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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!

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.

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!

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.