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What to do about Sensitive Teeth

December 10th, 2018

If you suffer from sensitive teeth, you already know the frustration of having a type of pain that is hard to deal with. Because tooth sensitivity is sometimes unpredictable, you can't necessarily take medication to ward off the pain like you could if you just felt a headache coming on.

However, there is still something you can do about sensitive teeth. Use the following tips to help put your sensitivity and pain problems with your teeth behind you!

Use the Right Toothbrush: Select a toothbrush made just for sensitive teeth, or the softest bristles possible. This helps you avoid putting any extra pressure on your teeth or gums.

Choose a Special Toothpaste: There are several good options for toothpastes made just for sensitive teeth today. Usually, toothpaste formulated for sensitive teeth will be fluoridated and use a non-abrasive formula. The toothpaste will help with the pain usually associated with brushing and flossing if you use it regularly.

Avoid Trigger Foods: You may have noticed certain trigger foods that cause tooth sensitivity and pain for you. Avoid these foods whenever possible, and if you absolutely must eat them, try to consume them in very small quantities. Trigger foods may include:

  • Foods with high acid content for example citrus fruits
  • Very hot or very cold foods
  • Hard or crunchy foods

Visit Our Office

If your sensitive teeth problem is too serious to manage on your own, a visit to our Sedro-Woolley or Bellingham, WA office may be in order. There are a couple of ways Drs. Olivia Collier and Jon Engelby can help:

  • Fluoride Treatments: We can put a special fluoride formula on the most sensitive areas to help make your enamel stronger and to help lower pain levels.
  • Sealing Exposed Roots:In some cases, your roots become exposed due to a receding gumline, which in turn causes teeth sensitivity and pain. We can apply a dental sealant that protects the exposed roots and reduces your pain dramatically.

Pros and Cons of Veneers

December 3rd, 2018

You might have a small chip in a tooth from an unfortunate encounter with peanut brittle, or even several chips from a touch football game that got a little out of hand. Perhaps you have a gap in your teeth that you’ve always wanted to address. Or it could be that you are not happy with the shape or color of your teeth, and are looking for a straighter, brighter smile. In all these cases, veneers may the perfect solution for you.

Veneers are one of the most dramatic ways to improve your smile:

  • Realistic Appearance: A dental veneer is a thin shell of porcelain that is bonded to your tooth. Because they are semi-translucent, much like actual enamel, veneers look like natural teeth.
  • Rapid Transformation: Normally, the application of veneers requires only a few visits. Your tooth will be shaped to accommodate the veneer for a smooth, flat appearance. A mold will be made to ensure an exact fit. On a subsequent visit, the new veneer will be bonded to the tooth permanently.
  • Whiteness that Lasts: Veneers are stain-resistant, so if you are looking for a long-lasting bright smile, they are a good option. (If you are getting only a few veneers, it is a good idea to have your natural teeth whitened to the shade you desire before the veneer color is selected. Veneer color is permanent.)

There are also some aspects to consider before going ahead with the procedure:

  • Be Sure About Your Decision: Veneers are a permanent choice. Some enamel might need to be removed for the veneer to fit and the surface of your tooth will be treated to allow the veneer to bond to it properly.
  • Check Your Overall Dental Health: You should have a check-up before starting the process to make sure your teeth and gums are healthy enough for veneers. If you have severe orthodontic issues, grind your teeth, or have a habit of clenching your jaw, your veneers will be put under pressure they were not designed to take. We can let you know if you are a good candidate for this procedure.
  • Expense: Veneers are more expensive than some other options, such as whitening and bonding, but can offer more benefits. Veneers will cover staining that whitening cannot eliminate. Their translucent quality makes them look more realistic than bonding, and they are also far more stain resistant. The cost of a crown might be comparable, and a crown is recommended if there is significant damage to the underlying tooth. If you are looking for cosmetic improvement only, veneers leave more of the tooth intact.
  • Longevity: Veneers do not last forever, and will need to be replaced eventually. However, they can have a life expectancy of ten to 15 years, and we can give you tips to keep your veneers looking and lasting their best.

If you decide veneers are right for you, give our Sedro-Woolley or Bellingham, WA office a call. We will be happy to discuss the procedure with you and help you discover the best possible path to your best possible smile.

Antibiotic Prophylaxis or Pre-Medication

November 26th, 2018

At CE Family Dental, 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, Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Amalgam Fillings vs. White Fillings

November 19th, 2018

Many varieties of fillings are available at our Sedro-Woolley or Bellingham, WA office. Most people are familiar with traditional amalgam fillings: those big silver spots on top of teeth.

Made from a mixture of silver, tin, zinc, copper, and mercury, amalgam fillings have been used to fill cavities for more than 100 years. They offer several advantages, including:

  • High durability for large cavities or cavities on molars
  • Quick hardening time for areas that are difficult to keep dry during placement
  • Reduced placement time for children and special-needs patients who may have a difficult time keeping still during treatment

Although dental amalgam is a safe and commonly used dental material, you might wonder about its mercury content. You should know that when it’s combined with the other metals, mercury forms a safe, stable material.

The American Dental Association, U.S. Centers for Disease Control and Prevention, U. S. Food and Drug Administration, and World Health Organization all agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material.

White Fillings

Newer, mercury-free, resin-based composite fillings (white fillings) are also available at our Sedro-Woolley or Bellingham, WA office. Composite resin fillings are made from plastic mixed with powdered glass to make them stronger.

Resin-based fillings offer several benefits for patients, including:

  • They match the color of teeth
  • Less tooth structure needs to be removed than with amalgam fillings
  • BPA-free materials can be used

Resin-based composite fillings also have some disadvantages, including:

  • Higher cost than amalgam fillings
  • Inlays may take more than one visit
  • Requires more time to place than amalgam fillings

There’s a lot to think about when you have to get a cavity filled. We recommend you do your homework and speak with Drs. Olivia Collier and Jon Engelby before deciding what’s best for you or your family.

Generic Clear Aligners vs. Invisalign®

November 12th, 2018

You may have a talent for home repairs. You may be able to rebuild your computer. You may even be able to put together a whole room of furniture armed only with flat-box kits and an Allen wrench. But, please—don’t try do-it-yourself orthodontics!

Now that generic clear aligners are available, you might consider giving them a try to save some money. But is straightening your own teeth really a good idea? Before you are tempted, let’s look more closely at the products and the dental science involved.

Invisalign®

  • Invisalign clear aligners are used by orthodontists and dentists with experience in custom treatment for your smile. A 3D image of your teeth will be captured by the iTero Element® scanner. Using special software, your doctor can map out each projected shift in your teeth, and even show you a projection of your finished smile!
  • Your Invisalign aligners will be tailored to fit your teeth precisely using the 3D scan and 3D printing. They are made from SmartTrack® material, a product specifically engineered for a perfect, comfortable fit. Invisalign aligners are even trimmed to fit your individual gumline to prevent irritation.
  • When your first sets of Invisalign aligners arrive at our Sedro-Woolley or Bellingham, WA office, Drs. Olivia Collier and Jon Engelby will check for fit, answer any questions you might have about use and care, and let you know what to look for and what to expect. Your progress will be monitored with visits every six to eight weeks. (And for parents of teens, Invisalign aligners can offer blue “compliance indicators” to let you know they are being worn the 20-22 hours a day necessary for the best and fastest results.)

Generic Aligners

  • You might be required to make a putty mold of your own upper and lower teeth, which is not the easiest thing to do well, and to take selfies of your teeth.
  • The aligners will be sent to you in the mail. They are generally made of hard plastic with generic gumlines. There will be no one to tell you if the aligners fit properly.
  • They are sometimes less expensive because there is no in-person medical supervision. A dental professional working for the company will look at the model created from molds you submit, and recommend a series of aligners to correct the problems he detects by looking at the model and your selfies. This supervisor will not be able to assess the overall dental health of each patient to make sure teeth and gums are healthy and ready to start treatment, and will not be able to tell if the teeth are moving properly or improperly once the aligners are in use.

Finally, while generic aligners may potentially have some success in minor tooth straightening, they are not created to deal with complex bite issues or malocclusions.  In fact, using generic aligners with no supervision can cause more serious dental problems than a patient started with.

Sure, sometimes a do-it-yourself project turns out well. But your teeth and bones are too important for home improvement. When it comes to creating a beautiful, even smile and balanced, comfortable bite while making sure of your dental health, it’s always best to trust a professional like Drs. Olivia Collier and Jon Engelby to provide you with gentle, tested, and successful care!

Can I use mouthwash instead of flossing?

November 5th, 2018

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, Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

Should Adults Continue Fluoride Treatments?

October 29th, 2018

Many adults wonder if they should continue to receive fluoride treatments. Our team at CE Family Dental wants to set the record straight about the usefulness of fluoride treatment for adults.

There are several reasons fluoride treatments could be beneficial to you as a grownup. If you have a high risk for cavities, topical fluoride applications can cut down on that risk.

If you’re experiencing gum recession that’s softening your enamel, fluoride treatments can slow down that process. Fluoride treatments may also protect expensive restorative work on crowns or bridges that may be adversely affected by plaque.

In addition, fluoride can also protect teeth in adults who have orthodontic braces or who sometimes neglect to keep up with daily oral hygiene regimens such as flossing and using mouthwash.

Do you have sensitive teeth? Consuming foods that are highly acidic or using teeth-whitening products can lead to irritated gums. Fluoride treatments remineralize your enamel and reduce sensitivity.

If you’ve undergone radiation treatment for cancer, fluoride can help restore any dry-mouth damage that may have developed during that time. Saliva acts as a buffer against the foods we eat, and without enough of it you may be more likely to get cavities.

In general, fluoride treatments are not always necessary for adults, but they can be beneficial to your overall oral hygiene depending on your situation. If you fall into one of the general areas listed above, ask about a fluoride treatment during your next visit at our Sedro-Woolley or Bellingham, WA office.

We can also go over your options to treat other issues you may experience in terms of your oral health. Until then, make sure to take care of your teeth properly and use toothpaste or mouthwash that contains fluoride on a regular basis.

Should I fix my chipped tooth?

October 22nd, 2018

It was a small fall! A miniscule piece of popcorn! A minor foul on the basketball court! But now there’s a chip in your otherwise perfect smile. Is a chipped tooth worth calling Drs. Olivia Collier and Jon Engelby?

Any time your tooth is injured is time to call our Sedro-Woolley or Bellingham, WA office. Even a small chip can affect your tooth structure and should be evaluated. We will also want to check your tooth and gums to make sure there is no underlying injury that could be more serious, and to treat your tooth as soon as possible so that no further damage occurs.

A very small chip might need nothing more than smoothing and polishing to remove sharp edges. A small chip in your enamel can be repaired with dental bonding, where a composite like those used to fill cavities will be shaped to cover and fill the chip. This composite will be matched to your tooth color for a seamless repair. A porcelain veneer is also an option for you. These procedures will restore the look of your tooth and protect it as well, because even a small chip can lead to tooth sensitivity or further damage in the future.

A larger chip, such as a fractured cusp, might require a crown. But a large chip might also mean that the inside of the tooth has been compromised. If the dentin or pulp are affected, pain, infection, and even tooth loss could result. A root canal might be necessary to preserve the tooth, so prompt treatment is necessary.

Regardless of the size of the chip, call our Sedro-Woolley or Bellingham, WA office as soon as possible. We can give you tips for pain management, if needed, until you see us. If you can save the chip, bring it with you when you visit in case there is the possibility of bonding it to the injured tooth.  But even without that missing piece, there are ways to restore the look of your original tooth. Remember, repairing a chipped tooth is not just cosmetic. We want to keep your smile healthy, as well as beautiful!

Camping Oral Health Tips

October 15th, 2018

If your idea of camping is a quiet walk through the woods before returning to your rustic hotel, your regular brushing habits will be perfect for your trip. But if you are hiking into the mountains with your tent, backpack, and camp food, Drs. Olivia Collier and Jon Engelby and our team have some suggestions to adapt your dental routine to the great outdoors.

Water

If you wouldn’t drink it, don’t brush with it! Use bottled water if you have brought it, or make sure the local water is safe by using a testing kit. Boiling, filters and purification tablets are all ways to make sure the water tests clean and safe.

Toothpaste

You aren’t the only one in the woods who finds your toothpaste tasty. Bears, raccoons, and other animals are attracted to the scent of your toothpaste, so keep it safe with the same kind of tightly sealed, odor-proof container that you keep your food in. And if you want to discourage unwanted visitors, don’t spit your toothpaste out at your campground! It’s better to go some distance from your site and bury any paste, and best of all to spit used toothpaste into a container that can be tightly closed and removed from the campsite when you head for home. This practice protects you and the environment as well, since toothpaste can be harmful to small animals and plants.

Toothbrush

While there are disposable and camping toothbrushes available, a regular toothbrush will work as well. Normally, air-drying is the healthiest option for drying your toothbrush, but camping is an exception. Just as animals are attracted to toothpaste, they are also attracted to your toothpaste-scented toothbrush. Keep it in a sealed container that is odor-proof.

Floss

There are websites devoted to the many ingenious ways to use dental floss while camping, but we recommend the original use. Don’t forget to floss regularly, keep it in a sealed container, and do be sure to take used floss out of the area with you.

Even though you are roughing it, stick with your home routine as much as possible. If you are unable to brush as usual, rinse your mouth well with clean water and brush when you can. Have a great trip, and just one more thought—maybe go easy on the s’mores. Let us know all about your trip during your next visit to our Sedro-Woolley or Bellingham, WA office!

Improve Your Overall Health with Regular Cleanings

October 8th, 2018

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 Sedro-Woolley or Bellingham, 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 Drs. Olivia Collier and Jon Engelby. 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 CE Family Dental at our Sedro-Woolley or Bellingham, 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.

Make Your Smile Dazzling For Your Wedding!

October 1st, 2018

Planning a wedding can be a highly stressful time. Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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 CE Family Dental 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 Sedro-Woolley or Bellingham, WA office and ask about our whitening treatment options.

Why Visiting the Emergency Room for Your Dental Problem isn’t a Good Idea

September 24th, 2018

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 CE Family Dental 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 Sedro-Woolley or Bellingham, WA office at any time, day or night.

Why do wisdom teeth need to be removed?

September 17th, 2018

Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental get this question a lot. Wisdom teeth are the last teeth to come in, once young people get their adult teeth. Because they are the last teeth to break through the gums, they are often called the third molars. There are four wisdom teeth: two on each side of the top and bottom of the mouth.

There is no hard-and-fast rule that says everyone must have the wisdom teeth removed. There are certain situations in which they either cause problems directly, or create a situation where there is a greater likelihood problems will arise eventually.

Impacted wisdom teeth

If Drs. Olivia Collier and Jon Engelby and our team say you have a soft tissue impaction, it means your wisdom tooth is covered by gum tissue that is preventing it from erupting — most likely because your mouth is too small to provide the tooth with the room it needs to emerge.

The term “partial bony impaction” means that gum tissue is covering the wisdom tooth, but part of the jaw bone is also covering it, in which case there is no room in your mouth for the tooth to erupt. The opposite end of this spectrum is a complete bony impaction, where the wisdom tooth is completely covered by gum tissue and the jawbone, which prevent it from ever erupting.

The importance of removing impacted wisdom teeth

Dentists often want to remove impacted wisdom teeth because of the likelihood that they will cause problems, or because a problem already exists. One such problem is pericoronitis, an acute abscess that affects partially impacted wisdom teeth. Food, bacteria, and other mouth debris can become lodged under the gum flap that covers the wisdom tooth, which prevents it from erupting. Pericoronitis symptoms include pain, swelling, and the presence of an abscess.

Regular dental checkups will enable your dentist to keep an eye on your wisdom teeth, especially if they have some type of impaction. Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental typically recommend removal of impacted wisdom teeth because of the likelihood that severe infections such as pericoronitis will develop.

If you have any questions about wisdom teeth, or if you would like to schedule an appointment with Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Headaches: The Dental Connection

September 10th, 2018

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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, 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 CE Family Dental 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.

Famous Dentists in History

September 6th, 2018

Every six months or so you head down to your local dentist for a teeth cleaning, but have you ever thought that your dentist could one day be famous? Well, the chances are unlikely, however, there have been a number of dentists throughout history that have achieved acclaim and celebrity coming from a profession that is not typically associated with such regard. Here are a few examples:

Doc Holliday

Perhaps most famous for his gun fight at the O.K Corral alongside his buddy, Wyatt Earp, but "Doc" also had a day job as a dentist. He was trained in Pennsylvania and later opened a thriving practice near Atlanta. Sadly, Holliday came down with a case of tuberculosis and had to close his practice. He then packed his stuff and moved west, and we all know how the rest of the story goes.

Mark Spitz

Known around the world as a champion swimmer, Spitz was actually accepted into dentistry school before he became an Olympic gold medalist. While he ultimately decided not to attend school, it's safe to say he made the right choice considering he now has seven gold medals.

Paul Revere

The most famous dentist to come out of the American Revolution, Paul Revere was a man of many hats. He, of course, is known throughout history books for warning the colonies of the impending British troops on the attack, but when he wasn't involved in the fight he had a few different jobs. He was a silversmith, but also advertised his services as a dentist. More specifically, he specialized in making false teeth for people in need.

Miles Davis' Father

Miles Davis Jr. was one of the most acclaimed and influential jazz musicians of all time and his dad was a dentist. Miles Davis Sr. had a thriving dental practice and was a member of the NAACP. Dentistry was how he paid the bills and provided for Miles Jr., so in some ways it seems we all have the dental profession to thank for allowing Miles Jr. to become such a fantastic musician, and treating us to his jazz stylings.

Drs. Olivia Collier and Jon Engelby may not be famous, but you’ll still receive excellent care each and every time you visit our Sedro-Woolley or Bellingham, WA office.

September is National Gum Care Month!

September 3rd, 2018

Can you believe it's already September? At CE Family Dental, 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!

Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office as soon as possible. Drs. Olivia Collier and Jon Engelby 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.

Invisalign® and Invisalign Teen® Make You Smile

August 27th, 2018

Many adults and teens in our Sedro-Woolley or Bellingham, WA office would love to have their teeth straightened but are unwilling to go through the long and often embarrassing process of wearing traditional metal braces. Invisalign® and Invisalign Teen® clear aligners offer the perfect solution: They’re the most advanced clear aligner systems in the world!

If you’re considering getting braces, there are several reasons why you might want to consider Invisalign clear aligners. Here are some of them:

  • You can eat whatever food you like, without worrying about it catching in wires or breaking brackets.
  • People won’t likely be able to tell you’re wearing them!
  • The aligners can be removed at any time.
  • You can brush and floss as you normally would, which helps to maintain better overall oral health.
  • Invisalign aligners are made of a smooth BPA-free plastic and are more comfortable to wear than traditional braces. You’ll need to visit our Sedro-Woolley or Bellingham, WA office less often: only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before starting treatment, you’ll have a consultation with Drs. Olivia Collier and Jon Engelby to see if Invisalign or Invisalign Teen treatment is right for you. After that, you’ll have X-rays, pictures, and impressions taken of your teeth.

That information will be used to make the 3D models of your teeth that let Drs. Olivia Collier and Jon Engelby see how they will move throughout the entire treatment and approximately how long it will take.

You’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. All you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter smile in no time!

Ask a member of our Sedro-Woolley or Bellingham, WA team for more information about Invisalign clear aligners today!

What are Sealants?

August 20th, 2018

Sealants offer many benefits, but the best is their ability to protect your molars. Molars are full of small caverns that can be the perfect breeding ground for tooth decay and plaque buildup.

Use of protective sealants prevents this buildup from happening. Although children often receive sealants for routine preventive care, they aren’t the only ones who can benefit from this treatment. Sealants can also help adults who have deep canyons or grooves in their teeth.

They are commonly placed on the rear molars that tend to suffer the most decay. Because your molars are used substantially as grinding surfaces, food is more likely to be trapped among them.

Sealant solution consists a composite material that contains bonding agents that seal the top of your teeth. The process is quick and painless, which makes it a great solution for both children and adults who have had trouble with cavities and tooth decay. Sealants also last for several years, and repair is a simple process that can be completed by Drs. Olivia Collier and Jon Engelby.

The process of putting sealants on teeth starts with the tooth getting cleaned. We clean it with a type of baking soda spray called sodium bicarbonate. Then acid is etched onto the teeth to rough up the surface.

We apply an alcohol-based liquid to dry the area where the sealant is supposed to go. After it completely covers the surface of the treated teeth, the sealant is cured with a light that makes it hard and long-lasting.

Getting sealants can prevent the possible restorative costs that come from cavities. Sealants help to protect your tooth’s enamel from harmful acids and prevent decay, which can be an investment in itself. The whole process is quick, so it should be easy to schedule an appointment at CE Family Dental.

Feel free to call our Sedro-Woolley or Bellingham, WA location and we can answer any questions you have about this service.

Timing Matters!

August 13th, 2018

Many patients at CE Family Dental 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

Adults Can Get Cavities Too

August 6th, 2018

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, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

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

July 30th, 2018

Absolutely. Checking in with Drs. Olivia Collier and Jon Engelby on a regular basis—usually every six months—is essential to keeping your smile looking its best. At CE Family Dental, 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 Sedro-Woolley or Bellingham, 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, Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA dental office to schedule your routine checkup! See you soon!

Getting to the Bottom of Chewing Gum Myths

July 23rd, 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. Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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!

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

July 16th, 2018

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, Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby at our Sedro-Woolley or Bellingham, WA office, please give us a call!

Which toothpaste should I use?

July 9th, 2018

Toothpastes come in many forms and boast different flavors, benefits, and endorsements. All are designed to remove surface bacteria and prevent the buildup of plaque that can cause tooth decay. With so many choices, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental know that selecting the right toothpaste can be intimidating. After all, some benefits are welcome bonuses, while others are absolutely essential. So how can you know which toothpaste is best for you?

ADA Seal of Approval

While all toothpastes must first be approved by the Food and Drug Administration for sale to consumers, the American Dental Association puts these products through further rigorous tests for safety and effectiveness. Toothpaste that boasts the ADA Seal of Approval can be trusted to do exactly what it claims.

Fluoridated

Fluoride is an essential ingredient in a daily toothpaste. It helps to protect the tooth from decay by removing plaque and strengthening the enamel. Although fluoride is found in many public water supplies, many people are deficient in it due to the consumption of bottled water instead of tap water. All toothpastes with the ADA Seal of Approval contain fluoride.

Other benefits

If a toothpaste meets the ADA’s standards and contains fluoride, the next step is to clear it with your dentist. This is especially true if you decide to use a whitening toothpaste, which often contains abrasives to remove surface stains. Though abrasives are an effective aid in tooth whitening, they may not be recommended if you have weak tooth enamel.

Specialty toothpastes

In certain situations, Drs. Olivia Collier and Jon Engelby may suggest or prescribe specialty toothpaste, depending on your oral health needs. For example, patients who are prone to tooth decay and cavities despite frequent brushing and flossing may benefit from prescription-strength fluoridated toothpaste to help prevent the weakening of tooth enamel. Others who suffer from tooth sensitivity may benefit from the use of desensitizing toothpaste. Talk with Drs. Olivia Collier and Jon Engelby if you think a specialty toothpaste could be right for you by scheduling an appointment at our Sedro-Woolley or Bellingham, WA office.

Happy Fourth of July

July 2nd, 2018

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.

Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental wish you a safe and happy Fourth of July!

The Effects of Sleep Apnea on Dental Health

June 25th, 2018

Sleep apnea is an increasingly common medical condition, and one that can have a truly devastating effect on the waking life of the sufferer. Those who suffer from the disorder may find that they suffer any or all of the following side effects:

  • Saliva has several important jobs, and one of them is to protect and heal your tongue, your gums, and the inside of your mouth. Snoring and sleep apnea dry out your mouth, meaning there isn’t enough time for your saliva to do all this vital work.
  • Over an extended period of sleep apnea, it’s likely that the sockets of your teeth will begin to dry out overnight as a result of your gasping for air and snoring between breaths. If this happens too frequently over a long a period of time, it can start to loosen your teeth.
  • Those with sleep apnea often also practice bruxism, which is the habit of clenching and grinding your teeth together as you sleep. This can lead to all manner of problems, including TMJ disorder, damage to the enamel, headaches, and toothaches.
  • For obvious reasons, sleep apnea does not lead to a particularly good night’s sleep. This means that sufferers are often tired and irritable, and suffer from the many other ill effects of sleep deprivation.
  • While it is unclear whether the reasons behind this are correlative or causative, it has been suggested there are links between sleep apnea and cardiac arrests, depressive disorders, Type Two diabetes, cancerous tumors, “silent” strokes, and various complications of pregnancy.

While sleep apnea can be a troubling condition, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental will tell you it is eminently treatable. There are a number of ways to combat it, ranging from simple sleep hygiene to use of a CPAP machine. Of course, if it is possible for you to reduce your weight a little in a safe and healthy way, some have found that is also helpful in combating the problem. Sleep apnea is very easy to treat, once it has been correctly identified.

If you think you may be suffering from sleep apnea, or if you would like to know more about the condition, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office to schedule an appointment with Drs. Olivia Collier and Jon Engelby.

The Secret to Keeping Your Teeth for Life

June 18th, 2018

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 Sedro-Woolley or Bellingham, 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; Drs. Olivia Collier and Jon Engelby 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. Drs. Olivia Collier and Jon Engelby 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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA team any questions you have; together we can make your teeth last for life.

Dental Infections

June 11th, 2018

Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Getting Ready for Summer Sports

June 4th, 2018

With the warmer and longer days here, we know many of our patients at CE Family Dental 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 CE Family Dental 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 Sedro-Woolley or Bellingham, WA office! Have fun!

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 28th, 2018

“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 CE Family Dental 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 Sedro-Woolley or Bellingham, WA area or beyond, Happy Memorial Day to you and yours from Drs. Olivia Collier and Jon Engelby!

Proper Flossing Techniques

May 21st, 2018

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, Drs. Olivia Collier and Jon Engelby and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

  1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
  2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
  3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
  4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
  5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
  6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to CE Family Dental, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn't have to. This easy-to-prevent condition can be avoided with regular visits to our Sedro-Woolley or Bellingham, WA office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

What is a root canal?

May 14th, 2018

A root canal entails the removal of the nerve supply from a tooth. If you know the purpose of a root canal, the process may seem a little less intimidating.

Drs. Olivia Collier and Jon Engelby will explain the steps in person before your scheduled root canal. Here are some reasons why you may need one and how it will be done when you visit our Sedro-Woolley or Bellingham, WA office for your appointment.

Let’s look at the parts of a tooth. Teeth are made up of layers. The outside is the enamel you see, which is composed of minerals. The middle layer is called dentin. It is less dense and made of calcified tissues.

The center of the tooth, also known as the pulp, holds the nerves and blood vessels. When a tooth has decayed or been infected all the way down to the pulp, a root canal is used to remove and replace the root with a filling.

A cavity, sudden trauma, severe cracks, or other events that may cause nerve damage can start an infection of the root of your tooth. You may notice an infection if you experience abnormal pain, swelling, sensitivity, or change in tooth appearance.

Don’t hesitate to contact our Sedro-Woolley or Bellingham, WA office to schedule an examination if you notice these symptoms. We may need to take X-rays of the problem tooth to find out if a root canal is necessary.

Once an appointment is scheduled for a root canal and we’re ready to begin the procedure, you’ll be given anesthesia to keep you comfortable. The problem tooth will be isolated and sterilized. We work to remove all the infected area after that.

The treatment will include getting rid of nerve tissue and blood vessels, then filling in the spot where the nerve used to be. A crown is placed over the area to secure enamel from breaking down in the future and prevent the potential loss of the tooth. The root canal can block the possibility of having your tooth extracted due to decay or infection.

If you have further questions about root canals or notice any new issues in your mouth, please don’t hesitate to call our office and speak with a member of our staff. We’d be happy to answer your questions and schedule an appointment for you to come and get your problem tooth checked out.

Don’t forget: You can avoid having to undergo a root canal if we catch the problem early on!

Summer is Almost Here: Tips for a bright, white smile!

May 7th, 2018

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at CE Family Dental.

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!

How do I prevent oral cancer?

April 30th, 2018

The fact is, according to the Oral Cancer Foundation, close to 40,000 Americans will be diagnosed with oral or pharyngeal cancer this year, resulting in more than 8,000 deaths. Men face twice the risk of developing oral cancer as women, and men who are over age 50 face the greatest risk. The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. The five-year survival rate is only 50 percent, and oral cancer, which is the sixth-most common diagnosed form of the disease, is one of the few cancers whose survival rate has not improved. Today, Drs. Olivia Collier and Jon Engelby and our team would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene to prevent the disease.

So, what can you do at home to take an active role in preventing oral cancer?

The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. In addition, we encourage you to:

  1. Conduct a self-exam regularly. Using a bright light and a mirror, look at and feel your lips and gums. Try tilting your head back to look at and feel the roof of your mouth, and pull your cheeks out to look inside of your mouth, the lining of your cheeks, and your back gums. Pull out your tongue and look at all surfaces. Feel for lumps or enlarged lymph nodes in both sides of your neck and under your lower jaw. Please give us a call immediately if you notice any changes in the appearance of your mouth or any of the signs and symptoms mentioned above.
  2. Don’t smoke or use any tobacco products and drink alcohol in moderation.
  3. Eat a well-balanced diet. This includes eating a wide variety of foods from the five primary food groups on a daily basis to meet the recommended amounts of vitamins, minerals, carbohydrates, proteins, and fats you need in a given day.
  4. Limit your exposure to the sun. Repeated exposure increases the risk of cancer on the lips, especially the lower lip. When out in the sun, be sure to use UV-A/B-blocking sun protective lotions on your skin as well as your lips.

Please let us know if you have any questions about your oral health, either during your next scheduled visit, by giving us a call, or asking us on Facebook.

Suffer from tooth discoloration? Don’t panic!

April 23rd, 2018

Like many other parts of the human body, teeth age. You may look at old photos and realize your smile was significantly brighter in the past than it is now. Many adults experience tooth discoloration and find it embarrassing.

The good news is there are treatment options! The first step to recovering your bright smile and finding appropriate treatment is to determine what’s causing the discoloration.

There are multiple reasons for tooth discoloration. Some are under your control, but unfortunately, others may not be. Glance at the list below and see if you can pinpoint the cause of your tooth discoloration.

  • Poor Dental Hygiene: This one is obvious. There’s a reason your parents (and dentist) always told you to brush and floss three times a day.
  • Genetics: A big part of your dental health is determined by genetics; in other words, what runs in your family. Sometimes people inherit naturally discolored teeth.
  • Diet: Do you eat sugary foods often? Drink lots of soda? Gulp more than two cups of coffee a day? Are you an energy drink fan? We’re not pointing any fingers ... but you should do the math.
  • Tobacco: Because cigarettes contain nicotine, they can readily stain your teeth. So hardcore smokers often develop prominent brown stains.
  • Medications: Medicines such as doxycycline, tetracycline, antihistamines, blood-pressure medications, and antipsychotic drugs can all create tooth discoloration as a side effect. (If you suspect this could be the case for you, don’t ever discontinue your medication without consulting your doctor first!)

Did you find the culprit? Perhaps the easiest way to avoid tooth discoloration in your case might be to make some simple adjustments to your diet and other habits.

Also, when you consume drinks or foods that are high in acid or sugar content, take a moment to rinse your mouth with water afterward. If you’re an avid tobacco user, you may want to reconsider that; especially because it can have deadly effects that go way beyond your smile.

Drs. Olivia Collier and Jon Engelby can also suggest other treatment options. While over-the-counter agents do help, in-office whitening treatments tend to be more effective. If whitening agents don’t alleviate the problem, you may want to consider bondings or veneers.

If you’re worried about discoloration of your teeth, or have any questions about how to treat it, please feel free to reach out to our Sedro-Woolley or Bellingham, WA office! We can help you identify what may be causing the problem and work with you to give you a smile you’ll be proud of.

Every Day is Earth Day

April 16th, 2018

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 CE Family Dental wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

Are you nervous about seeing the dentist? You’re not alone!

April 9th, 2018

With advances in modern dentistry, a trip to CE Family Dental these days is pretty routine. But visiting Drs. Olivia Collier and Jon Engelby and our team still makes some patients anxious—so much so that they don’t go as often as they should and end up with costly complications down the road, such as tooth decay or gum disease.

When it comes to dental care, prevention is the best medicine. And that begins with regular checkups and dental cleanings at our convenient Sedro-Woolley or Bellingham, WA office. Today, we thought we would offer five tips for taking the pain out of a visit to see Drs. Olivia Collier and Jon Engelby:

1. Ask yourself: What are you most afraid of? Is it the sound of the drill? Do you have needle phobia? Have you been traumatized by previous dental visits? Write down your fears, one by one and talk about them during your visit.

2. Don’t wait. The more frequently your visit our office, the less work will need to be done at any given visit. Simply having your teeth cleaned professionally by Drs. Olivia Collier and Jon Engelby twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your appointment. Just plug in those earphones, close your eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Unwind. Inhaling slowly and counting to five helps. Try holding your breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed.

5. Ask us. Before any given procedure, we encourage you to ask Drs. Olivia Collier and Jon Engelby or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing, what the tool is used for, and how it benefits you. Also, please ask about anti-anxiety medications we may prescribe to help you relax during your appointment.

If you suffer from dental anxiety, a visit to CE Family Dental might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Sedro-Woolley or Bellingham, WA office, there is nothing to be afraid of.

Remember, you’re not alone. We understand that going to the dentist isn’t easy for everyone. In fact, the Journal of the American Dental Association estimates that as many as 12 percent of adults suffer from dental anxiety so bad that they avoid the dentist altogether. Many more suffer from varying degrees of dental anxiety, which often results in poor oral health.

If you suffer from dental anxiety, your fears don’t have to keep you from seeing Drs. Olivia Collier and Jon Engelby. Our patients at CE Family Dental 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 Sedro-Woolley or Bellingham, WA office. We hope to see you soon!

Oral Cancer Awareness Month

April 2nd, 2018

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 Sedro-Woolley or Bellingham, 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!

When do children usually lose their baby teeth?

March 26th, 2018

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?

Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby.

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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby at our Sedro-Woolley or Bellingham, WA office, please give us a call today!

Periodontics and Pregnancy

March 19th, 2018

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 Sedro-Woolley or Bellingham, WA office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office for more information.

Go Green for St. Patrick’s Day

March 12th, 2018

Millions of people, around Sedro-Woolley or Bellingham, 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. Drs. Olivia Collier and Jon Engelby 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 CE Family Dental!

Are your teeth ready for the big day?

March 5th, 2018

Capturing the Moment

At CE Family Dental 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 Sedro-Woolley or Bellingham, WA to think of Drs. Olivia Collier and Jon Engelby!

Oral Health for the Young Adult

February 26th, 2018

Young adults often have the reputation of not taking good care of themselves. You may feel invincible, and not realize how much your behaviors now can affect your health later in life. Oral health is one area that is easy to neglect now, but that can lead to serious financial and quality of life consequences later.

Follow a Good Oral Care Regimen

If you don’t already do so, it’s time to brush, floss, and rinse as Drs. Olivia Collier and Jon Engelby taught you. Brush at least twice a day or after meals, and floss your teeth every day. If recommended, use mouthwash to kill germs in your mouth. If you are not able to brush your teeth after eating, swish water around in your mouth to remove the food from your teeth. Leaving carbohydrates in your mouth allows bacteria to ferment it and produce acid, which can destroy your tooth enamel and put you at risk for decay.

Visit Our Office Regularly

Young adulthood can be a challenging time when it comes to medical care. Your parents are no longer paying for your health insurance or taking you to your appointments. You may not worry much about getting regular cleanings and exams, especially if you’re paying for them yourself.

However, young adults have a lot to gain from visiting our Sedro-Woolley or Bellingham, WA office regularly. We can check for signs of problems and fix them early, which can save thousands of dollars and, ultimately, your teeth. These are some examples of what Drs. Olivia Collier and Jon Engelby and our hygiene team can do for you.

  • Get rid of plaque so it does not develop into tartar and cause periodontitis.
  • Identify and fill small areas of tooth decay to prevent it from progressing.
  • Examine your gums for signs of gingivitis, or early gum disease.

Consume a Tooth-Healthy Diet

A nutritious diet is not just for preventing heart disease and diabetes later in life. It also supports your teeth. Make sure to get plenty of calcium, such as from dairy products, canned fish, and leafy green vegetables to allow for strong teeth. Also, limit sticky foods and sugary sweets.

Why is replacing missing teeth important?

February 19th, 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 Drs. Olivia Collier and Jon Engelby 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, Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office, you’ll continue to have the same wonderful smile you’ve always had.

The Origins of Valentine's Day

February 12th, 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 Drs. Olivia Collier and Jon Engelby 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 CE Family Dental!

Understanding Dental Insurance Terminology

February 5th, 2018

If you have a hard time understanding your dental insurance plan, particularly the treatments and services it covers, you’re not alone. That’s why Drs. Olivia Collier and Jon Engelby and our team have put together a cheat sheet to help you through them.

It’s common for patients to get lost in the morass of the terms and phrases that surface when you’re dealing with a dental insurance plan. Knowing the commonly used terms can help speed up the process and enable you to get the most out of your coverage.

Common Terms

Annual Maximum: The most your policy will pay per year for care at CE Family Dental. It is often divided into cost per individual or per family.

Co-payment: Typically, a small amount the patient has to pay at the time of service before receiving care, and before the insurance pays for any portion of it.

Covered Services: A list of all the treatments, services, and procedures the insurance policy will cover fully under your contract.

Deductible: An amount you must pay out of pocket each year before the insurance company will contribute for any treatments or procedures. The amount can vary according to your plan.

Diagnostic Services: A category of treatments or procedures that most insurance plans will cover before the deductible, which may mean services that occur during preventive appointments with Drs. Olivia Collier and Jon Engelby, including X-rays or general screenings.

Exclusions: Dental services not covered under a dental benefit program.

In-Network: An insurance company will usually cover a larger portion of the cost of the care if you see an in-network provider for treatment.

Out-of-Network: If you visit someone who is not a part of your provider’s network, the insurance company may pay for a portion of the care, but you will be responsible for a significantly larger share out of your pocket.

Lifetime Maximum: The most that an insurance plan will pay toward care for an individual or family over the entire life of the patient(s).

Limitations: A list of all the procedures the insurance policy does not cover. Coverage may limit the timing or frequency of a specific treatment or procedure, or exclude some treatments altogether.

Member/Insured/Covered Person/Beneficiary/Enrollee:  A person who is eligible to receive benefits under an insurance plan.

Premium: The regular fee charged by third-party insurers and used to fund the dental plan.

Provider: Drs. Olivia Collier and Jon Engelby 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.

It’s essential to understand the various insurance options available to you. Knowing what your insurance covers can save you major costs in the future.

Drs. Olivia Collier and Jon Engelby and our dental staff hope this list of terms will help you understand your dental insurance plan better. Be sure to review your plan and ask any questions you may have about your policy the next time you visit our Sedro-Woolley or Bellingham, WA office.

Women’s Medications and Dry Mouth

January 29th, 2018

Women using medication to treat a variety of medical conditions are often unaware of the potential side effects. One common side effect of medications such as blood pressure medication, birth control pills, antidepressants, and cancer treatments is dry mouth. The technical term for dry mouth is xerostomia.

Xerostomia can lead to undesirable effects in the oral cavity including periodontal disease and a high rate of decay. Many women who have not had a cavity in years will return for their routine exam and suddenly be plagued with a multitude of cavities around crowns and at the gum line, or have active periodontal disease. The only thing that the patient may have changed in the past six months is starting a new medication.

Saliva washes away bacteria and cleans the oral cavity, and when saliva flow is diminished harmful bacteria can flourish in the mouth leading to decay and gum disease. Many medications can reduce the flow of saliva without the patient realizing the side effect. Birth control pills can also lead to a higher risk of inflammation and bleeding gums. Patients undergoing cancer treatments, especially radiation to the head and neck region, are at a greatly heightened risk of oral complications due to the possibility of damage to the saliva glands.

There are many over the counter saliva substitutes and products to temporarily increase saliva production and help manage xerostomia. One great option for a woman with severe dry mouth or high decay rate is home fluoride treatments. These work in a number of ways, including custom fluoride trays that are worn for a short period of time daily at home, a prescription strength fluoride toothpaste, or an over the counter fluoride rinse. If you have more questions on fluoride treatments, make sure to ask Drs. Olivia Collier and Jon Engelby at your next visit to our office.

The benefits of many of the medications on the market outweigh the risks associated with xerostomia, however, with regular exams you can manage the risk and prevent many oral consequences of medications.

Are thumb sucking and pacifier habits harmful for a child’s teeth?

January 22nd, 2018

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 Drs. Olivia Collier and Jon Engelby 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.

What exactly is a cavity?

January 15th, 2018

We all know how discouraging can be it to hear you have a dental cavity. Knowing how cavities form can help you prevent them from popping up in your mouth. If you want to avoid a trip to see Drs. Olivia Collier and Jon Engelby, pay attention to the measures you can take to prevent bothersome cavities.

Did you know that cavities are properly a symptom of a disease called caries? When you have caries, the number of bad bacteria in your mouth increases, which causes an acceleration in tooth decay. Caries are caused by a pH imbalance in your mouth that creates problems with the biofilm on the teeth.

When there are long periods of low pH balance in the mouth, this creates a breeding ground for bacteria. When you get caries, this type of bacteria thrives in an acidic environment.

Depending on which foods and beverages you consume, the biofilm pH in your mouth will vary. The lower the pH number, the higher the acidity. When your intake contains mostly acidic foods that sit on your teeth, cavities begin to form. Water has a neutral pH, which makes it a good tool to promote a healthy pH balance in your mouth.

A healthy pH balance in your mouth will prevent cavities from forming over time. Mouth breathing and specific medications may also be factors that contribute to the development of caries when saliva flow decreases. Without saliva flow to act as a buffer against acid, bacteria has a higher chance of growing.

Don’t forget: Getting cavities isn’t only about eating too many sweets. It’s also about managing the pH levels in your mouth and preventing bad bacteria from growing on your teeth.

If you think you might have a cavity forming in your mouth, schedule an appointment at our Sedro-Woolley or Bellingham, WA office. It’s worthwhile to treat cavities early and avoid extensive procedures such as root canals from becoming necessary.

Keep up with brushing, flossing, and rinsing with mouthwash so you can prevent cavities over time.

How Smoking Increases the Risk of Oral Cancer

January 8th, 2018

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. Drs. Olivia Collier and Jon Engelby 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!

New Year's Eve

January 1st, 2018

Watching the clock tick down the final seconds until midnight, many of us- CE Family Dental 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 Sedro-Woolley or Bellingham, 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!

Why are my gums shrinking?

December 25th, 2017

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 Sedro-Woolley or Bellingham, WA office. We will take a look and figure out the cause, and help you decide on the best treatment.

The first thing Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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, Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, 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.

Thumb Sucking, Pacifiers, and Your Baby's Teeth

December 18th, 2017

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Drs. Olivia Collier and Jon Engelby may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Drs. Olivia Collier and Jon Engelby and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.

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

December 11th, 2017

At CE Family Dental, 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 Drs. Olivia Collier and Jon Engelby 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.

Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, 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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby.

Periodontics and Braces Treatment

December 4th, 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office.

Dental Emergencies in Children

November 27th, 2017

Dental emergencies are bound to come up when you have young children. Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, 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 Drs. Olivia Collier and Jon Engelby 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. 

Thanksgiving in North America

November 20th, 2017

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 CE Family Dental!

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

November 13th, 2017

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 Drs. Olivia Collier and Jon Engelby. 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 Drs. Olivia Collier and Jon Engelby during your next visit to our Sedro-Woolley or Bellingham, WA office; we'd be happy to help!

What are the five things I should do in between visits?

November 6th, 2017

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, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby. 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 CE Family Dental, or to schedule an appointment, please give us a call today!

How Computers Help Dental Implants Look Natural

October 30th, 2017

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), Drs. Olivia Collier and Jon Engelby 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.

Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office.

What are mini implants used for?

October 23rd, 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, Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby about your options, and whether an MDI or a dental implant would work best for your specific case. Schedule an appointment at our Sedro-Woolley or Bellingham, WA office to learn more.

What type of toothpaste is right for you?

October 16th, 2017

Toothpaste no longer comes in simple choices of fluoride and fresh breath. Paste is not even the only option! You can choose gel forms and even some with ribbons of color and flavor. With so many varieties available, it may be difficult to know which features or combinations of ingredients are best for your mouth. Drs. Olivia Collier and Jon Engelby and our team are here to help!

Fluoride

The majority of all dental patients should use toothpaste with fluoride. Fluoride helps to strengthen the enamel on your teeth; it makes them stronger and more resistant to cavities. Even if you live in an area that adds fluoride to your drinking water, the fluoride protection in toothpaste is necessary.

Some individuals can have an allergic reaction to fluoride. Fluorosis can occur in children or adults that swallow too much toothpaste while brushing. If swallowing cannot be prevented, fluoride use should be reduced. The American Dental Association has updated guidelines that recommend fluoride be used as soon as the first teeth erupt in children. However, the amount should be minimal and swallowing should be prevented.

Sensitivity Protection

If your teeth are sensitive to temperatures, toothpaste with sensitivity protection can work wonders for your discomfort. Ingredients in these pastes or gels work to block the pathways to the nerves that react to hot or cold. Do not give up on this type of toothpaste after a few days; the full results may take a few weeks.

Plaque, Tartar, and Gingivitis Protection

Everyone has bacteria in his or her mouth, and this bacteria is normal. Unfortunately, some bacteria also cause plaque. If the plaque remains on your teeth, it hardens into tartar or calculus. Tartar is an almost cement-like substance that cannot be removed by brushing alone. When bacteria and tartar are left behind, the deposits will form under the gum line. This leads to gingivitis and gum disease.

Since there is a wide variety of toothpastes and ingredients for preventing tartar and gingivitis, ask Drs. Olivia Collier and Jon Engelby and our staff what the best choice is for your teeth. We can help you select the right combination of ingredients.

Whitening

White teeth are desirable, and manufacturers are heavily marketing whitening toothpastes. Most brands do not contain bleaching ingredients; they use abrasives to polish stains away. Unfortunately, too much abrasive use can be damaging to your teeth. If you’re interested in teeth whitening, our Sedro-Woolley or Bellingham, WA team can recommend a number of safe and effective options.

Feel free to ask Drs. Olivia Collier and Jon Engelby and our staff at CE Family Dental about the best choice in toothpaste to meet your individual needs. Remember to look for the ADA approval seal on any toothpaste you are considering.

Does chronic stress impact periodontal health?

October 9th, 2017

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

  • Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
  • Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
  • Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Drs. Olivia Collier and Jon Engelby at our Sedro-Woolley or Bellingham, WA office.

What's on your fall reading list?

October 2nd, 2017

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Sedro-Woolley or Bellingham, 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!

Invisalign® and Invisalign Teen®

September 25th, 2017

There are so many adults and teens in our Sedro-Woolley or Bellingham, WA office who would love to have their teeth straightened but that are unwilling to go through the long and unsightly process of traditional metal braces. Well, that's where Invisalign® and Invisalign Teen® come to the rescue; the most advanced clear aligner systems in the world!

There are several reasons why, if you're considering getting braces, you should consider Invisalign too. Here are some of them:

  • You can eat whatever food you'd like, without worrying about it getting caught in wires or breaking brackets.
  • Most people won't even know you're wearing them!
  • If you need to, you can remove your aligners at any time.
  • The removable aligners let you brush and floss as you normally would, making for better overall oral health.
  • Since they are made of a smooth BPA-free plastic, Invisalign aligners are simply more comfortable to wear than traditional braces. No metal means no more roughed up gums or irritated tongue!
  • You'll need to visit our Sedro-Woolley or Bellingham, WA office less often — only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before you get started with treatment, you’ll have a consultation with Drs. Olivia Collier and Jon Engelby to see if Invisalign or Invisalign Teen is right for you. If your case is a good fit, then you’ll have X-rays, pictures, and impressions of your teeth taken. That information will be used to make the 3D models of your teeth that let Drs. Olivia Collier and Jon Engelby see how they will move throughout the entire treatment and approximately how long it will take.

After that, you’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. Then all you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter healthier smile. Don’t hesitate to a member of our Sedro-Woolley or Bellingham, WA team for more information about Invisalign!

Is it possible to over brush?

September 18th, 2017

Our team at CE Family Dental 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's in toothpaste and how does it work?

September 11th, 2017

Drs. Olivia Collier and Jon Engelby 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.

Celebrate Labor Day by Getting Away

September 4th, 2017

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 each year. 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 CE Family Dental 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 dental practice of Drs. Olivia Collier and Jon Engelby!

Top Five Ways to Improve Heart Health

August 28th, 2017

While there is no definite evidence that if your prevent gum diseases, like periodontitis, that you may be able to prevent a heart condition or heart disease. The only thing experts, like Drs. Olivia Collier and Jon Engelby, know for sure is that if you take care of your gums it can lessen atherosclerosis, (build-up of artery clogging plaque) that may result in a heart attack or stroke.

Could periodontal disease cause heart attacks?

Regardless of your oral health, if you're at a high risk for heart disease, you need to take action.

  • Maintain a healthy weight or lose weight.
  • Consume healthy foods and beverages.
  • Exercise several days the week. Walking is a powerful and lightweight exercise and will clear your head while helping your body get or stay healthy.
  • Control any medical conditions you may have such as high cholesterol, diabetes, or high blood pressure.
  • Reduce your stress. Have lunch with a friend, go for a walk in the park, take a bubble bath, mediate, or do whatever you find relaxing.
  • Get a social life. Laughing reduces stress and “feel good” hormones. Everyone needs to feel like they are a part of something: join a book club or any activity where you can interact with other people at least once or twice a week
  • Be sure to get enough sleep. The recommended amount is eight to nine hours a night. It has been proven that a lack of sleep increases your risk for angina, strokes, and heart attacks.
  • Practice good oral hygiene to keep bacteria in check and your mouth healthy.

Contact our Sedro-Woolley or Bellingham, WA office if you have questions about your heart and oral health. If you take practice good oral hygiene, both your mouth and your heart will thank you.

What's the best dental floss?

August 21st, 2017

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, Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office.

Root Canal FAQs

August 14th, 2017

Most people hear the word root canal and panic. With today’s state of the art equipment and improved local anesthetic devices, and some knowledge, a root canal does not have to cause panic. Root canals are a common dental procedure, done quite often at our Sedro-Woolley or Bellingham, WA office.

Why do I need a root canal?

There are several reasons why Drs. Olivia Collier and Jon Engelby may suggest a root canal including:

  • An infection in your tooth that has reached the nerves
  • A deep cavity that cannot be filled because the pulp and nerves are also effected
  • Injury to the tooth
  • A deep cracked tooth
  • Broken tooth
  • Repeated fillings of the effective tooth

What is a root canal?

A root canal is a dental procedure that is used to prevent the loss of a tooth and relieve pain. Inside your teeth is pulp which consists of soft tissue blood, connective tissue, blood vessels, and nerves. When the pulp becomes infected, swollen or diseased a root canal is necessary to save your tooth. During a root canal, Drs. Olivia Collier and Jon Engelby will remove the infected pulp. The tooth’s root canals and pulp chamber of your tooth will be cleaned, so all the diseased pulp is removed and then your tooth will be sealed.

What to Expect During a Root Canal

Your root canal will start out just like any other dental procedure. We will go over any questions you may have, and then numb the area surrounding the tooth. After the area is numb the root canal will begin.

The amount of time it takes to do your root canal varies depending on number of roots that need to be cleaned. Most teeth have one root canal, while others have between two and four. For a single canal, the procedure usually lasts less than an hour. The more canals your tooth has the longer amount of time it will take and in some cases, you will require more than one visit.

How much pain will I have after a root canal?

Once the local anesthesia wears off, your pain can be controlled by over the counter pain medications such as Ibuprofen, Naproxen, or Acetaminophen. In some cases, Drs. Olivia Collier and Jon Engelby may prescribe a prescription dose of pain medication. Within two days you should be feeling much better and able to return to your regular lifestyle.

Wisdom Teeth Emergencies: Causes and treatment

August 7th, 2017

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 Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental. 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 CE Family Dental, 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.

Surprising Ways to Prevent Cavities

July 31st, 2017

There are numerous ways to prevent cavities. Some, like brushing your teeth regularly and visiting our Sedro-Woolley or Bellingham, 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.

Energy Drinks and Dental Health

July 24th, 2017

Are energy drinks bad for your teeth? Many of our patients at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, 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.

Broken Tooth: Is It an emergency or not?

July 17th, 2017

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 Drs. Olivia Collier and Jon Engelby 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 CE Family Dental. 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.

Ten Fun Things to Do with Your Old Toothbrush

July 10th, 2017

Drs. Olivia Collier and Jon Engelby 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!

Happy Fourth of July!

July 3rd, 2017

Happy Independence Day from Drs. Olivia Collier and Jon Engelby 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 CE Family Dental 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!

How do I know if I need dentures?

June 26th, 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, 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 Drs. Olivia Collier and Jon Engelby now, because a small problem can quickly escalate into a very large and expensive dental procedure.

What are the benefits of Invisalign®?

June 19th, 2017

A popular option for straightening teeth at CE Family Dental, Invisalign can be a great method for improving your smile, and can help patients with crowded teeth, crossbites, overbites, underbites, and more.

Invisalign, which is different from traditional braces, works by applying a series of clear, retainer-like aligners in order to eventually move your teeth into their ideal positions. Patients typically swap aligners approximately every couple of weeks.

At CE Family Dental, we have lots of experience using this technology to give our patients the beautiful and healthy smile they’ve always wanted. During your initial visit at our Sedro-Woolley or Bellingham, WA office, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Not only are the aligners invisible, they are also removable, so you can eat and drink what you want, and brushing and flossing are easier. Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And, no metal and wires usually means you spend less time at our office getting adjustments. With Invisalign, you can view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

Depending on the severity of the problem, Invisalign treatment may take anywhere from three to 18 months to complete. You should be aware that Invisalign is not as effective as traditional braces in treating bite problems, teeth that are lower or higher than others, or severely overcrowded teeth. Both teens and adults are now great candidates for Invisalign, so we invite you to contact our Sedro-Woolley or Bellingham, WA office to set up an initial consultation and learn more on how Invisalign can give you the smile you’ve always wanted!

Does the placement of implants hurt?

June 12th, 2017

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 Drs. Olivia Collier and Jon Engelby, 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 Sedro-Woolley or Bellingham, WA team is here to help if you have any questions about the procedure or post-surgery care.

June is National Smile Month: Show off your smile!

June 5th, 2017

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, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby 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!

Memorial Day

May 29th, 2017

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 CE Family Dental 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 Sedro-Woolley or Bellingham, 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.

Mouthguard Q&A

May 22nd, 2017

Today, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Drs. Olivia Collier and Jon Engelby can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Drs. Olivia Collier and Jon Engelby and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Sedro-Woolley or Bellingham, WA office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

Women's Hormones and Oral Health

May 15th, 2017

At CE Family Dental, 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? Drs. Olivia Collier and Jon Engelby 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. Drs. Olivia Collier and Jon Engelby 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

Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental encourage you to visit our Sedro-Woolley or Bellingham, WA office and practice good oral health habits at home.

Osteoporosis and Oral Health

May 8th, 2017

Today, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

May Marks National Physical Fitness and Sports Month!

May 1st, 2017

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, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Dangers of Alcohol and Oral Health

April 24th, 2017

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 Drs. Olivia Collier and Jon Engelby at your next visit to our Sedro-Woolley or Bellingham, WA office.

Make Every Day Earth Day

April 17th, 2017

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 CE Family Dental to schedule an appointment. Have a happy and healthy Earth Day, from Drs. Olivia Collier and Jon Engelby!

What did the first dentures look like?

April 10th, 2017

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 Drs. Olivia Collier and Jon Engelby 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.

April is Oral Cancer Awareness Month

April 3rd, 2017

What is oral cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our Sedro-Woolley or Bellingham, WA office, now is an excellent time to schedule one. Regular visits to CE Family Dental 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.

Dental Implants vs. Natural Teeth

March 27th, 2017

If you're considering getting an implant, you'll most certainly have questions for Drs. Olivia Collier and Jon Engelby. 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office for further questions about the procedure.

The Clear Benefits of Invisalign®

March 20th, 2017

Straighter teeth is something many people desire. A nice smile is one of the most attractive things about a person. However, wearing a mouth full of braces for two, three, or more years can be a major pain, both literally and figuratively.

Luckily, there is another option. Invisalign is an alternative to traditional braces. Learn more about the benefits Invisalign offers and why you should consider this exciting method of straightening teeth.

  • When you have straight teeth, your mouth is healthier in general and there is less chance of tooth decay and gum disease. Invisalign makes it possible for more people to straighten their teeth.
  • Invisalign is essentially invisible. You can straighten your teeth without unsightly metal in your mouth.
  • The average cost is similar to that of traditional braces, which makes it affordable for many families.
  • With Invisalign, the aligner trays are smooth and comfortable to wear. Traditional metal braces can be uncomfortable and cause irritation to the mouth.
  • Invisalign is removable, so you do not have to wear the system during special occasions, or when you’re eating. With normal metal braces, you are stuck with them for the entire straightening process.
  • Brushing and flossing are simple. Since the system is removable, you can brush and floss just like normal.

As you can see, Invisalign is an exciting option we provide at CE Family Dental for those who want straighter teeth. If this is something that sounds interesting to you, talk to Drs. Olivia Collier and Jon Engelby and find out if it would work for your particular situation. Get started today, and before you know it you will be enjoying your straighter teeth.

For more information about Invisalign, or to schedule an initial consultation with Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office today!

St. Patrick's Day

March 13th, 2017

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 Drs. Olivia Collier and Jon Engelby - have a great St. Paddy’s day!

Good Nutrition Leads to Healthy Mouths

March 6th, 2017

At CE Family Dental, 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 Drs. Olivia Collier and Jon Engelby about it. See you soon!

Aging and Oral Health

February 27th, 2017

As you age, it becomes even more important to take good care of your teeth and dental health. According to the Centers for Disease Control and Prevention, approximately one-fourth of adults age 65 and older have no remaining teeth. What's more, nearly one-third of older adults have untreated tooth decay.

Oral health, regardless of age, is crucial to overall good health. Ideally, we all want to keep your natural teeth, but whether you're caring for natural teeth or dentures, advancing age may put older adults at risk for a number of oral health problems, including:

  • Dry mouth
  • Diminished sense of taste
  • Root decay
  • Gum disease
  • Uneven jawbone caused by tooth loss
  • Denture-induced tissue inflammation
  • Overgrowth of fungus in the mouth
  • Attrition (loss of teeth structure by mechanical forces)
  • Oral cancer

These conditions may not be diagnosed until it is too late. If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Here are some tips for maintaining and improving your oral health as you become older:

  • Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
  • Clean between your teeth once a day with floss or another interdental cleaner.
  • If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
  • Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
  • Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay, and tooth loss.
  • Visit CE Family Dental regularly for a complete dental checkup.

If you have any questions about keeping up with your oral hygiene at home, please give us a call!

Choose Chocolate on Valentine's Day

February 20th, 2017

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 CE Family Dental!

Does smoking affect oral health?

February 20th, 2017

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, Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office to schedule an appointment with Drs. Olivia Collier and Jon Engelby.

Tips for Managing Oral Pain

February 6th, 2017

Experiencing tooth or oral pain is not fun. If you cannot get to CE Family Dental 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 Drs. Olivia Collier and Jon Engelby.

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 CE Family Dental quickly. Call and schedule an emergency appointment with Drs. Olivia Collier and Jon Engelby as soon as possible.

Zirconia Dental Implants

January 25th, 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 Drs. Olivia Collier and Jon Engelby or one of our Sedro-Woolley or Bellingham, WA staff members.

More Adults Are Opting for Invisalign®

January 16th, 2017

These days it's becoming more and more common to see adults at our Sedro-Woolley or Bellingham, WA office getting their teeth straightened with Invisalign clear aligners — that is, if you can see them! Treatment with Invisalign is effective and aesthetically pleasing for all ages, but adults have certainly taken to them.

For some it may be to overcome the stigma that "braces are just for kids," but for others it may be the displeasing appearance and discomfort of traditional braces. According to the American Association of Orthodontics, from 1994 to 2010 the number of adults 18 and older getting braces increased by 58 percent, from 680,000 to 1.1 million annually. Many of these adults opt for Invisalign because of how discreet they are and since they don't need to avoid any foods or make dietary changes like you do with traditional braces.

The benefits of getting your teeth into proper alignment are many, and so are the advantages of Invisalign. By following your individual course of Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

  • The total treatment time is more precise with Invisalign since your treatment is modeled by a computer, as compared to traditional braces where it is really just an estimate.
  • You'll need to make fewer trips to our Sedro-Woolley or Bellingham, WA office since you can change your trays on your own every few weeks or as prescribed.
  • There's less risk to the health of your tooth enamel since there is no need to place brackets on your teeth.
  • Invisalign aligners are clear and practically invisible, so most people won't even know you're wearing them!

If you're interested in Invisalign treatment, please let Drs. Olivia Collier and Jon Engelby know. We'd be happy to help you on your journey to a straighter, healthier smile!

Aging and Dental Health

January 9th, 2017

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Are dental X-rays safe?

January 2nd, 2017

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 CE Family Dental, 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.

New Year's Day Around the World

December 26th, 2016

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 Drs. Olivia Collier and Jon Engelby. 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. CE Family Dental wishes you a healthy, prosperous, and happy New Year!

Is there really a link between my mouth and heart?

December 19th, 2016

Yes, indeed! While brushing, flossing, and regular visits to CE Family Dental are all key to maintaining a healthy smile and mouth, Drs. Olivia Collier and Jon Engelby 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.

Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental are experts in identifying and treating periodontal disease. Give us a call today at our convenient Sedro-Woolley or Bellingham, WA office to schedule an appointment to improve your oral health and your overall health, too!

Who benefits from Invisalign®?

December 12th, 2016

One problem with trying to answer the question as to who benefits from Invisalign is that the simple answer is “almost everyone.” The see-through, almost invisible aligners for straightening teeth are specifically molded to fit each individual’s mouth. Unlike conventional braces, they can be removed when eating and when cleaning the teeth. Because they use less force in straightening teeth than metal braces, the risk of harm to teeth is lessened.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but cannot decide which is worse: having crooked teeth or wearing metal braces. They also worry about having to change their diet by not being able to eat the foods they normally enjoy.

If you are an adult considering braces, our team at CE Family Dental will tell you Invisalign aligners will give you the best of all worlds. Your teeth will be straightened with virtually invisible braces. You can remove your aligners when you eat so you can enjoy any food you normally would consume. You do not have to worry about embarrassing yourself by getting food stuck in your braces. You simply clean your teeth normally after eating and replace your aligners. If there is a special occasion during which you do not want to have any braces at all, you can remove the aligners for a few hours without causing any damage.

Benefits to teenagers

Drs. Olivia Collier and Jon Engelby and our team know that teenagers are often involved in contact sports or gymnastics. Others find that having metal in their mouth interferes with their ability to play a musical instrument. Traditional metal braces contain wires and brackets that can cause damage to the mouth and gums; this is not a risk with Invisalign aligners.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is avoided. The aligners can be removed during sports activity, and a normal mouthguard is worn. Teenagers who play musical instruments simply remove the aligners when practicing or playing in the band or orchestra.

Teenagers often feel they are too busy to spend time and trouble flossing teeth between the wires and brackets of traditional braces. Since the Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen, or to schedule an initial consultation with Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Oh no, not the dentist!

December 5th, 2016

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 CE Family Dental. 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

Drs. Olivia Collier and Jon Engelby 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.

Drs. Olivia Collier and Jon Engelby 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.

Dental Anxiety

November 28th, 2016

If you suffer from dental anxiety, a visit to CE Family Dental might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Sedro-Woolley or Bellingham, 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.

Thanksgiving Trivia

November 21st, 2016

At CE Family Dental we love learning trivia and interesting facts about Thanksgiving! This year, Drs. Olivia Collier and Jon Engelby 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.

Don’t procrastinate about dental work!

November 14th, 2016

When you have dental issues or just need routine care, you may try to put off making an appointment at CE Family Dental. Common reasons for procrastination are not having the time or fear of pain. Avoiding Drs. Olivia Collier and Jon Engelby 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 CE Family Dental. 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 Drs. Olivia Collier and Jon Engelby for regularly scheduled cleanings and exams to ensure your smile stays healthy and beautiful.

Is dairy crucial to my child's oral health?

November 7th, 2016

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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby at your next appointment!

Halloween: Candy, costumes, and more!

October 31st, 2016

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 dental office of Drs. Olivia Collier and Jon Engelby hopes 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 CE Family Dental!

I’ve lost a filling; now what?

October 24th, 2016

Dental fillings usually protect our teeth, but sometimes they need to be protected, too. If you lose a filling, contact our Sedro-Woolley or Bellingham, 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, Drs. Olivia Collier and Jon Engelby 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.

What is gum disease?

October 17th, 2016

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Drs. Olivia Collier and Jon Engelby. 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 CE Family Dental for an exam and learn the best course of action.

Do adults need fluoride treatments?

October 10th, 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 Drs. Olivia Collier and Jon Engelby at your next appointment whether you might benefit from a topical fluoride application.

October is National Dental Hygiene Month: A simple oral health routine for your busy lifestyle

October 3rd, 2016

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. Drs. Olivia Collier and Jon Engelby can help you learn more about proper care for your teeth and gums.

Invisalign® Q&A

September 26th, 2016

It’s estimated that up to four million people at any one time are wearing braces in the United States and Canada. But Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental know that braces have come a long way from the early days of orthodontics, so much so that these days, options are available that are not visible to onlookers. The most popular of these “invisible” braces is Invisalign. Here’s a list of FAQs regarding Invisalign:

Are they really invisible?

Yes, the clear liners are virtually invisible, so they enable patients to feel good about themselves and their appearance, while getting the orthodontic treatment they need.

Are there wires, rubber bands, and brackets with Invisalign?

Nope. Invisalign is truly an alternative to conventional braces. The treatment consists of clear liners that can easily be removed and cleaned throughout the day. There are no wires, so there’s less poking and mouth irritation compared to braces. There’s also no wire tightening at adjustment appointments, so patients don’t have to worry about a sore mouth in the days that follow in-office visits.

I’ve heard that if I get braces, I won’t be able to eat certain foods like popcorn and hard candy. Is this true with Invisalign too?

No. With Invisalign, there are no food restrictions. You simply remove your aligners when you’re eating, and replace them after you’ve finished and brushed any leftover food particles away.

Does Invisalign cost more than braces?

While overall cost varies on a patient-by-patient basis and is based largely on the level of treatment, Invisalign costs about the same as traditional braces, which makes this treatment option a truly affordable alternative.

How does brushing compare with conventional braces?

Brushing your teeth while wearing conventional braces takes some getting used to. Patients have to brush around the metal brackets and floss with a specialty tool to get into the hard-to-reach areas of the mouth. By contrast, Invisalign can be removed at any time to permit regular brushing and flossing.

Every patient is different and Invisalign might not be the best course of orthodontic treatment for everyone, but it's an option that's gaining more and more popularity, and it's an orthodontic alternative that doesn't sacrifice comfort and convenience for results. For more information, or to schedule a consultation, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Caring for Your Smile While Wearing Invisalign®

September 19th, 2016

Getting your braces off is exciting. You’ve been working on your new smile for months or years, and it’s time for the trips to our Sedro-Woolley or Bellingham, WA office to pay off. Can you imagine how bad it would be to discover that your teeth are straight, but that there’s decay?

Caring for your smile while wearing Invisalign goes beyond just waiting for your teeth to get straighter. It involves cleaning your teeth regularly and thoroughly to prevent tooth decay. That way, your smile will be more beautiful than ever when you’re done with your Invisalign treatment.

Take Your Trays Out

The first difference you may notice between Invisalign and traditional metal braces is that Invisalign aligners are invisible, but there’s another important distinction as well. Invisalign braces are removable. You can take the trays out, and you should. Remove the trays while you’re eating so you don’t get food stuck in them. Also, remove them while you’re cleaning your teeth so that you can have full access to all the nooks and crannies in your mouth.

Brush Normally

The guidelines for brushing your teeth with Invisalign don’t change compared to braces. Brush your teeth at least twice a day using a soft toothbrush and a fluoride toothpaste, being sure to get all surfaces of your teeth. If possible, brush after each meal.

If you can’t, be sure to drink some water and swish it around in your mouth when you’re done eating to get rid of the extra food on your teeth. Leaving carbohydrates, such as sugar and starch, on your teeth opens the door to tooth decay.

Floss and Wash

Flossing your teeth gets out the bits and pieces stuck between them. It’s a time-consuming task when you need to navigate the wires of traditional metal braces, but thanks to Invisalign’s removable design, flossing is no problem. Rinsing your mouth with a fluoride antibacterial mouthwash also helps clean your teeth because it gets into all of the spaces. Floss and rinse one or two times daily.

Cleaning Your Trays

Cleaning your Invisalign trays keeps them from getting riddled with bacteria, and it helps keep your teeth free from excess food. You can use the Invisalign cleaning system, which involves placing the trays in a tub with cleaning crystals. The plastic trays are clean after 15 minutes. You can also ask Drs. Olivia Collier and Jon Engelby for other ways to clean your trays.

The Importance of Oral Cancer Screenings

September 12th, 2016

In our continuing efforts to provide the most advanced technology and highest quality care available to our patients at CE Family Dental, we proudly screen our patients for oral cancer. The fact is, every hour of every day in North America, someone dies of oral cancer, which is the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. 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. While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes we want you to know about. In some cases, it is possible to 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
  • Persistent viral infections, such as HPV16
  • A diet lacking or low in fruits and vegetables

Finding out you have oral 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. Through a routine visual inspection, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less expensive and more successful, and can potentially save your life. Ask Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental about a screening at your next appointment!

Happy Labor Day!

September 5th, 2016

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 Sedro-Woolley or Bellingham, 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 dental office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Alleviating Anxiety before Your Implant Procedure

August 29th, 2016

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 Sedro-Woolley or Bellingham, 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!

Are you a tooth grinder?

August 22nd, 2016

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 CE Family Dental.
  • 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 Drs. Olivia Collier and Jon Engelby.
  • 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 Sedro-Woolley or Bellingham, WA office in order to find out which treatment options are available to you.

Tips for Using Invisalign®

August 15th, 2016

More than one patient has come into our office and asked, “What can I do to help my teeth when wearing Invisalign?”

While everyone’s teeth and dental needs are different, there are certain things everyone can do to make wearing their Invisalign aligners a more rewarding experience. Always follow the list of instructions and tips from Drs. Olivia Collier and Jon Engelby, and add the following advice to your daily routine.

Always ask us about teeth whitening. Our team at CE Family Dental knows how important it is for you to keep your teeth white and stain-free from the foods and drinks you consume daily. If you have attachments to your teeth, they will not whiten properly. Ask our office about teeth whitening when wearing your aligners; it might be best to wait until your treatment is complete.

Continue flossing every day. You should be flossing in any case. But it can be easy to assume that Invisalign will protect your teeth from bacteria. This is not true. Bacteria can get behind the aligners and affect the health of your teeth and gums, so keep up with your flossing schedule.

Follow the 48-hour rule when wearing your aligners. When you insert every new set of aligners, you should leave them in as much as possible during the first 48 hours. Your teeth will move more during this timeframe, and the aligners do the most good during this time.

You may experience slight discomfort while wearing your Invisalign aligners. You can take a pain reliever to help with the discomfort, but if you experience too much pain, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office to schedule an appointment!

Caring for Your Smile after Invisalign® Treatment

August 8th, 2016

You have done a lot of work to get the perfect smile. You wore your Invisalign aligner trays and cared for your teeth, and now your treatment is done. You still need to take care of your teeth to keep your beautiful smile. Keeps these things in mind when you think about your oral care routine.

Retainers

Many patients do require a retainer after Invisalign treatment. This will be based on your unique situation. If a retainer is recommended by Drs. Olivia Collier and Jon Engelby, use it as directed. Retainers prevent your teeth from shifting back into their original position. You should also avoid hard, crunchy foods for the first couple of weeks as your teeth adjust. For younger patients, retainers are normally used until the wisdom teeth come in or are extracted.

Brushing and Flossing

Brushing and flossing must be part of your daily oral care. Flossing helps remove the plaque, which becomes tartar or calculus. This build up can lead to gingivitis and gum disease. Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm salt water rinse may relieve discomfort.

Your teeth may be slightly sensitive for a short time. They have been protected by your Invisalign aligner trays and now are fully exposed. You might want to try a sensitive toothpaste to get through the transition. Just ask; we will be glad to recommend the best type for your needs. If your teeth are stained, a professional whitening treatment can be considered.

Regular Dental Checkups

You still need to have regular dental exams. Professional cleanings and X-rays make sure that both your teeth and gums stay healthy so you can keep your teeth for life. If cavities or other problems are found, they can be taken care of quickly.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Sedro-Woolley or Bellingham, WA team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

Are dental implants painful? What You Need to Know

August 1st, 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 Drs. Olivia Collier and Jon Engelby.

2. Once you leave our Sedro-Woolley or Bellingham, 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.

What happens if I don’t have my wisdom teeth removed?

July 25th, 2016

One of the things Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Sedro-Woolley or Bellingham, WA office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.

Heart Disease and Oral Health

July 18th, 2016

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?

Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office! A clean mouth leads to a happy heart!

What are the benefits of visiting a dentist regularly?

July 11th, 2016

Your regularly scheduled dental checkups with Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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 CE Family Dental, 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office!

Fun Facts for the Fourth

July 4th, 2016

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 CE Family Dental.

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 Sedro-Woolley or Bellingham, WA, or even participating in a hot dog eating contest, Drs. Olivia Collier and Jon Engelby and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

Does getting a dental implant hurt?

June 27th, 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 Sedro-Woolley or Bellingham, WA office and speak with Drs. Olivia Collier and Jon Engelby.

What can I expect during my implant procedure?

June 20th, 2016

Dental implants are a surgical procedure done by Drs. Olivia Collier and Jon Engelby right here at our Sedro-Woolley or Bellingham, 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 Sedro-Woolley or Bellingham, 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. Drs. Olivia Collier and Jon Engelby 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.

Five Tips for Taking Tots to the Dentist

June 13th, 2016

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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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.

Healthy Summer Foods

June 6th, 2016

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Drs. Olivia Collier and Jon Engelby 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.

Memorial Day and Getting Ready for Summer

May 30th, 2016

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 Drs. Olivia Collier and Jon Engelby 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 CE Family Dental 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.

Best Ways to Prevent Bad Breath

May 23rd, 2016

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 Drs. Olivia Collier and Jon Engelby at your next visit to our Sedro-Woolley or Bellingham, WA office.

My mouth is dry. What can I do?

May 16th, 2016

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 Sedro-Woolley or Bellingham, WA office to see Drs. Olivia Collier and Jon Engelby. 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.

Warning Signs of Impacted Wisdom Teeth

May 9th, 2016

When your wisdom teeth start to emerge it can definitely be painful, but it can be even worse if your wisdom teeth become impacted. Impacted wisdom teeth are trying to erupt but are unable to do so because there is not sufficient room for them to emerge. This usually means that your wisdom teeth are painfully lodged in your jawbone.

While you may not see any real signs of the emerging wisdom teeth when they are impacted, what you can’t see can still definitely hurt you. Some of the indicators of impacted wisdom teeth are listed below.

  • Jaw Pain: Pain in the back of your jaw is a common indicator of impacted wisdom teeth. The pain often concentrates in the area around your gums.
  • Changes in the Mouth: You may notice some changes in your mouth when you have impacted wisdom teeth. Reddish gums, swelling in the jaw, bleeding gums, and bad breath can all be indicators that you are dealing with impacted wisdom teeth.
  • Headaches: If you suddenly start having headaches, especially at the same time as some of the other issues mentioned above, they may indicate impacted wisdom teeth.
  • Chewing Issues: Problems with chewing normally can indicate impacted wisdom teeth. If you are having trouble making the chewing motions because your mouth won’t quite open and close as easily as it used to, impacted wisdom teeth may be the culprit.

The Solution

If you are suffering from impacted wisdom teeth, the best solution is usually going to be removal. This is not a problem that will resolve naturally, and in fact, your pain and other symptoms may worsen as your wisdom teeth become increasingly impacted. At CE Family Dental, Drs. Olivia Collier and Jon Engelby can review the details of wisdom teeth removal surgery with you and help you determine if this is the best solution for your situation.

Wishing all our moms a happy Mother’s Day!

May 2nd, 2016

"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 CE Family Dental. 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 Drs. Olivia Collier and Jon Engelby and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

I have halitosis. What can I do?

April 25th, 2016

Halitosis is the fancy, scientific word for “bad breath.” Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office.

Earth Day

April 18th, 2016

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 CE Family Dental 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 CE Family Dental.

Radiation and the Safety of Dental X-Rays

April 11th, 2016

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell Drs. Olivia Collier and Jon Engelby or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office and talk to us about your concerns.

April is National Facial Protection Month

April 4th, 2016

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, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby, please give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

Eating and Invisalign®

March 28th, 2016

One of the greatest advantages to using Invisalign is that it provides maximum results with minimal impact on your everyday life. Invisalign is comfortable, easy to insert, and simple to remove. Because you can remove Invisalign aligners, you can enjoy all your favorite foods and beverages without worries about getting food stuck in the wires and brackets of traditional braces.

Eating and Invisalign

While the aligner is durable and strong, you should remove it before you eat or drink beverages, as the chewing action inside your mouth can break, crack, or distort the aligner. Even minute damage to the Invisalign tray will prevent it from aligning your teeth properly. Furthermore, eating with Invisalign in your mouth can be quite messy.

Beverages and Invisalign

Repeated exposure to hot liquids may also cause the Invisalign aligner to distort. This distortion changes the shape of your aligner in a way that will affect how it straightens your teeth. Contact our Sedro-Woolley or Bellingham, WA office if your Invisalign aligner has distorted after consuming a hot beverage.

Fluids can settle inside the aligner to “bathe” the teeth. Bathing teeth in acidic fluids can be especially problematic, as the acids can wear away tooth enamel. Exposure to acidic fluids is not normally a problem, as saliva neutralizes and buffers the acid then washes it away. Wearing an aligner, however, prevents the saliva from doing those jobs, increasing your risk for tooth decay.

Colored drinks may also change the color of your teeth. Most discoloration is temporary but stubborn stains may occur.

To prevent discoloration and tooth decay, brush your teeth after every meal or beverage before putting in your Invisalign aligners. If you do not have access to clean water, chew sugar-free gum to remove bacteria, acid, and food particles from your teeth. As a last resort, you may leave your aligners out for an hour or two until you can brush and floss properly. Before inserting Invisalign, rinse the aligner in lukewarm water or use the Invisalign cleaning kit.

Contact our Sedro-Woolley or Bellingham, WA office for more information about eating and Invisalign.

Are you at risk for oral cancer?

March 21st, 2016

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.

Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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, Drs. Olivia Collier and Jon Engelby will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Sedro-Woolley or Bellingham, 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!

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 14th, 2016

“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 CE Family Dental 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 Drs. Olivia Collier and Jon Engelby !

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!

March is National Nutrition Month!

March 8th, 2016

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 Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental 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 Sedro-Woolley or Bellingham, WA office to learn more!

How do I pick the right toothpaste for my needs?

March 8th, 2016

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 Drs. Olivia Collier and Jon Engelby 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

What is gum recession?

February 22nd, 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office and talk to a member of our team.

What are the advantages of dental implants?

February 15th, 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 Drs. Olivia Collier and Jon Engelby.

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 Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby or visit our Sedro-Woolley or Bellingham, WA office to see if you are a candidate for dental implants.

Valentine's Day History

February 8th, 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 CE Family Dental 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!

February is Heart Month

February 1st, 2016

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 Sedro-Woolley or Bellingham, WA office a call!

The History of Dental Implants

January 25th, 2016

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 Drs. Olivia Collier and Jon Engelby. If you are considering dental implants to improve your smile’s health, beauty, and function, be sure to contact our Sedro-Woolley or Bellingham, WA office to schedule an appointment.

Can my body reject my dental implant?

January 18th, 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 Sedro-Woolley or Bellingham, WA office, you should not have any problems with your new dental implants. As always, ask Drs. Olivia Collier and Jon Engelby about any questions or concerns you have about you dental implants.

How long do dental implants last?

January 11th, 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, Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office!

How to Care for Your Invisalign® Aligners

January 4th, 2016

Is it possible to straighten the teeth without braces? Yes, it is. Welcome to the world of Invisalign aligners. Invisalign aligners are made from a clear, thermoplastic material that is custom made to fit your teeth. Unlike conventional braces, Invisalign aligners are removable. More importantly, the clear thermoplastic material makes the aligners invisible, which is ideal if the thought of metal braces and elastics make you self-conscious. For the best results, proper handling and care of your Invisalign aligners is important. Follow these steps to take care of your aligners:

1. Do not eat or drink hot beverages while wearing aligners. It's a good idea to get in the practice of removing the aligners before eating and drinking. Because the aligners are made of plastic resin, heat can distort and damage them. Also, eating while wearing the aligners will cause sugar and other food particles to stay on your teeth, which contributes to plaque and tooth decay.

2. Clean the aligner trays regularly. Invisalign aligners are exposed to the same bacteria and plaque that your mouth is, so you need to clean them as regularly as you clean your teeth. However, avoid cleaning the aligners with harsh chemicals. We recommend using a cleaning kit or some other type of specific solution. When it comes to cleaning Invisalign aligners, carefully follow the instructions given by Drs. Olivia Collier and Jon Engelby.

3. Store aligners in a cool, dry, safe place. When you’re not wearing the aligners, store them in the case provided by our office. If you don’t use the case, they can easily be lost. Keeping them out of reach of small children and pets is also a good idea. The last thing you want is for Fido to think your Invisalign aligners are chew toys.

4. Don’t chew gum while wearing aligners. There’s one thing that conventional braces and Invisalign aligners have in common: chewing gum damages both of them.

5. Don’t soak aligners in mouthwash. Many popular mouthwashes contain a color pigment. It’s possible that soaking Invisalign aligners in mouthwash will tint or stain them.

For more tips and tricks for a successful Invisalign experience, contact our Sedro-Woolley or Bellingham, WA office!

It's a Wrap: Ending the year with a smile!

December 28th, 2015

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 Sedro-Woolley or Bellingham, 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 CE Family Dental

  • 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 Drs. Olivia Collier and Jon Engelby, have a great new year!.

Thanks to Invisalign®, you can have a perfect smile without metal wires or brackets!

December 21st, 2015

When it comes to straightening your smile, our team at CE Family Dental knows that having a mouth full of metal braces may not be your idea of fun. Luckily for you, Drs. Olivia Collier and Jon Engelby can offer a cosmetic alternative: Invisalign!

Using a series of clear, comfortable, and completely customized aligners, you can get the smile you’ve always wanted without traditional braces.

Since Invisalign aligners are discreet, they’re hardly noticeable when you speak and smile, and because they’re removable, you can eat and drink whatever you want. Just remember to brush and floss before putting your aligners back in! Treatment with Invisalign is just as effective as with metal braces, and the results are just as amazing!

If you want to know more about Invisalign, contact our Sedro-Woolley or Bellingham, WA office to schedule an appointment.

How do I care for my dental implant?

December 14th, 2015

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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office!

What is hand-foot-and-mouth disease?

December 7th, 2015

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 Sedro-Woolley or Bellingham, WA office!

What is nitrous oxide and is it safe?

November 30th, 2015

Our team at CE Family Dental 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 Drs. Olivia Collier and Jon Engelby about whether nitrous oxide would be a good option for you.

Our team wants to help all patients in Sedro-Woolley or Bellingham, WA to overcome dental anxiety, so please, give us a call at CE Family Dental.

Thanksgiving

November 23rd, 2015

At CE Family Dental, we love to celebrate the holidays with vigor! Drs. Olivia Collier and Jon Engelby would love to share some unique ways of celebrating Thanksgiving from beyond the Sedro-Woolley or Bellingham, 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.

Four Oral Health Issues Seniors Face

November 16th, 2015

Oral health is an important and often overlooked component of an older person’s general health and well-being. Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby 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 Drs. Olivia Collier and Jon Engelby about modifying a handle for easier use or switching to a battery-powered toothbrush.

Seven Foods that will Give You a Smashing Smile

November 9th, 2015

As the saying goes, you are what you eat. But did you know that what you eat also affects your smile? Chow down on these seven tasty treats, recommended by Drs. Olivia Collier and Jon Engelby and our staff, for a healthier mouth and a smashing smile!

Sesame Seeds

These tiny seeds that you find in some Chinese and Thai dishes (as well as on top of your hamburger bun) are packed with bone-building calcium. They help to preserve and protect the bone that supports your teeth and gums. As a bonus, they also help to build up your tooth enamel while sloughing away plaque.

Kiwi

This funny little fruit has the highest amount of Vitamin C of any fruit, including oranges! What does this mean for your chompers? Well, you need Vitamin C to keep your gum tissue healthy and strong. Without it, they are more susceptible to periodontal disease.

Sweet Potatoes

These are not just for Thanksgiving and Christmas dinner! You should add sweet potatoes to your regular diet. These tasty spuds are rich in Vitamin A, which your body uses to form tooth enamel and heal gum tissue.

Onions

You know those strong vapors from onions that make you cry? Well, they come from the sulfur compounds in the vegetable, which gives them a superpower-packed antibacterial punch. Get ready, though: Onions are most effective for your smile when you eat them raw!

Cheese

If you love cheese, you will love this news! Munching on some cheese helps prevent gum disease and cavities. The reason is that cheese is very high in calcium and phosphate, which help to balance the pH levels in your mouth. This in turn helps to preserve your tooth enamel and kill harmful bacteria.

Green Tea

Sipping on some green tea can not only help prevent cavities and gum disease, it can also kill the bacteria that cause bad breath. Score! Green tea has catechins, which actually kill the bacteria that cause plaque. So drink up! Your smile depends on it!

Celery

Have some fun with that crunchy stuff because, guess what? It is great for your smile! When you chew celery you produce saliva. Your saliva neutralizes cavity-causing bacteria. As a little added bonus, while you are chewing, it is giving your gums a little massage and cleaning between your teeth.

So grab some of these healthy snacks and give your mouth something to smile about!

November Marks National Diabetes Awareness Month

November 2nd, 2015

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 CE Family Dental 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 Sedro-Woolley or Bellingham, 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 Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office.

The Intriguing History of Halloween

October 26th, 2015

Halloween is fast approaching, and Drs. Olivia Collier and Jon Engelby 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 Sedro-Woolley or Bellingham, WA office, make your Halloween a safe one!

Dreaming of a stunning smile without using braces?

October 19th, 2015

Most of us aren’t born with a red carpet smile. And if you’ve thought about straightening your teeth but are apprehensive about doing so with traditional orthodontic treatment, Drs. Olivia Collier and Jon Engelby and our team at CE Family Dental want you to know there is another option – Invisalign®!

Invisalign is an ideal solution for most adults looking for a less noticeable way to achieve a better smile. In fact, Invisalign has increasingly become a very popular choice for adults looking for a more comfortable, convenient and cosmetically-appealing treatment for straightening their teeth.

Our team at CE Family Dental is proud to offer Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you’re wearing, which allows you to smile more during treatment, as well as after. Not only are the aligners invisible, they are also removable, so you can eat and drink what you want; brushing and flossing is easier with Invisalign than with traditional braces.

Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And no metal and wires usually means you spend less time at our office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

A consultation with Drs. Olivia Collier and Jon Engelby can determine if Invisalign is right for you. We encourage you to give us a call at our friendly Sedro-Woolley or Bellingham, WA office if you’re interested in learning more about Invisalign or if you are ready to visit us for an initial consultation! We look forward to seeing you!

What stinks?

October 12th, 2015

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 CE Family Dental.

Year-End Insurance Reminder

October 5th, 2015

Drs. Olivia Collier and Jon Engelby, as well as our team at CE Family Dental, 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 Sedro-Woolley or Bellingham, WA office!

The Secret to Fresh Breath

September 28th, 2015

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 CE Family Dental.

What’s the advantage of Invisalign®?

September 21st, 2015

Drs. Olivia Collier and Jon Engelby and our team know it is natural for you to feel some concern when you need to wear any type of dental device to correct a problem with your teeth. Both braces and Invisalign can produce good results in giving you the smile you’ve always wanted. Both methods can straighten your teeth and alleviate such issues as crowding, spacing, cross bite, overbite, and underbite. Both methods of treatment have a similar cost.

You can take a cross-country road trip in a ten-year-old economy car or you can make the trip in a brand-new luxury sedan. Both will get you to your destination, but you will be far more comfortable traveling in the luxury sedan. Similarly, your journey to a great smile is much more comfortable and convenient with Invisalign as opposed to braces.

Comfort

Some of the discomfort you may experience with braces is greatly reduced with Invisalign. Because Invisalign is custom-fit to your mouth and made of plastic, you will feel less pain, irritation, and soreness. Unlike braces, there are no food restrictions; you can eat anything that is on your diet.

Brushing and flossing

Of course you will want to brush and floss your teeth to prevent plaque buildup, tooth discoloration, and dental decay. If you wear braces, these simple tasks can become quite a challenge. Invisalign aligners are very easy to remove and replace, so you can brush or floss like normal without having to work your way around any metallic framework covering your teeth.

Appearance

You do not have to be embarrassed to show your teeth when you are using the Invisalign system. Since the aligners are practically invisible, no one will even notice you are wearing them! Whether you are a teenager or an older adult, you can live your life normally.

If you want to learn more about Invisalign, or are wondering what your treatment options are at CE Family Dental, feel free to give us a call at our convenient Sedro-Woolley or Bellingham, WA office!

What’s the advantage to Invisalign®?

September 14th, 2015

Invisalign, which we happily provide at CE Family Dental, is a great alternative to traditional orthodontic treatment if you've been apprehensive about the thought of metal braces. During your initial visit, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Invisalign treatment, which consists of a series of aligners that you switch out approximately every couple of weeks, can help patients with crowded teeth, crossbites, overbites, underbites and more. Invisalign gradually shifts your teeth into place, creating the dazzling smile you’ve always wanted. During treatment with Drs. Olivia Collier and Jon Engelby, patients wear the aligners all day and night, except for during meals and when they’re brushing and flossing; cleaning your teeth and eating are a snap since you can easily remove your aligners! And because they’re clear, no one will know that your teeth are steadily straightening!

To find out if you are the right candidate for Invisalign treatment, we invite you to give us a call at our convenient Sedro-Woolley or Bellingham, WA office and schedule a consultation.

Labor Day: Our favorite holiday to rest!

September 7th, 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 CE Family Dental hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Sedro-Woolley or Bellingham, WA area, or travel out of town, have fun, and don't forget to brush!

The Invisalign® Treatment Process

August 31st, 2015

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.

Consultation with a Treatment Provider

Our practice has received specialized training to work with Invisalign. During your consultation appointment, Drs. Olivia Collier and Jon Engelby will assess your smile needs. In some cases, the type of problem may not lend itself to correction through Invisalign, and we may offer an alternative solution.

Creation of a Custom Treatment Plan

Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, Drs. Olivia Collier and Jon Engelby will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.

Arrival of Custom Trays

Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.

In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with our Sedro-Woolley or Bellingham, WA office every six weeks or so to ensure treatment progresses smoothly.

Beautiful Smile: Complete!

Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of. Like with traditional braces, Drs. Olivia Collier and Jon Engelby may recommend that you wear a retainer to ensure that your teeth remain in their new positions.

Five Reasons for Your Bad Breath

August 24th, 2015

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 Drs. Olivia Collier and Jon Engelby to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Drs. Olivia Collier and Jon Engelby at our Sedro-Woolley or Bellingham, 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.

Is there a connection between oral health and school performance?

August 17th, 2015

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 Sedro-Woolley or Bellingham, WA office can help prevent serious tooth problems.

The Mouth-Lung Connection

March 4th, 2014

Recent research studies have linked periodontal disease to a number of different respiratory diseases. While the connection might not seem obvious at first, think of what might happen if you breath in bacteria from infected teeth and gums over a long period of time. Periodontal disease is a progressive condition which generally begins with a bacterial infection. Generally, bacterial respiratory infections occur due to the inhalation of fine droplets from the mouth and throat into the lungs. These droplets contain germs that can spread and multiply within the lungs to impair breathing. Researchers have concluded that periodontal disease may actually play a causal role in the contraction of pneumonia, bronchitis and emphysema. Research has also shown that bacteria can be drawn into the lower respiratory tract and worsen existing lung conditions. Chronic obstructive pulmonary disease (COPD), a respiratory condition characterized by blockage of the airways, and caused mostly by smoking, has been proven to worsen if the patient also has periodontal disease.

The fact that respiratory disease and periodontal disease are linked may seem far-fetched, but there is plenty of evidence to support it. While the presence of bacteria is a determinant of disease, it is often the inflammatory response to bacteria that is essential in the initiation and progression of disease states. Both periodontal disease and respiratory disease are classified as inflammatory conditions, so it may be possible that inflammation is a factor in the link between the two.  Another reason for the connection between respiratory problems and periodontal disease may be low immunity. It has been shown that most patients who experience chronic or persistent respiratory problems have low immunity. This low immunity allows oral bacteria to grow above and below the gum line without being challenged by the body’s immune system.  Not only does this accelerate the progression of periodontal disease, it also puts the patient at increased risk of developing emphysema, pneumonia and COPD.

Respiratory infections like COPD and pneumonia can be severely debilitating and are a major cause of death in the United States. The benefits of controlling periodontal disease are twofold.  First, any discomfort in the mouth will be reduced and the gums will be healthier. Second, the frequent respiratory infections associated with COPD and other common lung problems will reduce in number. These studies provide yet another example of how periodontal health plays a role in keeping other systems of the body healthy.

The Mouth-Heart Connection

January 16th, 2014

Heart disease is America’s number one killer. Did you know that heart disease and oral health are linked? There are two different connections between heart disease and your oral health:

Link #1: How gum disease increases risk of heart attacks

Studies have shown that people with moderate or advanced gum disease are more likely to have heart disease than those with healthy gums. Up to 91% of patients with heart disease have periodontitis, compared to 66% of people with no heart disease. Because the mouth is a gateway to the body, people who have chronic gum disease are at a higher risk for heart attack, according to the Academy of General Dentistry.

Some researchers have suggested that gum disease may contribute to heart disease because bacteria from infected gums can dislodge, enter the bloodstream, attach to blood vessels and increase clot formation. It has also been suggested that inflammation caused by gum disease may also trigger clot formation. Clots decrease blood flow to the heart, thereby causing an elevation in blood pressure and increasing the risk of a heart attack.

Studies have not established that either heart disease or gum disease actually causes the other. Though the reasons are not fully understood, it’s clear that gum disease and heart disease often go hand in hand.  The two conditions have several risk factors in common, such as smoking, unhealthy diet, diabetes, and excess weight.

Link #2: How oral health warns about heart disease

Oral health holds clues to overall health. Studies have shown that oral health can provide warning signs for other diseases or conditions. More than 90% of all systemic diseases, including heart disease, have oral symptoms. In addition, dentists can help patients with a history of heart disease by examining them for any signs of oral pain, infection or inflammation. Proper diagnosis and treatment of tooth and gum infections in some of these patients have led to a decrease in blood pressure medications and improved overall health.

Gum disease affects 80% of American adults. Warning signs that you may have gum disease include red, tender or swollen gums, bleeding gums while brushing or flossing, gums that seem to be pulling away from your teeth, chronic bad breath or a bad taste in your mouth, and teeth that are loose or are separating from each other.

Prevention is the best medicine

Although gum disease seems to be associated with heart disease, more studies are needed to know exactly what the relationship is. Research has not shown that treatment for one of these diseases will help control the other, but we do know that regular dental checkups, professional cleanings and good oral hygiene practices can improve oral health and that good oral health contributes to good overall health.

The Mouth-Body Connection

November 24th, 2013

Your dentist has been urging you to brush twice a day and floss daily since you were a kid. While these habits are key to keeping your teeth and gums healthy, it turns out that how well you take care of your mouth can actually affect your entire body.

Not only can your oral health offer clues about the rest of your body, but problems in your mouth can affect your overall health. The mouth-body connection is more important than you might realize. Regular dental care is vitally important in the management of your overall health.

So, what is the connection?

Your mouth is the gateway to your body. Like many areas of the body, your mouth is teeming with bacteria. Most of these bacteria are harmless, and normally the body’s natural defenses and good oral hygiene can keep these bacteria under control. However, without proper dental health care, bacteria can reach levels that might lead to oral infections, such as tooth decay and gum disease.

Studies suggest that oral bacteria and the inflammation associated with severe gum disease might play a role in other diseases. In addition, certain diseases, such as diabetes and HIV/AIDS, can lower the body’s resistance to infection, making oral health problems more severe. Your saliva protects you from microbial invasion or overgrowth that might lead to disease, by washing away food and neutralizing acids produced by bacteria in the mouth. Certain medications  – such as decongestants, antihistamines, painkillers and diuretics – can reduce saliva flow, which diminishes this defensive mechanism.

Why it matters

The American Academy of Periodontology states that people with periodontal disease are almost twice as likely to suffer from coronary artery disease as those without periodontal disease. Another study published in the Journal of Periodontology uncovered a suspected link between periodontal disease and pulmonary disease, such as pneumonia and acute bronchitis. A study published in the Journal of the American Dental Association found a relationship between people who lost more teeth before the age of 35 and an increased risk of dementia.

Because of these potential links, you should tell your dentist if you’re taking any medications or have had any changes in your overall health, especially if you’ve had any recent illnesses or you have a chronic condition such as diabetes. To protect your oral health, you should practice good dental hygiene every day, and contact your dentist as soon as any problem in your mouth arises. Remember, taking care of your oral health is an investment in your overall health.

Why Gold?

August 5th, 2013

If a dental crown is needed, gold crowns or restorations are what more dentists choose for themselves than any other type of material. Gold fillings have excellent durability, wear well, and do not cause excessive wear to the opposing teeth. Gold restorations are more expensive, but they last a very long time, making them less costly and painful in the long run.

There are many advantages of cast gold crowns and restorations. Gold does not change color, and will not discolor the teeth. Gold does not chip or fracture, even when it is very thin. Fragile areas of remaining tooth structure can be protected by covering them with a thin layer of gold. Gold onlays and partial crowns can be used to hold a tooth together and prevent it from fracturing, and relieve sensitivity from tooth fractures that are just beginning.

Gold can be polished and finished to a higher degree than other materials. The edges of gold crowns and restorations can be made almost imperceptible. This results in a juncture that is less likely to decay or harbor plaque. The normal tooth anatomy can be more nearly reproduced with a casting. It will feel more like a real tooth to the tongue, as well as during chewing.

You must visit the dentist at least twice to receive a gold filling. At the first visit, the dentist makes an impression of your tooth and places a temporary filling. The gold filling is made from the impression and is placed at a second visit. Because of the extra time involved, and because of the high cost of gold, these crowns and restorations necessarily cost more up front. However, given their predictable life span, they are the best value in restorative dentistry today. Gold crowns last the longest and wear the best.

When properly prepared and placed, gold is the most durable material there is for a dental crown or restoration. Dr. Jon Engelby is accomplished in gold restorative dentistry. He is a member of The Academy of R.V. Tucker Study Clubs, an international group of dentists who are committed to excellence in the placement of conservative cast gold restorations. For more dental crown information or to learn if gold crowns are right for you, contact our office today.

Sedation Dentistry

June 27th, 2013

A significant number of Americans do not visit the dentist for regular checkups because they are too fearful or suffer from dental anxiety.  Sedation dentistry offers an excellent way to provide a safe, anxiety-free dental experience to those who are afraid of the dentist. If you have put off dental care for years because of dental anxieties, we can help.  You will be treated in a relaxed, caring and comfortable environment, and with the use of sedation dentistry, it is likely that you can have your dental care completed in fewer visits.

We have several sedation options available depending on your needs and level of comfort.

Nitrous Oxide (Laughing Gas) provides mild sedation for the dental patient that is anxious about the visit and needs some help relaxing. Nitrous oxide is delivered through a nose hood, and is administered throughout the procedure. The patient is conscious and able to respond. Nitrous oxide elevates the general mood and can evoke a general sense of well-being. Most importantly, it relieves anxiety and reduces pain during the procedure. It has been used safely in dentistry for many years, and has few side effects.

Oral conscious sedation is an excellent choice for people who fear needles. Oral sedatives are taken by mouth, meaning no injections, no anxiety and no pain. Oral sedation is accomplished by taking a pill that has been prescribed for you prior to your appointment. Though oral sedatives do not cause sleep, they usually dull the senses. Many patients have no sense of smell or sound, as well as no sense of time while under sedation. The patient is conscious and able to respond, but may not remember much of the actual dental procedure.  Oral sedation requires you to have a family member or friend accompany you to your dental appointment.

Intravenous sedation is a deeper type of sedation. During this process the patient is in a  very pleasant, deeply relaxed state. Medication is administered via direct injection into the bloodstream, which means the effects are immediate. The patient is conscious and maintains the ability to respond. Sometimes patients feel groggy and sleepy when the IV sedatives are withdrawn.  IV sedation requires you to have a family member or friend accompany you to your dental appointment.

We understand that for many people, going to the dentist can be a traumatic experience. Our primary goal is to provide a safe, comfortable, and pain free experience during your entire visit.

It’s Spring Cleaning Time!

May 9th, 2013

Spring is the season for new beginnings! We invite you to take this opportunity for spring renewal to invest in your dental health.

While cleaning up the rest of the house, take a moment to consider how long it’s been since you’ve had a new toothbrush. Buy new toothbrushes and change them out on a regular basis – every three months is a good guideline.

If you’ve slipped out of good habits like brushing and flossing regularly, re-establish these good dental habits now that spring has arrived! Start with brushing your teeth twice a day, once in the morning and once at night. It’s essential for good dental health to floss once a day – before bed is the easiest way to make it part of a good dental routine!

As you prepare for the excitement of the warm weather ahead, why not add a dental visit to this year’s spring-cleaning list? According to the Academy of General Dentistry, a professional dental cleaning at least twice a year can improve your oral health. A dental exam and cleaning may seem like a little thing, but regular dental check-ups and professional cleanings can prevent major oral problems, or at least arrest them in their early stages.

Periodontal disease causes more tooth loss than tooth decay. Many Americans have periodontal disease and don’t know it because it’s painless in the early stages. Regular brushing and flossing will help you avoid periodontal disease, but home care alone will not prevent it. A professional dental cleaning is designed to preserve good dental health, prevent the spread of disease and give the dentist an opportunity to locate other areas in the mouth that may need attention. If gum disease is diagnosed early, it can be treated and reversed.

No matter how long it’s been since you’ve seen the dentist, we offer professional cleaning with a gentle touch and a thorough comprehensive oral exam. If you’re spring cleaning, start with your mouth!

Digital x-rays are here!

February 9th, 2013

CE Family Dental has recently installed digital equipment in our offices. This technology will significantly decrease radiation exposure for our patients, as well as providing improved imaging quality. This was an issue where many of you expressed your concerns to us, and we have listened. We want you and your family to know that your comfort and safety are very important to us. We appreciate your feedback and look forward to seeing you soon.

Concern about dental x-rays

April 23rd, 2012

Recent Study Questions Safety of Dental X-rays

Contact Information:

Telephone: 312-440-2806

E-mail: mediarelations@ada.org (Journalists) or Contact ADA (All Others)

CHICAGO, April 10, 2012 —The American Dental Association (ADA) is aware of a recent study that associates yearly or more frequent dental X-rays to an increased risk of developing meningioma, the most commonly diagnosed brain tumor. The ADA’s long-standing position is that dentists should order dental X-rays for patients only when necessary for diagnosis and treatment. Since 1989, the ADA has published recommendations to help dentists ensure that radiation exposure is as low as reasonably achievable.

The ADA has reviewed the study and notes that the results rely on the individuals’ memories of having dental X-rays taken years earlier. Studies have shown that the ability to recall information is often imperfect. Therefore, the results of studies that use this design can be unreliable because they are affected by what scientists call “recall bias.”   Also, the study acknowledges that some of the subjects received dental x-rays decades ago when radiation exposure was greater.  Radiation rates were higher in the past due to the use of old x-ray technology and slower speed film.  The ADA encourages further research in the interest of patient safety.

As part of the ADA’s recommendations to minimize radiation exposure, the ADA encourages the use of abdominal shielding (e.g., protective aprons) and thyroid collars on all patients. In addition, the ADA recommends that dentists use E or F speed film, the two fastest film speeds available, or a digital x -ray.

In addition to the X-ray recommendations, the ADA’s Council on Scientific Affairs will publish clinical guidance on the use of cone-beam computed tomography in an upcoming issue of The Journal of the American Dental Association. The ADA will share these recommendations as soon as they are available.

Dental X-rays are valuable in helping dentists detect and treat oral health problems at an early stage. Many oral diseases can’t be detected on the basis of a visual and physical examination alone, and dental X-rays are valuable in providing information about a patient’s oral health such as early-stage cavities, gum diseases, infections or some types of tumors. How often dental X-rays should be taken depends on the patient’s oral health condition, age, risk for disease and any signs and symptoms of oral disease that the patient might be experiencing.

The ADA encourages patients to talk to their dentists if they have questions about their dental treatment. As a science-based organization, the ADA fully supports continuing research that helps dentists deliver high-quality oral health care safely and effectively.

Additional information about dental x-rays is available on ADA.org.

About the American Dental Association

Medical Insurance vs. Dental Benefits

March 8th, 2012

What’s the difference between Medical Insurance and Dental Benefits?

Insurance protects you in the case of RARE, CATASTROPHIC events.  If your house burns down, your homeowner’s insurance will pay to replace it.  If you break both your legs skiing, medical insurance will cover a large portion of your costs.  If you fall and break your two front teeth, will dental “insurance” protect you? NOPE!

Dental Benefits pay for REGULAR, ROUTINE events.  They typically cover cleanings, exams, and x-rays usually at 80-100%.  When Dental Benefit plans were first introduced in the 1960’s they had annual maximums around $1500.00  Fast forward 50 years, and the annual maximum of most plans is still $1500.00.  One badly broken tooth will cost more than that.

Are Dental Benefits a good thing? Absolutely!  They allow many people to regularly see the dentist and get routine care .  Insurance may help out with a few fillings or a single crown.  If you need a bridge or an implant you are probably over your yearly maximum.  If your employer provides dental benefits, consider yourself lucky, but remember you are not “insured” for anything except routine care.

Your dental team is here to help educate and guide you, and to provide the best care for your teeth and gums.  Your insurance company is there to earn a profit for their shareholders.  Our recommendation, especially for smaller employers or individuals, is to consider direct reimbursement plans, or dental membership plans like QDP.  These plans are simple, tax free, give employees better options, and save money.

If you have any questions regarding direct reimbursement, or QDP, please contact us at our Sedro-Woolley office 360-856-6358 or Bellingham office 360-738-9791

Jingle Bells Run – We had a Blast

December 15th, 2011

We had a great time at this years Jingle Bell Run. Even our pooches had a great time and were on their best behavior. That is until Loki discovered the miniature horses, he then decided it was a good idea to try to herd the horses. I guess he mistook them for sheep? I recommend everyone get involved next year it was a good time. check out our Facebook site for updated pictures of the event.

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