My Blog
By Todd G. Yoshino DDS
July 13, 2018
Category: Dental Procedures
ArianaGrandeBreaksFree-ofHerWisdomTeeth

Via a recent Instagram post, pop diva Ariana Grande became the latest young celebrity to publicly acknowledge a dental milestone: having her wisdom teeth removed. The singer of hits such as “Break Free” and “Problem” posted an after-surgery picture of herself (wearing her signature cat-eye eyeliner), with a caption addressed to her teeth: “Peace out, final three wisdom teeth. It’s been real.”

With the post, Grande joined several other celebs (including Lily Allen, Paris Hilton and Emile Hirsch) who have shared their dental surgery experience with fans. Will "wisdom teeth removal" become a new trending topic on social media? We aren’t sure — but we can explain a bit about the procedure, and why many younger adults may need it.

Technically called the “third molars,” wisdom teeth usually begin to emerge from the gums between the ages of 17 and 25 — presumably, around the same time that a certain amount of wisdom emerges. Most people have four of these big molars, which are located all the way in the back of the mouth, on the left and right sides of the upper and lower jaws.

But when wisdom teeth begin to appear, there’s often a problem: Many people don’t have enough space in their jaws to accommodate them. When these molars lack sufficient space to fully erupt (emerge), they are said to be “impacted.” Impacted teeth can cause a number of serious problems: These may include pain, an increased potential for bacterial infections, periodontal disease, and even the formation of cysts (pockets of infection below the gum line), which can eventually lead to tooth and bone loss.

In most cases, the best treatment for impacted wisdom teeth is extraction (removal) of the problem teeth. Wisdom tooth extraction is a routine, in-office procedure that is usually performed under local anesthesia or “conscious sedation,” a type of anesthesia where the patient remains conscious (able to breathe normally and respond to stimuli), but is free from any pain or distress. Anti-anxiety medications may also be given, especially for those who are apprehensive about dental procedures.

So if you find you need your wisdom teeth extracted, don’t be afraid to “Break Free” like Ariana Grande did; whether you post the results on social media is entirely up to you. If you would like more information about wisdom tooth extraction, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”

SavingaDiseasedPrimaryToothCouldMeanBetterOralHealthLaterinLife

It’s often best health-wise to preserve even the most troubled tooth—including a child’s primary (“baby”) tooth. If that sounds like too much effort for a tooth that lasts only a few years, there’s a big reason why—if it’s lost prematurely, the incoming permanent tooth above it could erupt out of position.

Preserving a decayed primary tooth could include procedures similar to a root canal treatment, commonly used in adult permanent teeth with inner decay. However, we may need to modify this approach to protect the primary tooth’s pulp. This innermost layer plays a critical role in early dental development.

Because an adult tooth has reached maturity, removing diseased pulp tissue has little effect on its permanent health. But the pulp contributes to dentin growth (the layer between it and the outer enamel) in primary and young permanent teeth, so removing it could ultimately compromise the tooth’s long-term health.

Our goal then with a child’s tooth is to remove as much diseased tissue as possible while involving the pulp as little as possible. What techniques we use will depend on how much of the pulp has become infected.

For example, if decay has advanced to but hasn’t yet penetrated the pulp, we may remove all but a small amount of the decayed structure just next to the pulp to avoid its exposure. We may then apply an antibacterial agent to this remaining portion and seal the tooth to curb further infection.

If on the other hand the pulp has become infected, we may try to remove only the infected portion and leave the remaining pulp intact. We’ll only be able to do this, however, if we deem the remaining pulp healthy enough to remain infection-free after the procedure. If not, we may need to remove the entire pulp as with a traditional root canal. This option, though, is a last resort due to the possible effect on dentin growth and the tooth’s long-term health.

As you can see attempts to preserve a primary tooth can be quite involved. But if we can help it reach its full life span, it could mean better dental health for a lifetime.

If you would like more information on caring for primary teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment for Children’s Teeth.”

By Todd G. Yoshino DDS
June 23, 2018
Category: Dental Procedures
Tags: cosmetic dentistry  
TipsforPicture-PerfectSummerSmiles

June is the month when lots of important events happen—like weddings, graduations, and family get-togethers. When the weather turns balmy and the days get longer, it’s the perfect time for a celebration…and today it’s easier than ever to capture those special moments in pictures that will be treasured for years to come. Are you ready for your close-up?

Both professional photographers and dentists want to help you look your best when you’re smiling for the camera. Here are a few suggestions from both kinds of pros for capturing a great-looking smile.

Tilt your head just a bit

Instead of looking straight at the camera, try turning or tilting your head slightly. This often presents a more flattering angle, and can hide small facial asymmetries. If your face has a “good side” (you can check by looking in a mirror), be sure to make it visible. But even if your head is tilted or turned, your eyes should be looking at the camera.

Moisten teeth before the shutter clicks

A sparkly smile is the most appealing one. Just before the picture is snapped, run your tongue over your teeth to give them a little extra shine. Highlights in the teeth, lips and eyes add liveliness to your portrait.

Relax—Don’t clench your teeth!

It’s better to smile naturally—perhaps with teeth slightly parted, or lips in a more relaxed position—than to force yourself to make an artificial-looking grin. Try recalling things that make you joyful, or think of people you care about, and chances are your natural smile will shine out.

Have your teeth professionally cleaned at the dental office

Before the big event, you can ensure that your smile looks its best with a professional cleaning at our office. This treatment removes layers of plaque and tartar on visible tooth surfaces, as well as between teeth and under the gumline. It not only makes teeth look their best, but it’s also an effective way to fight tooth decay and gum disease. And while you’re here, it’s the perfect time to talk about any cosmetic issues that may be troubling you about your smile. With treatments like teeth whitening, cosmetic bonding or dental veneers, we can help you get the smile you’ve always wanted.

If you would like more information about professional teeth cleaning or cosmetic dentistry, please call our office to schedule a consultation.

By Todd G. Yoshino DDS
June 20, 2018
Category: Dental Procedures
Tags: orthodontics   braces   Invisalign  

Concerns about your appearance don't have to stop you from straightening your teeth. The innovative Invisalign system is completely wire-invisalignfree, ensuring that your smile remains picture perfect throughout your treatment. Dr. Todd Yoshino helps Federal Way, WA, residents look their best with Invisalign treatment.

What is Invisalign?

As many braces wearers had before him, Stanford University student Zia Christi wished there was a less obvious way to straighten his teeth. After he was fitted with a retainer, he wondered if it would be possible to carry out the entire straightening process using a removable device instead. He and several fellow students created a system that used CAD/CAM technology to create clear removable trays that gradually realigned teeth without wires or brackets. Today, Invisalign is a popular alternative to metal or ceramic braces.

Who can benefit from Invisalign?

Invisalign can correct these orthodontic issues:

  • Crooked Teeth
  • Spacing Issues
  • Overbites
  • Underbites
  • Open Bites
  • Crossbites

The system is very effective in correcting mild to moderate issues, but metal braces may be needed if you have more severe orthodontic problems.

What is the Invisalign wearing schedule like?

Invisalign aligners are designed to be worn for approximately 20 to 22 hours per day. You'll receive a series of aligners that you'll use throughout the course of your treatment. After wearing one set for two weeks, you swap it for another set in the series. Some sets may be worn more than once during treatment.

Invisalign trays are removed when you brush or floss your teeth and don't require lengthy or complicated changes to your oral hygiene routine. You'll also take them out when you eat and won't have to worry about food restrictions. Although you can drink water while wearing your trays, you should take them out when drinking other beverages, as stains from juice or soda can darken your aligners.

Do you plan on attending a special event in Federal Way? You can remove your trays for a few hours while you attend events or play sports.

Invisalign offers an excellent way to straighten your smile without calling attention to your orthodontic treatment. Call Federal Way, WA, dentist, Dr. Yoshino, at (253) 815-0441 to schedule an appointment to discuss Invisalign treatment.

By Todd G. Yoshino DDS
June 13, 2018
Category: Oral Health
Tags: oral hygiene   tooth decay  
CapsGownsandSmilesforHighSchoolGraduation

High school graduation marks the end of childhood and the beginning of young adulthood. Do you have a graduate in your family? If so, this is the ideal time to schedule a dental checkup and cleaning. Many graduates will be moving away to attend college, and an oral exam and cleaning now can help ensure that they will embark on this next phase of life in good oral health.

Is your graduate ready for the barrage of camera snaps? Long after graduation day, pictures of your graduate beaming in cap and gown will be on display. A professional teeth cleaning may be just what is needed for a camera-ready smile. The dental hygienist will use an electronic polishing tool to remove many stains from the teeth for a sparkling smile.

What’s more, the dental hygienist uses special tools to get rid of plaque and tartar that can cause bad breath, a common concern among teens and young adults. Bad breath is primarily caused by poor oral hygiene habits, and the hygienist can check to see if your teen’s oral hygiene routine has been too lax—and offer pointers if needed. It’s never too late to form better brushing and flossing habits, especially if your graduate will soon be living away from home!

A dental exam will reveal tooth decay or gum disease, problems that will only get worse if not taken care of. Another reason why dental exams are important at this time is that wisdom teeth—or third molars—generally appear between ages 17–21. Although these teeth sometimes come in without any problem, many wisdom teeth become impacted and must be removed, so it’s important to monitor them during regular dental checkups.

Take time to schedule a dental exam and cleaning so your graduate can march into a bright future armed with a big smile and the best oral health.

If you have questions about teen oral health concerns, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “How to Help Your Child Develop the Best Habits for Oral Health.”





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