship night, Dr. Peterson was privileged to present a $2000 scholarship to Janaeya Greanleaf. Janaeya was one of 53 students to be given a total of $61,500 in scholarships in 2014!
Every student who applied from the Lakewood, Marysville, and Granite Falls school districts received a scholarship. The Education Foundation would love to support more students, so if you or someone you know has a student graduating in 2015, Dr. Peterson would encourage you to visit the Marysville Noon Rotary website or Facebook page next spring and fill out an application.
Congratulations class of 2014!

Steer clear of that candy!

May 27th, 2014

At Northwest Smile Design, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Dr. Kelly Peterson. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient Marysville, WA office, please give us a call!

Memorial Day

May 20th, 2014

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Northwest Smile Design remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the Marysville, WA area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

Happy Birthday Anna!

May 20th, 2014

Thursday was a fun day at Northwest Smile Design!

Anna's birthday was last Friday and the team surprised her with an outdoor fiesta party on Thursday. It was so fun!

We ate homemade Mexican food/dips, played pin the tail on the donkey and even had a piñata filled with all Anna's favorite candy! It was a beautiful sunny day and it was so nice to be outside and have fun as a team!

Relax with Sedation Dentistry

May 13th, 2014

Dr. Kelly Peterson and our team at Northwest Smile Design understand that many of our patients have a fear of dentistry. You may be concerned about experiencing pain from sensitive teeth or routine procedures. General anxiety is also common. Do not put off visiting our Marysville, WA office; we offer various types of sedation to take the pain and fear out of your dental procedure.

Nitrous Oxide Sedation

For many patients, nitrous oxide, combined with local anesthetics, will both provide pain relief and reduce anxiety. Nitrous oxide is beneficial because the dosage can be regulated during treatment and patients are normally capable of driving shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your procedure. You will not be able to drive yourself to the appointment. An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office that provides relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

If you experience higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide is started. This is also effective for reducing anxiety regarding the injection of local anesthetics. A liquid medication followed by nitrous oxide is beneficial for children. This combination can produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure is complete. An injection, pill, or liquid medication can be offered to reduce anxiety before intravenous sedation begins. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Do not hesitate to ask Dr. Kelly Peterson about receiving sedation or pain prevention when you visit. We will be glad to explain the options we have available and answer all your questions to ensure that your exam is pleasant for you.

Seattle Color Run!

May 12th, 2014

Anna and Julie participated in the Seattle Color Run last weekend!

This year, the Color Run 5K partnered with Ronald McDonald House Charities.

The race spanned from Seattle Center to the Mariner's Stadium.

It was a beautiful day and they had so much fun!

Wishing all our moms a happy Mother’s Day!

May 6th, 2014

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Northwest Smile Design. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Kelly Peterson and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

Have You Seen Cinderella?

May 2nd, 2014

Dr. Peterson's son is a star!

Marshall is playing the part of the "ugly stepsister" in Snohomish High School's presentation of "Cinderella".

Some of the Northwest Smile Design staff had a chance to attend and such a lot of fun! It's not too late for you to go see it too! The play runs May 9th & 10th at 7:00pm. http://shs.sno.wednet.edu/

Xerostomia: What does that mean anyway?

April 29th, 2014

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Northwest Smile Design.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Kelly Peterson. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Marysville, WA office today!

Earth Day

April 22nd, 2014

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Northwest Smile Design wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Northwest Smile Design.

What happens during my hygiene appointment?

April 15th, 2014

Regular visits to the dentist are important for people of all ages. Seeing Dr. Kelly Peterson as recommended provides preventive care for oral diseases. If a disease is already present, early detection can prevent hefty dental bills and further damage to the teeth and gums. Once you have made the decision to visit Northwest Smile Design, you may ask yourself, “What happens during my hygiene appointment?”

Preparation

Arrive at your appointment a few minutes early and bring along any insurance cards or medical information. While it may seem irrelevant, a full medical history can be important, since certain conditions include symptoms that occur inside the mouth.

Initial appointment

In some offices, the first appointment is a screening appointment, during which a dental hygienist will go over your medical and dental history with you, assess the condition of your teeth and gums, then schedule a future appointment to complete the cleaning and any other treatments you may need. In other offices, the screening and cleaning will be done over the same appointment. The dental hygienist may:

  • Count your teeth
  • Clean your teeth by using a small tool to scrape them in order to remove plaque
  • Brush and floss your teeth
  • Apply a fluoride treatment using foam that sits on your teeth within a tooth mold, or a gel that can be “painted” on with a small brush
  • Inspect your teeth for cavities or signs of decay
  • Administer oral X-rays. You will be covered with a special blanket to protect your body and then given a small piece of plastic on which to bite.

Seeing the dentist

After the dental hygienist completes his or her portion of the appointment, the dentist will usually come in and inspect your teeth. After an initial inspection, the dentist may:

  • Perform a quick tooth count as well as a more thorough inspection, looking for signs of decay in and around the teeth
  • Use a small tool called a “probe” in order to check for signs of gum disease around the base of your teeth
  • Visually inspect the skin around your mouth, called the “mucosa”

If you need any further dental work completed, you will usually be required to make an additional appointment. To learn more about hygiene visits, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

When snoring becomes more than just annoying: The dangers of sleep apnea

April 8th, 2014

Sawing wood. That’s what your wife calls it when you wake her up with your snoring. This type of scenario plays out in homes around the world, and couples have to find a way to make light of the nocturnal annoyance. Snoring can become more than just an irritating nighttime disturbance, however. It can be the first sign of a potentially serious sleep disorder.

Sleep apnea is a disorder in which breathing repeatedly pauses throughout the night. Possible symptoms of sleep apnea include snoring loudly and feeling tired after a full night’s sleep.

Three health problems linked to sleep apnea

Sleep apnea often goes undiagnosed and untreated, which puts you at a greater risk of developing health problems. While being robbed of quality sleep can take its toll on you, sleep apnea can also result in the following.

  1. High blood pressure. When you wake frequently throughout the night, it causes your body's hormonal systems to become unbalanced and go into overdrive. This results in high blood pressure.
  2. Heart disease. The disrupted oxygen flow caused by sleep apnea increases your chances of having a heart attack or stroke. The cutoff of oxygen makes it difficult for the brain to regulate the flow of blood in the arteries.
  3. Excessive daytime sleepiness. Daytime fatigue often results in impaired judgment and slow reaction times, and this may increase your risk of being involved in a motor vehicle accident.

Lifestyle changes like losing weight, avoiding alcohol, and quitting smoking are often enough to cure sleep apnea. Medical treatment is also a potential solution. Surgery, oral appliances, and continuous positive airway pressure (CPAP), which is a treatment involving a specialized breathing mask, are all possible ways to resolve the problem of sleep apnea.

If you think you may be suffering from sleep apnea, or to schedule a visit with Dr. Kelly Peterson at our convenient Marysville, WA office, please give us a call! Our entire team at Northwest Smile Design look forward to giving you back a full night’s rest!

April is Oral Cancer Awareness Month

April 1st, 2014

What is oral cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our Marysville, WA office, now is an excellent time to schedule one. Regular visits to Northwest Smile Design can be the first line of defense against oral cancer, by identifying early warning signs of the disease, or helping you with preventive care tips to lower your chances of developing it.

Oral Cancer Rates in America

Nearly 40,000 people in the U.S. will be diagnosed with oral cancer this year, and more than 8,000 die every year from this disease. It is a devastating illness: most people who are diagnosed with it do not live more than five years beyond their diagnosis. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body—most often, the lymph nodes in the neck.

What causes oral cancer?

While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes you should know about—because in some cases, you can minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption (especially in combination with tobacco use)
  • Persistent viral infections, such as HPV16
  • A diet low in fruits and vegetables

In addition, oral cancer tends to occur at a rate six times greater in men than in women, and more often for African Americans than other ethnic groups. No genetic links have been identified to explain the higher incidence in these populations, so lifestyle choices remain the likeliest cause.

Oral Cancer Treatments

Once a diagnosis has been made, treatment of oral cancer usually involves a multi-disciplinary team that includes surgeons, oncologists, dentists, nutritionists, and rehabilitation and restorative specialists. Our team will decide on the best approach for each patient, depending on the risk factors and how far the cancer has progressed. The strategy will be different in every case. Some of the most common methods include chemotherapy, radiation, and potential surgery.

Finding out you have cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk.

How You Can Help the Huestis-Jefferds Family

March 26th, 2014

We wanted to take a moment to thank our patients for the love and support during this difficult time. Many of you have asked how you can help out the family. They have lost the lives of their loved ones, but also their home and their belongings.

There are two ways that you can help. The first option is a GiveForward website where the family is collecting donations: http://bit.ly/1rAbHLD. The second option is to stop in any Key Bank location and 100% of your donation will be received by the Huestis-Jefferds family.  Just mention that you would like the funds to go to Huestis-Jefferds Family Relief Fund! If you are out of state, mention that the Huestis-Jefferds Family Relief Fund is in Washington State!

We appreciate your concern for Christina’s family and we hope to help in any way that we can!

Remembering Christina Jefferds

March 26th, 2014

Dear Friends,

It is with a heavy heart and great sadness that I must relay the news of the passing of my close friend and longtime employee Christina Jefferds. Chris, along with her four–month-old granddaughter, Sanoah , were victims of the massive mudslide near Oso, WA that you may have seen in the news for the last several days. Our team is heartbroken, and our thoughts and prayers go out to her family and friends as they recover from this tragedy.

Chris was the first person I hired after graduating from dental school and starting my dental practice in Marysville almost twenty two years ago. Chris was a kind, gentle, soft-spoken person who loved people and deeply loved her family. She was such a genuine person, without guile. In a time when promises are so easily set aside, her desire to be strictly honest in her dealings with her fellow man was obvious and refreshing. I always knew that my teammates, my clients, and I could trust Chris.

Chris was a beautiful person inside and out. She was so humble, yet so generous in volunteering the time, talents, and resources with which she had been blessed while never drawing attention to herself. For me personally, she was a counselor and a confidante, a steadying and calming force in times of stress, a source of inspiration and beauty, a true friend. With steadfast faith I eagerly look forward to a joyful reunion with my dear friend.

We know that the void she leaves in our office, like the void in our hearts, will be hard to fill. She has left us with a very high bar set as a legacy, and I intend to search for, and fill her position with a person who will do her legacy justice. In the meantime, I would just ask for your patience. We intend to deliver the same high level of service you have come to expect, but despite putting in extra hours it may take us just a little extra time to attend to every need.

Thank you for your understanding. And please do me a favor and tell your loved ones how much they mean to you today and always.

Sincerely,

Kelly Peterson DDS

What is a cavity?

March 18th, 2014

Cavities are the reason why most people fear going to the dentist. But they’re also the reason you should be visiting Dr. Kelly Peterson on a regular basis.

Specifically, cavities are the breakdown of teeth caused by acid from food, bacteria, and plaque that inhabit the inside of the mouth. While many people simply think that cavities only form on top of a tooth, Dr. Kelly Peterson and our team at Northwest Smile Design want you to know they can actually form on the sides along the gum line and between the teeth, too. This acid will eat away at the tooth, forming a soft hole.

Anybody, either children and adults, can get cavities. In fact, according to the Centers for Disease Control and Prevention, in the U.S. alone about 16 percent of all children ages six to 19 have untreated cavities, and about 24 percent of adults 20 to 64 years old have them. This is detrimental to overall oral health, because cavities have a tendency to grow over time, potentially spreading to other teeth and causing increased oral pain, possibly even affecting the nerve.

That's why it's important to ensure that you're visiting Northwest Smile Design at least once every six months, so that cavities can be found and filled before they become too problematic and painful. Typically, they're found by doing a routine teeth cleaning, though X-rays or further examination may be necessary to determine the full extent of a cavity. Cavities are treated by removing the area of the tooth where decay has set in and rebuilding the tooth with a metal filling. If the cavity is too large, however, more extreme measures may be necessary, such as placing a crown or performing a root canal.

As we noted above, cavities are why people dread going to the dentist, but also the reason everyone should see the dentist every six months. Additionally, brushing twice daily, flossing, and cutting down on sugar-packed foods can reduce the risk of developing cavities.

For more information on how to best care for your teeth and why it's important to visit the dentist twice a year, please give us a call at our convenient Marysville, WA office today!

Celebrating KimberLee!

March 13th, 2014

It's been a great week for KimberLee!

KimberLee, one of our Northwest Smile Design Dental Hygienist's, had a birthday on Saturday... but we celebrated in the office on Thursday!

And now we are celebrating KimberLee's 5 Year Anniversary with Northwest Smile Design! And yes, we have a comedian in the house!

We are lucky to have you KimberLee! We hope you had a great week!

Go Green for St. Patrick’s Day

March 11th, 2014

Millions of people, around Marysville, WA and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Kelly Peterson thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Northwest Smile Design!

Are your teeth ready for the big day?

March 4th, 2014

Capturing the Moment

At Northwest Smile Design we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family. So remember, when in need of some quality oral care in Marysville, WA to think of Dr. Kelly Peterson !

CEREC® Single-Visit Crowns

February 25th, 2014

CEREC is an acronym for Chairside Economical Restoration of Esthetic Ceramics. It is a type of dental technology that incorporates two computer technologies: CAD (computer-aided design), and CAM (computer-aided manufacturing). CEREC technology allows Dr. Kelly Peterson to design, make, and perfect a crown while you wait in the office. The process is generally completed in less than an hour.

The process begins when we take a picture of the tooth that will receive the crown. Using that picture, a digital impression of the real tooth is created. The proprietary software allows us to create the adjacent teeth digitally, which aids in the process of recreating the computer image that is sent to the milling machine via wireless transmission.

If we recommend a CEREC crown, you will get a permanent crown during a single office visit. We will be able to take a picture of your tooth and mouth, and then create the crown for your tooth. The design process allows us to match your crown to your real tooth as closely as possible.

CEREC crowns are made out of either ceramic material or a type of synthetic resin. Blocks of the material Dr. Kelly Peterson will choose go into the milling machine, where diamond blades file and shape the block of solid material into a crown that will look as much like your real tooth as possible.

Before permanently securing the crown in your mouth with resin cement, we will smooth, file, and refine the shape of the crown, putting it in your mouth to check your bite, and removing it to make small adjustments. After cementing the tooth in your mouth, Dr. Kelly Peterson will check to make sure the surface of the crown is smooth enough to make proper contact with your teeth when you bite down.

For more information about CEREC, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Dr. Peterson's Birthday Celebration!

February 19th, 2014

Last month, Dr. Peterson turned the big 5-0! Rather than have a typical office birthday, we did something really special!

We pretended the day would be a normal day of patients and filled the calendar up with fake patient names, like Noah and Allie Calhoun. We decorated the office and had matching shirts made for the occasion that said, "I'm with the old guy" and for Dr. Peterson, "I am the old guy"!

We surprised Dr. Peterson with a trip to I Fly for some indoor skydiving and afterwards we got lunch at The Cheesecake Factory!

It was a great day and we hope he enjoyed his birthday!

Oral Cancer Facts and Figures

February 18th, 2014

Oral cancer is largely viewed as a disease that affects those over the age of 40, but it can affect all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Our team at Northwest Smile Design recently put together some facts and figures to illustrate the importance of visiting our Marysville, WA office.

Our friends at the American Cancer Society recommend an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. Because early detection can improve the chance of successful treatment, be sure to ask Dr. Kelly Peterson and our team to conduct an oral exam during your next visit to our Marysville, WA office.

  • Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms.
  • The primary risk factors for oral cancer in American men and women are tobacco (including smokeless tobacco) and alcohol use. Risk rises dramatically (30%) for people who both smoke and consume alcohol regularly.
  • Oral cancers are part of a group of cancers commonly referred to as head and neck cancers, and of all head and neck cancers they comprise about 85% of that category.
  • Oral cancer is the sixth most common cancer among men.
  • Oral cancer is more likely to affect people over 40 years of age, though an increasing number of young people are developing the condition.
  • Death rates have been decreasing over the past three decades; from 2004 to 2008, rates decreased by 1.2% per year in men and by 2.2% per year in women, according to the American Cancer Society.
  • About 75% to 80% of people with oral cavity and pharynx cancer consume alcohol.
  • The risk of developing oral cavity and pharynx cancers increases both with the amount as well as the length of time tobacco and alcohol products are used.
  • For all stages combined, about 84% of people with oral cancer survive one year after diagnosis. The five- and ten-year relative survival rates are 61% and 50%, respectively.
  • It is estimated that approximately $3.2 billion is spent in the United States annually on treatment of head and neck cancers.

Cancer can affect any part of the oral cavity, including the lip, tongue, mouth, and throat. Through visual inspection, Dr. Kelly Peterson and our team at Northwest Smile Design can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less extensive and more successful.

Please let us now if you have any questions about your oral health either during your next scheduled appointment, by giving us a call or asking us on Facebook.

Choose Chocolate on Valentine's Day

February 11th, 2014

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Northwest Smile Design!

February is Heart Month

February 4th, 2014

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Marysville, WA office a call!

The Importance of Regular Dental Checkups

January 28th, 2014

When was the last time you paid Dr. Kelly Peterson a visit? If you're like many people, chances are it was more than six months ago. We hear the reasons why people neglect regular dental visits all the time: lack of money or quality dental insurance, busy schedules, and fear. However, your twice-yearly checkups are so important for your dental health and for your overall health as well.

You may brush your teeth twice a day and even floss, and your teeth may feel fine, but regular dental checkups with Dr. Kelly Peterson aren’t about addressing problems and reacting — they are about cavity prevention. No matter how much you brush and floss, there is still a chance that food or other debris can get lodged between your teeth, and there is also a chance that food and beverages can wear down your tooth enamel in between visits, making your teeth vulnerable to decay.

In addition to a thorough teeth cleaning and polishing, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

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

Make sure your teeth get the professional attention they deserve! If you’re overdue for your next cleaning, please give us a call to schedule an appointment at our convenient Marysville, WA office!

How Sedation Dentistry Can Help You Overcome Dental Anxiety

January 21st, 2014

Putting off your dental visit to Northwest Smile Design because of fear or anxiety only increases the potential for tooth decay or gum problems. At our office, Dr. Kelly Peterson and our team offer solutions that allow you to relax, without any pain, so you can keep your mouth healthy. Our solutions can help with many different anxiety issues for both adults and children.

Help with minor anxiety

Nitrous oxide is an excellent choice for most patients. Sometimes referred to as laughing gas, nitrous oxide can be regulated to provide you with the amount of sedation you need. When used before a local anesthetic, the injection will not be uncomfortable and you should not notice any pain during your procedure.

If you plan to use nitrous oxide, you can drive yourself to your appointment. In most cases, you will be fine to drive after your treatment: the sedation wears off quickly. Nitrous oxide can also be used along with other sedation techniques to produce a higher level of sedation.

Oral sedatives are available in a liquid or pill form. If you experience moderate anxiety levels, you can be given a tablet to take before your appointment. This type of sedation will be beneficial in relieving the anxiety that can build before your procedure. However, if you choose this method, you cannot drive yourself to your appointment.

Help with major dental anxiety

If you experience extreme levels of stress and anxiety about dental treatment, you may wish to discuss deep sedation or general anesthesia. With these techniques, you will be barely conscious or unconscious during your procedure. You will not feel discomfort or pain. Once you have experienced dentistry with a sedation technique, your anxiety level may decrease on its own.

People are not born with the fear of a dental exam. Unfortunately, most anxiety issues are due to a bad dental experience or childhood trauma. Sometimes anxiety comes from listening to the tales of others, who may have exaggerated their story. Talk to Dr. Kelly Peterson and our team about your dental concerns or fears. Let us help you so you can get the dental care you need for a healthy mouth for life.

For more information about overcoming dental anxiety, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

My gums are shrinking!

January 14th, 2014

Have you ever looked in the mirror and noticed that your teeth looked longer? Does it seem like your gums are shrinking? This condition is called recession—many adults have it. Let’s look at some of the causes and what you can do about it.

During your exam at Northwest Smile Design, we will take measurements to check for periodontal disease. Dental professionals take recession measurements to see how much attached gingiva is present. This is the kind of tissue that is most resilient to infection.

The more recession, the less attached gingiva. The less attached gingiva, the less bone support. The less bone support, the higher your chances of tooth loss. It is quite a domino effect.

Don’t lose hope. The effect can be halted once you know the cause of your recession.

Do you ever wake up with your jaw clenched, and/or a headache that originates just above your ears? Clenching or grinding your teeth can cause recession. When there is added stress on a tooth, it flexes at the gum line.

Over time this causes microscopic breaks in the enamel and then a notch appears. The gum line is forced to move away from its original position. If this is something you see in your mouth, we can discuss the possibility of an occlusal guard at your next visit.

How do you brush your teeth? Do you brush in a straight line or circles? What kind of bristles do you use? Are the bristles on your toothbrush frayed?

When you brush in a circle, you are sweeping all along the gum line, removing the plaque from most angles. When you brush in a straight line, you may often miss the concave portion of the gums. This leaves plaque behind and leads to gingivitis. Whenever gingivitis occurs, the body attacks supporting structures like bone while trying to get rid of the infection. This is periodontal disease, which can cause recession.

Recession may also result from an irritant on the gums, such as a bar from a partial denture or orthodontic appliance (braces).

Gums do not “grow back.” The most common treatment for advanced recession is a tissue graft. There are many different kinds of tissue grafts.

Other factors can cause recession. If you think recession is happening in your mouth, schedule an appointment with Dr. Kelly Peterson to discuss your options, so you can make the appropriate treatment choice.

Why Visiting the Emergency Room for Your Dental Problem isn’t a Good Idea

January 7th, 2014

Emergency rooms are for emergencies, so before you head to the hospital because of a dental problem, you need to ask yourself this question: Is what you're experiencing really a medical emergency? While emergency room visits for dental related issues are on the rise across the United States , they’re not necessarily the best solution for every problem. Many people don't know about emergency dental care services, many of which are available 24/7, and so they go to the ER.

These types of statistics are common across the country. However, despite the numbers, not all dental problems are created equal. If you've experienced some type of injury to your mouth, jaw, or face, then an ER visit is a good idea, but if you're suffering from a toothache, cavity, or broken crown or veneer, then the ER is not the best place to handle the situation. If you're having a dental emergency, then seeking emergency dental care should be your course of action.

Seeking Long-Term Solutions

The ER doesn't provide a long-term solution to your dental issue; it only gives you temporary relief. There’s a chance they will simply hand you a prescription for pain medication and tell you to call your dentist in the morning. In the end, you’re going to be saddled with two medical bills, and nobody wants that. Even if the ER outfits you with a temporary crown or filling, you're still going to have to make a follow-up appointment our office.

There are numerous homemade remedies that can sooth tooth and gum pain. However, if you're experiencing a dental emergency, the ER is not the place to go. The specialized emergency team at Northwest Smile Design is available to take care of every dental problem you may have. In the case of a dental emergency, don't wait any longer than necessary. Feel free to contact our Marysville, WA office at any time, day or night.

It's a Wrap: Ending the year with a smile!

December 31st, 2013

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Marysville, WA area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Northwest Smile Design

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Kelly Peterson, have a great new year!.

How much calcium does my child need?

December 24th, 2013

When you were a kid, your parents may have told you to drink milk to build strong bones and grow tall and strong. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

So, which foods are the best in terms of acquiring the right amount of calcium? Milk and other dairy products are excellent sources of calcium. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small but important barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

According to a recent study, the majority of Americans, including children, do not receive enough calcium. In fact, according to the Academy of General Dentistry, only one in five children meets even the minimum standards for calcium consumption. The U.S. Department of Agriculture recommends that children under the age of eight should receive two and a half cups of dairy per day. Children older than eight need three full cups, the same as adult men and women. In addition to milk, eating yogurt is a great way your child can increase his or her dairy consumption. Drinking sugary beverages in place of milk causes cavities and tooth decay.

If your child does not get enough dairy consumption, they run the risk of improper tooth development and other dental health problems. Dr. Kelly Peterson and our team at Northwest Smile Design encourage you to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

Questions? Give us a call at our Marysville, WA office!

Do you suffer from sleep apnea?

December 17th, 2013

At Northwest Smile Design, we know our patients love a good amount of rest each night in order to be energized for the day and week ahead. After all, without enough sleep, exhaustion during the day is the most immediate consequence.

Sleep apnea is a sleep disorder that could be an indicator of serious health problems. The most common symptom is loud snoring, but the condition is characterized by breathing that repeatedly starts and stops throughout the night, leaving you feeling tired in the morning. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed, a great reason to visit Dr. Kelly Peterson.

Besides losing precious hours of sleep, sleep apnea also elevates the risk of heart attack and stroke, and may cause other conditions such as depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Anyone can develop sleep apnea, but it is more common among middle aged adults who are overweight. Dr. Kelly Peterson can help you determine the cause and suggest possible treatment.

A common treatment for sleep apnea is an oral device that is designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and discourages snoring. Dr. Kelly Peterson and our team are experienced in sleep apnea appliances, and can prescribe a fitted device, as well as monitor its success each time you visit.

A continuous positive airway pressure mask, also known as a CPAP, is among the other treatment options you may opt for. A mask is fitted over the mouth and forces oxygen through the throat while you sleep, and the pressure holds the soft tissue and throat muscles open.

If you think you may be suffering from sleep apnea, visit our Marysville, WA office. Our team at Northwest Smile Design can help you return to getting a better night’s sleep.

A Holiday Celebration!

December 10th, 2013

Northwest Smile Design celebrated our holiday party last weekend on the Snow Train to Leavenworth! Dr. Peterson organized a scavenger hunt for us to do as a team and we had such a fun time! Happy Holidays everyone!

Is dairy crucial to my child's oral health?

December 10th, 2013

Healthy eating, combined with regular physical activity, plays a vital role in your child’s health and well-being. Dairy foods are naturally nutritious, packed with ten essential nutrients that help your child feel good for life. But did you know that dairy is also great for your child’s dental health? Our team at Northwest Smile Design will tell you that, in addition to providing large amounts of much-needed calcium, dairy products also help fight cavities! Dairy products have a specific role to play in dental health as they contain a unique combination of special anti-decay nutrients such as calcium, phosphorus, and the protein, casein. Cheese is especially useful, as eating a small piece of cheese after consuming sugary foods or drinks can help protect teeth and reduce the risk of tooth decay.

If you’d like to know more about the importance of dairy products in your child’s diet, or about any aspect of your child’s dental health, feel free to ask Dr. Kelly Peterson at your next appointment!

Diet and Dental Health: What to eat and what to avoid

December 3rd, 2013

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Northwest Smile Design will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

  • Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
  • Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
  • Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

  • Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
  • Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult Dr. Kelly Peterson about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office!

Thanksgiving

November 26th, 2013

At Northwest Smile Design, we love to celebrate the holidays with vigor! Dr. Kelly Peterson would love to share some unique ways of celebrating Thanksgiving from beyond the Marysville, WA area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Heart Disease and Oral Health

November 19th, 2013

According to the National Institute of Dental and Craniofacial Research, more than 200 million Americans suffer from some degree of inflammation of the gums. Over the past decade, researchers have published studies that link the bacteria involved in periodontal disease to cardiovascular disease. The Centers for Disease Control and Prevention have connected oral infections to heart disease, diabetes, stroke, and low birth weights.

Studies suggest bacteria that cause periodontal disease are also responsible for causing a thickening of the carotid arteries, which increases the chance of a heart attack or stroke. Further research is being conducted to understand the link between oral health and heart disease better.

What is periodontal (gum) disease?

Dr. Kelly Peterson and our team at Northwest Smile Design hear this question all the time. Periodontal disease is an infection. Our mouths are filled with bacteria, and this bacteria forms plaque. If the plaque is not removed through brushing, flossing, and regular cleanings at the dentist, it hardens into tartar. If gingivitis (gum inflammation) is not treated early, it can advance to periodontitis. Bacteria get under the gum tissue and erode it as well as the bone that supports the teeth. The gums eventually pull away from the teeth, and infected pockets form.

Proving that periodontal gum disease is connected to heart disease has been difficult for researchers. However, there are two theories about to what might connect the processes.

  • Bacteria are released in the bloodstream through chewing and tooth brushing. The same species of bacteria that causes gum disease has been discovered in the plaque in arteries in the heart.
  • Inflammation in the mouth is a catalyst for inflammation throughout the rest of the body.

Practice good oral health habits

While the link between periodontitis and heart disease is not yet fully understood, you can prevent the possibility of health complications by practicing good oral health. It’s recommended that you brush and floss twice a day, as well as visit your dentist twice a year for a cleaning and exam. Oral health should not be taken for granted. By preventing oral diseases, you’re also minimizing the risk of having a heart attack or stroke.

To learn more about the connection between heart disease and oral health, or to schedule an appointment with Dr. Kelly Peterson, please give us a call at our convenient Marysville, WA office! A clean mouth leads to a happy heart!

I’m on a diet and getting MORE cavities!

November 12th, 2013

Health gurus rave about replacing unhealthy food choices with healthy ones in your diet. If you want to maintain your beautiful smile as well as your waistline, choose foods that are good for your teeth and good for losing weight. This article will discuss some of the worst healthy foods for your teeth and gums, and what you can do to continue to enjoy them.

When watching your weight, snacks heavy in sugar and starch are the first target for elimination. You want to trade those empty calories for something with more nutritional value. A healthier snack is fruit and vegetables. When you are substituting empty calories with whole foods such as fruits and vegetables, consider a few implications for your dental health.

The most acidic fruits are grapes, grapefruit, and strawberries. Want to know the number-one worst healthy food for your tooth enamel? Apples! An apple a day may keep the doctor away but you may soon be calling your dentist.

Another healthy food often incorporated into dieting is salads. But consider what you put in those salads. Salad dressings are filled with vinegar and sweeteners. These make a salad very acidic and can change the pH of your mouth from alkaline, which is good for your teeth and gums, to acidic, which puts your smile at risk for erosion and decay.

Last but not least is diet soda. You might be cutting down on the calories but you are still putting your teeth at risk for decay. Though calories are reduced, the acid is not.

You do not need to eliminate any of these foods from your diet. Simply alter what you do after eating these foods to decrease the amount of acid your teeth are exposed to.

During your next visit to Northwest Smile Design in our Marysville, WA office, we can discuss your diet. We may recommend using certain products to fortify your teeth or change the way you routinely care for your teeth.

Please enjoy the wonderful whole foods that are great for a healthy waistline. A healthy waistline and a healthy smile have a positive influence on your general health. A healthier you is a happier you. The happier you are, the more you smile. Keep your smile brilliant and beautiful with the care your teeth deserve at the practice of Dr. Kelly Peterson.

November Marks National Diabetes Awareness Month

November 5th, 2013

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at Northwest Smile Design to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our Marysville, WA office for an exam. Patients who are living with diabetes may require more often visits to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Dr. Kelly Peterson can tell you how often you need to come in for an appointment.

For more information on how we can help, please do not hesitate to give us a call at our Marysville, WA office.

November Marks National Diabetes Awareness Month

November 5th, 2013

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at Northwest Smile Design to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our Marysville, WA office for regular checkups and cleanings. Most people should have at least two dental appointments per year, but our patients who are living with diabetes may require visits more often than that to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Dr. Kelly Peterson can tell you how often you need to come in for your dental visits.

For more information on how we can help, please do not hesitate to give us a call at our Marysville, WA office.

Halloween - Candy, Costumes, and More!

October 29th, 2013

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dentistry office of Dr. Kelly Peterson hope that Halloween is fun and enjoyed by all of our awesome patients!

Trick or Treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Northwest Smile Design!

Vote for Northwest Smile Design!

October 22nd, 2013

Bourne Orthodontics is having a pumpkin decorating contest! To vote for your favorite pumpkin you must visit Bourne Orthodontics Facebook page: https://www.facebook.com/pages/Bourne-Orthodontics/110227795693965. The pumpkin with the most "likes" is the winner.

Anna decorated our Northwest Smile Design Seahawks pumpkin to represent our office in the contest! Don't forget to visit Dr.Bourne's Facebook and vote for our pumpkin! The winner is announced on Halloween!

What Exactly is a Root Canal?

October 22nd, 2013

Hearing that you need a root canal can be highly intimidating. What is a root canal? It is the removal of the nerve supply from the tooth. Here, Dr. Kelly Peterson will describe the parts of a tooth and explain the reasons for a root canal and how it is done when you visit us in our Marysville, WA office.

Your tooth is made up of many layers. The outside layer is called enamel and is made of minerals. The middle layer is dentin, which is also a calcified tissue, but less dense. The center of the tooth is called the pulp, and that hosts the nerves and blood vessels. A root canal is the removal and replacement of this center with a sterile filling.

A root canal is needed when an infection spreads to the center of the tooth. This can be from trauma (recent or previous), a cavity, a severe crack, or other compromise that causes nerve damage. An X-ray and examination are required to see if a root canal is needed. Symptoms may include but are not limited to pain, swelling, change in tooth color, and over-reaction to temperature change or pressure.

When it is time to begin, you’ll receive local anesthesia (via injection) to make you most comfortable. A rubber dam is used to isolate the tooth, while other equipment determines the nerve location and maintains a sterile working environment. All of the infected area is removed including the nerve tissue and blood vessels. Then, medicines are used to sterilize and alleviate any pain. Next is the placement of a filling material in the spot where the nerve used to be.

When your nerve and blood supply are taken away, the tooth is non-vital, or dead, and can become weak and fragile. If your tooth is badly decayed, a large portion of it will have to be removed. It is recommended to place a crown on the tooth to keep the enamel from breaking or falling apart. If you do not get a crown, you could eventually lose the tooth to more decay or infection. The tooth could also break off completely and you would have to have an extraction. The crown fits over the top of the tooth and secures it from breaking down.

A root canal saves the life of a tooth that would otherwise succumb to further infection and eventually extraction. Infection is the cause of most-needed root canals. If you are ever unsure what is happening at your appointment, don’t be afraid to ask questions so you understand the procedure completely.

Patient question: “What causes tooth loss?”

October 15th, 2013

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Northwest Smile Design.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Dr. Kelly Peterson and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Dr. Kelly Peterson every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Dr. Kelly Peterson at our Marysville, WA office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

I haven’t been to the dentist in years; what should I expect?

October 8th, 2013

Feeling apprehensive or guilty for not visiting a dentist in over a year is common, but coming back to receive dental care is easier than you may think. Our dental team at Northwest Smile Design provides caring, non-judgmental, personalized service, and knowing this you can truly feel at ease making your first appointment back.

During your first appointment back, we will focus on three prominent dental issues including gum disease, cavities, and wear and tear by utilizing a full mouth series of X-rays, a hygiene appointment, and a comprehensive exam.

The full mouth series of X-rays are taken every three to five years, or as needed. A full mouth series may be a panoramic X-ray and bitewings (a set of four that checks for cavities) or a set of X-rays that views the entire anatomy of every tooth. The set of X-rays will depend on your individual needs.

Your hygiene appointment will begin with a review of your medical history, personal concerns and questions, and an evaluation checking for any infection. After any necessary diagnoses are made, the appropriate level of cleaning is proposed and completed if time allows.

A comprehensive exam serves as a review of what the hygienist has already covered. Dr. Kelly Peterson will again review your medical history and dental concerns, and confirm any periodontal diagnosis. An evaluation of any decay, breakdown or broken fillings, or areas that are at risk for future problems will also be reviewed.

After the appointment, a team member at Northwest Smile Design will review any recommended treatments, payment options, insurance coverage, and scheduling. The time spent at your first visit back is an important step in the right direction, and we are committed to making this visit as comfortable and easy as possible! Come see us in Marysville, WA.

Year-End Insurance Reminder

October 1st, 2013

Dr. Kelly Peterson, as well as our team at Northwest Smile Design, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient Marysville, WA office!

Northwest Smile Design Staff Outing!

September 24th, 2013

Recently, we had an office outing to Emerald City Trapeze in Seattle! We had such a blast! You can check out our videos too!

“What is a water pick and do I need one?”

September 24th, 2013

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Kelly Peterson and our team at Northwest Smile Design want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Remember, water picks should be part of your daily oral hygiene routine, not your sole dental care routine! Please give us a call at our Marysville, WA office if you have any questions about water picks, or ask Dr. Kelly Peterson during your next visit!

Love your new smile? Tell us about it!

September 17th, 2013

At Northwest Smile Design, we have been creating beautiful smiles for years. Whether you have visited Dr. Kelly Peterson and our team for a week or for your entire life, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

Which whitening is right for you?

September 10th, 2013

Many of our patients at Northwest Smile Design have been asking us about brightening their teeth lately, and today we thought we would discuss the options available to you to put the sparkle back in your smile!

Over-the-counter products – You’ve probably seen over-the-counter whiteners such as whitening strips on store shelves. While whitening strips may work for some, they do have certain restrictions. For example, they are not nearly as effective when crowns or fillings are involved. Teeth that are stained gray instead of brown or yellow typically don’t respond as well to these types of whiteners. Whitening strips typically save you money but take longer to work and also require discipline on your part to keep them in place for the right amount of time each day.

Whitening at our office – This type of whitening can be done right at Northwest Smile Design. A whitening agent is applied directly to teeth and a special light helps accelerate the whitening process. This may be accomplished in one session or take several appointments. You should expect to spend anywhere from 30 to 60 minutes at each session. If you have a mix of natural teeth and fillings or crowns, Dr. Kelly Peterson may recommend bonding or veneers on your natural teeth instead of regular bleaching. Teeth whitening at our office can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted.

At-home whitening – If you choose this option, Dr. Kelly Peterson will take a mold of your teeth and create a custom-fit whitening tray. Gel whitening solution is poured in the mouthguard-like tray, and the tray is worn for a pre-determined amount of time, generally from a couple of hours a day to every day during the night, until you’re back in our office for an evaluation.

Give us a call at our convenient Marysville, WA office to schedule an appointment! Whiter teeth are one just one visit away at Northwest Smile Design!

We Have The Best Patients!

September 9th, 2013

This morning Dr. Peterson was given a gift from one of our awesome patients! Jerry surprised Dr. Peterson with a Duck Dynasty shirt. Dr. Peterson is a big fan of the that show, so he loved it! Thank you Jerry!

What was your favorite part of summer?

September 3rd, 2013

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Kelly Peterson and our team at Northwest Smile Design are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

Celebrate Labor Day by Getting Away

August 27th, 2013

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend in 2012, according to CNN.com. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at Northwest Smile Design to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the dentistry practice of Dr. Kelly Peterson!

What is Biofilm?

August 20th, 2013

Biofilm, protective housing for bacteria, is a hot topic in the medical and dental fields. Routinely taking an antibiotic for a bacterial infection has become more complicated because of biofilm. Bacterial infections may become resistant to antibiotics in part because the biofilm allows for communication among the bacteria, allowing the infection to be sustained.

You’re probably wondering, Dr. Kelly Peterson , what does this have to do with teeth? Since we’re dental professionals, we can tell you why it’s important and what you should know! There is biofilm in your mouth; healthy biofilm and diseased biofilm. Both are made of the same general compounds, but when combined with certain amino acids and cellular chemicals, the diseased biofilm conquers and destroys.

Periodontal disease, otherwise known as gum disease or pyorrhea, is a biofilm disease. If you are undergoing treatment for gum disease and you do not continue with the treatment plan the disease will progress and/or spread due to the biofilm.

There are several ways to treat diseased biofilm. But remember, antibiotics cannot touch the bacterial infection if the biofilm is established.

When your regular cleaning exam is complete, the Ultrasonic or Piezo Scaler should be used. This method of spraying water disturbs the biofilm and provides an opportunity to treat the infection causing bacteria.

Remember, we all need healthy biofilm. Just as your skin protects your body, biofilm housing good bacteria protects your body. The bacteria in the biofilm replicate every twenty minutes. If your body has healthy bacteria, low levels of hydrogen peroxide are produced by the biofilm, preventing harmful bacteria from residing. Harmful bacteria do not like oxygen.

At your routine exam the dental hygienist will take measurements around your teeth checking for “pockets”. The higher the number, the deeper the pocket giving more room for harmful bacteria where there is no oxygen. Ask what your numbers are and be involved in restoring your healthy biofilm.

How to Handle an Unexpected Dental Emergency

August 13th, 2013

Regardless of the type of dental emergency you experience, it is important that you visit Northwest Smile Design for emergency dental care as soon as possible. A chipped or cracked tooth requires professional attention, as bacteria may gather in these areas, potentially causing infection that could require a root canal. Remember, you may be capable of managing pain, bleeding, and swelling at home, but by visiting our office for immediate treatment, you can fight infections and minimize lasting damage to your mouth, teeth, and gums under the expert care of our emergency dentist.

24/7 Emergency Dental Care

Northwest Smile Design is proud to offer emergency dental care around the clock, seven days a week. Dental emergencies do not wait for regular business hours, and if you experience a serious dental emergency, you need immediate treatment. Whether you have a broken tooth or if you have bitten through your tongue, do not hesitate to visit us day or night. Until you arrive at our office, however, there are some helpful steps you can take if you encounter a serious dental dilemma.

Managing Your Dental Emergency

If a toothache is causing problems, you can probably keep the discomfort under control until our emergency dentist can treat you. Start by checking the gums that surround the affected tooth for inflammation, bleeding, or foreign objects. There may be food lodged in the gum that could be removed by flossing. You can control pain by placing a cold compress against your mouth, or by using an over-the-counter oral numbing agent.

More serious situations may be extremely time sensitive, and require immediate emergency attention. For example, if a tooth is completely knocked out, carefully clean it with water. Try to place the tooth back into its socket or briefly store it in a cup of milk if it will not fit back into the gum. Never pick up a tooth by the root or force it into the socket. Come straight to our office, as your tooth will need to be replaced within a short amount of time. Similarly, if you have bitten through your lip or tongue, the American Dental Association recommends carefully cleaning the area before coming as quickly as you can to our emergency dental office for treatment.

Remember, there is no reason you should live with discomfort. By visiting our Marysville, WA office immediately in an emergency, you can take control of your oral health comfortably and safely.

What is Hand-Foot-and-Mouth Disease?

August 6th, 2013

Hand-foot-and-mouth disease, or HFMD, is a type of contagious viral illness that causes a rash in the mouth and on the hands and feet of infants and young children, and, while rare, adults. Characterized by sores in the mouth and a rash on the hands and feet, hand-foot-and-mouth disease is most commonly caused by a coxsackievirus, a bacterium that lives in the human digestive tract. HFMD can spread from person to person, typically via unwashed hands.

What are the symptoms of HFMD?

Symptoms of HFMD usually begin with a fever, sore throat, poor appetite, or general malaise. A couple of days after the fever starts, kids may develop painful sores in the mouth. A skin rash characterized by red spots may also develop, usually on the palms of your child’s hands and soles of their feet. It’s important to note some children may only experience a rash while others may only have mouth sores.

Is HFMD serious? Should we be concerned?

Usually not. Nearly all children infected recover anywhere between seven to ten days without medical treatment. Rarely, however, a child can develop viral meningitis and may need to be hospitalized. Other rare complications of HFMD can include encephalitis (brain inflammation), which can be fatal.

How can my child prevent HFMD?

There is no known vaccine to defend your child against HFMD. However, the risk of your child contracting the disease can be reduced by:

  • Making sure your child washes his or her hands often
  • Thoroughly cleaning objects and surfaces (these include doorknobs and toys)
  • Making sure your child avoids close contact with those who are infected

To learn more about hand-foot-and-mouth disease or to schedule an appointment for your child, please give us a call at our Marysville, WA office!

Welcome to Our Blog!

January 29th, 2013

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff - we hope this will be a valuable resource for our patients, their families, and friends!

(360) 658-7750 5100 Grove St, Ste B
Marysville, WA 98270

Office Hours

Mon 8:00am-5:00pm
Tues 8:00am-5:00pm
Wed 8:00am-5:00pm
Thurs 8:00am-5:00pm
Fri Closed
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