We thoroughly enjoy caring for both adults and children, and provide many dental services that address a variety of needs.
At Dr. Cooper’s office, our team provides competent, compassionate, prevention based oral health care, maintaining the highest ethical standards and using the best evidence based treatment approach.
Ibuprofen and Acetaminophen - Together They Are Mighty
Appropriately combining Ibuprofen with Acetaminophen can provide greater pain relief than they can individually, and even do better than many commonly prescribed narcotics.
Ibuprofen (as in Advil) and acetaminophen (as in Tylenol) are well studied, relatively safe drugs when taken properly and in the correct dosages. However, neither should be taken if you have a medical condition or are taking medicine that would be negatively affected by these drugs.
Check with your doctor to be certain these are safe for you.
Researchers recommend the following:
Mild Pain—Take 200-400 mg of Ibuprofen every 4 – 6 hours
Mild to Moderate Pain—Take 400-600 mg of Ibuprofen every 6 hours for 24 hours, then 400 mg every 4—6 hours
Moderate to Severe Pain—Take 400-600 mg of Ibuprofen plus 500 mg of acetaminophen every 6 hours for 24 hours, then 400 mg of Ibuprofen plus 500 mg acetaminophen every 6 hours as needed.
Do not exceed a maximum of 3000 mg of acetaminophen or 2400 mg of ibuprofen in 24 hours. I recommend a “preemptive approach”, that is, take the medicine BEFORE a procedure and for 24 hours after. This is a particularly effective way to curb post operative pain. Long term use is not recommended—it is when we see most serious side effects develop.
++ From Our Spring, 2012 Newsletter ++
Teeth Whitening - Different Approaches to Brighten Smiles
Teeth whitening is a terrific way to brighten a smile. It has been studied carefully and extensively, with its modern roots tracing back 150 years!
There are a few approaches to whitening, including over the counter, at home tray based, and in office strategies. For the most part, each strategy can work, differing primarily in how quickly they do so.
How Does it Work?
Nearly all modern whitening programs use a variety of hydrogen peroxide. Hydrogen peroxide is a very small molecule capable of penetrating the microscopic tooth pores to reach and remove the source of the dark colors in teeth.
Hydrogen peroxide breaks down into water and oxygen very easily, and quickly loses its ability to work its magic. Special gels called carbamide peroxides have been created that combine it with a special protein to slow this process.
There is no evidence that peroxide harms enamel, fillings, or crowns when properly and professionally applied.
Three Primary Options
Over the counter options have not been studied as well, with the exception of Crest White Strips, which has been shown to be effective. It generally takes longer than the other strategies. Crest Strips work in a way that reminds me of a band-aid. Each strip contains hydrogen peroxide and is “taped” to the front 6—8 teeth for 30+ minutes. Cumbersome, but effective.
The more “tried and true” options are tray-based and in office approaches. Tray based involves making custom, precise fit plastic trays. A gel based hydrogen peroxide is placed in the trays, and are worn from 2—8 hours a day for several weeks. In office procedures use stronger chemistry and special lights to make the process occur more rapidly.
The peroxides used in chair side whitening are stronger than at home varieties, and designed to more rapidly remove dark organic materials from teeth.
With stronger chemistry, there is an increased chance of tooth sensitivity. For most, this is very temporary, and generally mild. Those who already have sensitivity to cold or hot are more susceptible to greater side effects.
Each approach will get your teeth whiter, generally one no more than the other. The difference between them is that in office treatment gets you there much faster than tray based, and both these are faster than OTC programs.
(More from our most recent newsletter...)
A Non-Lactose Milk Derivative Fights Cavities Very Well
A novel cavity fighting weapon, a non-lactose milk derivative known as Recaldent was the object of a study published the International Journal of Pediatric Dentistry in July.
Cavities develop in baby (primary) teeth the same as they do in adult teeth. Bacteria thrive, eat sugar and spit out acid. The acid dissolves areas of tooth structure, slowly at first, then more rapidly the longer it is there.
Eventually, a hole, or a cavity is created.
Early on in the process, we can often successfully reverse the process and repair the damage without fillings.
Traditionally, we’ve used fluoride to do this. However, the study found that Recaldent can reverse early cavities in primary teeth, and may do so a little better than fluoride can.
Recaldent, formally known as CPP-ACP, is available in pastes made by GC America. The most popular is called MI Paste.
It comes in two formulations, one that contains fluoride and one that does not. MI Paste Plus (with fluoride), is recommended for those over 6 years old, and MI Paste (has no fluoride) is best for younger kids and during pregnancy.
Recaldent can also be found in Trident Xtra Care Chewing Gum.
To fight cavities, we recommend five pieces per day each chewed for five minutes.
Mom’s Oral Health Affects Kids into Adulthood
Several studies have already shown that kids dental health is impacted by how well parents take care of their own teeth. Researchers have previously discovered that cavity causing bacteria are most often passed from mother to child, and the better parents take care of their teeth, the less impact this exchange has on their kids.
A long term study published this summer reinforces the importance of the relationship between mom’s oral health and her kids. About a thousand kids were followed for more than 25 years to see if their mom’s oral health could predict their own as adults. The study, published this summer in The Journal of Health and Quality of Life Outcomes, showed that it can indeed.
Mom’s and their 5 year old children were evaluated to begin the study. As 32 year old adults, the kids oral health was again rated.
Researchers discovered that children of mom’s who had poor oral health when the study began, also suffered from significant dental disease as adults.
Conversely, mom’s whose dental health was good when their kids were five years old, had adult children who shared healthy teeth and mouths thirty years later.
(from our most current newsletter)
Acid Reflux Cause of Tooth Grinding
What a double whammy! First, we load our mouths up with acid, softening our teeth, and then we rub them together over and over, at forces 10 to 20 times greater than any force we use to chew. Goodbye teeth.
Researchers have long observed a relationship between those who suffer from chronic heartburn (gastroesophageal reflux disease, GERD) and sleep related disorders, including apnea and tooth grinding.
Published in May of this year, a Japanese study went further than ever by watching how sleeping subjects respond to simulated acid reflux. The clever researchers simulated reflux within two groups of sleeping subjects. In one group, acidic fluid was introduced into the esophagus of participants, and in the second non-acidic saline.
In the group that received acidic fluid, tooth grinding resulted. In those that got saline only, tooth grinding occurred far less frequently.
If you suffer from symptoms of GERD, talk to your physician about treatments. And,
talk to us about ways to protect your teeth as you fight this difficult condition.
This is from our most current newsletter:
Control Gum Disease to Decrease Cholesterol?
The link between heart health and gum health has been repeatedly established. American cardiologists have joined periodontists (dental gum specialists) to recommend that those of us diagnosed with periodontal (gum) disease be evaluated for heart disease.
The exact reason our gum and heart health are related has not been firmly determined. Doctors hope that by better understanding the relationship, more consistent and effective treatment can be considered.
A study published in the Southern Medical Journal may have discovered a reason these diseases are linked. They found that patients who are successfully treated to gain control of their gum disease may see a significant drop in cholesterol levels.
Doctors measured cholesterol levels in patients with moderate to severe periodontal disease before local periodontal treatment, and then again 3, 6 and 9 months after. Treatment consisted of traditional deep cleanings (also called scaling and root planing).
Treatment resulted in significant drops in serum levels of lipoproteins, strongly suggesting that successful treatment for gum disease can reduce cholesterol levels.
As high cholesterol is believed to be a major contributor to heart disease, researches conclude cholesterol may be the factor that links gum disease to heart disease.
[11/23/11] We wish you all a happy Thanksgiving.
[11/15/11] We're excited to join facebook!
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Beffa Dental has been providing dental care to the Normandy Park, Burien, and Des Moines, area for over 35 years. Our goal is to provide adults, children and families with high-quality dental treatment in a caring environment.
Root Canal Specialty Office
We believe every patient deserves the highest quality specialty care from an expert in the field of dentistry. Our area of expertise is in restoring and replacing damaged or missin...
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Dr. Nomura has proudly served Seattle's vibrant south end community from his Burien office for over thirty years.
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Dr. Kamal Bajwa has been practicing dentistry in the greater Seattle area for over 11 years. In 1999 he graduated from Northwestern University Dental School in Chicago. Dr. Bajwa's philosphy is to treat all patients as he would treat his family.
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