Reopening Information

Safety Information

At Auburn Avenue Dental, our goal has always been and will continue to be the health, safety, and well-being of our patients.

Our team is very excited to announce that we will be restoring all aspects of care for our patients. As of May 19th, we will be open from 8am to 5pm and we will be fully staffed and available to care for most of our patients.

It is our greatest priority is maintaining the safety of our patients during this time. As such, during the ongoing COVID-19 outbreak, we have taken the following steps to ensure the safety of our patients and staff.

  • Virtual Lobby – We will practice limited use of our reception area. We ask that patients call us at 253-833-3680 upon arrival in the parking lot. We will then let you know when to enter the office. We ask that any family members remain outside the office.
  • Social Distancing – We have expanded appointment times to limit the number of people in the office at any given time and reduce exposure.
  • Screening – We will ask staff and patients general health questions, and some specific to COVID-19 symptoms (cough, sore throat, aches) as well as inquiries about recent travel and exposure risk/history. We will also take the temperatures of staff daily and of patients upon arrival at the office to screen for fever. Those with elevated temperatures will have to plan to visit the office another time or be tested for COVID-19.
  • Mouth Rinse – We are taking the extra step of providing a peroxide-based mouth rinse for patients to use before treatment.
  • Standards – We use industry recommended PPE standards (gloves, masks, gowns, shields) and strictly adhere to hand hygiene, surface cleaning and sterilization protocols for your safety.
  • Office Surface – All frequently touched surfaces (doorknobs, chairs, phones, etc.) are sanitized every hour.
  • Virtual Paperwork – We are encouraging all patient to fill out applicable paperwork via virtual interfaces, when available.

You can rest assured that our safety measures will remain in place and continue to evolve as more necessary, in the interest of protecting our patients. Please let us know if you have any questions and we would be happy to provide additional information.

We look forward to continuing to safely serve your dental needs.

Thank you!
Auburn Avenue Dental Team

Teledentistry

Auburn Avenue Dental Teledentistry Service

If you are in pain or have swelling or if anything breaks, give us a call at 253-833-3680 and leave us a message or feel free to send us an email at reception@auburnavenuedental.com.

Dental emergency

Don’t stop by the office. We are frequently checking messages and e-mails.

We will get in touch with you and will provide teledentistry services.

You may be asked to send cell phone pictures or video showing the same. We will evaluate and if there is a need for physical visit we can arrange the visit with our staffs and make an appointment.

Under the new provision your insurance will be covering this as remote limited exam, they may limit its number during an year.

Stay healthy!!
Dr Dipti

Novel Coronavirus (COVID-19) Information

Updated Monday, March 23rd, 2020

Hello everyone hope you all are staying safe and spending this time with things that you would have always wanted to do.

We have been closely watching and abiding the state and ADA recommendations for everyone’s safety and to contribute our support to the community during this challenging time…

The latest proclamation from our Governor is

“I hereby prohibit all hospitals, ambulatory surgical facilities, dental, orthodontic and endodontic offices in Washington State from providing health care services, procedures, and surgeries that, if delayed, are not anticipated to cause harm to the patient within the next three months, with exceptions and as provided below.”

This will be in effect for the coming few weeks.

On the same note if you have pain, infection, deep decay which could lead to root canal or broken tooth, please reach out to us and we will be providing care for that.

Our front office would be reaching out to reschedule your appointments further out .

Missing the sweet memories we created during the time we spent with all of you and wishing everyone good health and safety during this time!

We appreciate all of you….this shall pass too.

Dr. Dipti


Thursday, March 5th, 2020

With the Novel Coronavirus (COVID-19) outbreak and the sickness associated with it here are some updates from your office.
If you have an appointment and have Flu like symptoms with fever, cough or any shortness of breath, please call us to reschedule your appointment.

Otherwise come for your appointment and rest assured. We are following all the recommended precautions to keep you and your family safe. We are compulsively wiping all the surfaces in the waiting areas and entire office couple of times a day. We are practicing superb hand hygiene with the best disinfection and sterilization measures. The waiting room has a hand sanitizer and disinfectant wipes which we will ask you to use when you come in. Sick employees are not allowed to work. We are wearing our protective wears including masks all the time. Just some examples here to mention.

CDC and ADA guidelines on the topic
1. https://www.cdc.gov/coronavirus/2019-ncov/index.html
2. https://www.ada.org/en/publications/ada-news/2020-archive/february/ada-releases-coronavirus-handout-for-dentists-based-on-cdc-guidelines

Auburn Orthodontics: Issues with Adults Wearing Braces

Key Differences: Adults and Kids

Different from that of children and teens, adult orthodontics posts significant challenges to specialists. Adults interested in pursuing this treatment may find it worth knowing what they face before making a decision.

Due to their age, adults have insufficient bone between roots for adequate blood supply, they may have mild gingivitis infections and marginal bone loss. The bones are harder and no longer growing, hence, it will take longer to adjust to teeth’s new positions; tooth realignment may be a more involved process in adult patients. And since adult bone doesn’t respond to pressure in the same way as growing bone, if there are gaps between teeth caused by extraction, they are not suitable sites for teeth to move into unless prosthetic bone has been added.

Adults undergoing orthodontics treatment have a higher risk for root resorption than children, leaving the tooth without anchorage. Some predisposing factors are family history, oral habits and the type of roots. This susceptibility causes root friction, teeth can become loose in their sockets and just fall out. Strict monitoring with the orthodontist is required, watching out for signs of resorption.

If an adult has a deep overbite, there is often not enough room in the mouth to create space for the teeth to move back without extracting one or more teeth. He might even have worn down some of the teeth, making the overbite worse. Also, adult patients have a greater risk for temporomandibular disorder (TMD), and symptoms can develop during conventional orthodontic treatment. Careful assessment is necessary before going into the treatment.

There are also psychological and social factors that affect adults interested in treatment. These include higher levels of treatment expectations, concern with appearances, discomfort from
wearing appliances and level of patience, and willingness to cooperate with orthodontic instructions.

If you are still interested to have orthodontic treatment, come visit our Auburn dentist and know more about your challenges and expectations.

Radiographs for Children: Safety First says Auburn Dentist

How Safe is Safe?

Radiographs are a vital part of your child’s dental diagnostic process. Without them, certain dental conditions can and will be missed. Take routine panoramic x-rays on kids based only on their age or stage of dental development. That means, there is no other reason for taking the x-ray other than just the routinary requisite. Some pediatric dentists would call to mind the ALARA principle, which stands for “As Low As Reasonably Achievable.” Minimize your child’s exposure to x-rays as much as you can, but be aware there likely will be times where x-rays are necessary and beneficial.

Looking at the benefits of radiographs, for example – needed to survey erupting teeth, diagnose bone diseases, evaluate the results of an injury, or plan orthodontic treatment. It allows dentists to diagnose and treat health conditions that cannot be detected during a clinical examination. If issues are found and treated early, dental care is more comfortable for your child and more affordable for you. But they should not be a part of every exam, nor should they be given to children according to an office policy or a formula?

The American Academy of Pediatric Dentistry recommends radiographs and examinations every six months for children with a high risk of tooth decay, or on average, once a year for most. Or else, every 3 years is a good idea to obtain a complete set of radiographs.

Pediatric dentists are particularly careful to minimize the child’s exposure to radiation. With modern safeguards, the amount of radiation is extremely small and the risk negligible. Dental radiographs are a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today’s equipment filters out unnecessary x-rays and restricts the x-ray beam to the area of interest.

Many dentists now use digital x-ray which have less radiation than conventional x-rays, or use cavity detectors rather than x-rays. High-speed film and proper shielding assure that your child receives a minimal amount of radiation exposure.

ALARA at Auburn Avenue Dental

Rest assured that our young patients at Auburn Avenue dental, should radiographs be essential, will get As Low As Reasonably Achievable x-ray exposure. Safety first, at all times, all the time.

Your Teething Baby

Coping with Baby’s Teething

When you baby’s first set of teeth, called primary teeth, starts to break through his gums, teething time has begun.

By the time your infant reaches 6 months, teething usually begins. However, it is still normal if teeth starts to show between 3 months to 12 months of age. By the time your child is about 3 years old, he will have all 20 primary teeth in place. The lower front teeth usually appear first, followed by the upper front one to two months after. Now most babies get new teeth and lose their teeth at expected times. The exact order and timing may vary.

Many babies appear not to be much affected when they are teething, but some are fussier and irritable than others. There is soreness and swelling in the gums before a tooth comes through and babies express their discomfort in a variety of ways – crying, touching or rubbing their gums or mouths. They may bite on their fingers or chew on their toys to help relieve the pressure in their gums, or refuse to eat and drink because their mouths hurt.

There will be a lot of drooling while baby is teething, so be sure to attend to him always as it may cause a rash in the mouth area or on his chest. These may go on 3 to 5 days before the tooth breaks the skin. After it does, the symptoms usually go away.

You can help ease baby’s teething woes by gently rubbing his gums a couple of minutes at a time; he may protest at first but may find it soothing. Do use your clean finger or a cold teething ring to do that, or a clean, cold washcloth. You can also let him chew on his teething ring. Don’t use teething gels for they can numb the bay’s throat or cause swallowing difficulties, nor aspirin or any medication with benzocaine. These are potentially unsafe and harmful for your baby. Ask your doctor for pain killers suitable to children younger than 2 years if other methods don’t work.

Baby Safety at Auburn Avenue Dental

It’s good practice to bring your baby to your Auburn dentist and start off early with his oral health management. Your dentist may give you advice about teething and other baby’s needs regarding his teeth and gum health.

Dentist or Oral Surgeon: What’s the Difference?

Finding Your Oral Surgeon

An oral surgeon, also called an oral and maxillofacial surgeon, is a specialist. All generalist and specialist dentists, do seven or eight years in college and dental college earning a DDS (Doctor of Dental Surgery) or DMD (Doctor of Dental Medicine). Both degrees are equivalent, the dentist is to practice general dentistry after passing a state licensing exam. An oral surgeon, spends an additional four to six years of in training after dental school, mostly in a hospital-based surgical environment.

The oral surgeon focuses strictly on performing dental surgical procedures and not on any other field of dentistry outside his training. The oral surgeon can do simple to complicated teeth extractions (including wisdom teeth), dental implant placement, repair of broken bones in the jaws and face, removal of cysts and tumors of the jaws, soft tissue biopsies, jaw realignment surgery to correct bite discrepancies, and cosmetic and TMJ surgeries.

There are general dentists or community-based oral surgeons who can do some of the above procedures, some of the time. But an oral and maxillofacial surgeon do all the procedures as a matter of routine. Hence, that oral surgeon is much more exposed to a variant of opportunities and differing situations and challenges in surgery expanding his expertise, adding to his experience. These include challenges like complications, emergencies, and even failures. The oral surgeon tends to have a higher success rate in oral surgeries than would a generalist. This leads to better outcomes.

A good dentist will diagnose and treat only the conditions with which they feel comfortable or for which they have training and will refer you to a specialist for anything further. It will be hard for him to continue to feel confident in situations he has no training in and for which his exposure is limited. He will refer you to a specialist, someone he has confidence in and from whose hands you will derive your best options. This relationship is all for patient benefit above anything else.

All for Patient Benefit in Auburn

Find in your Auburn dentist also a professional whose passion lies in oral surgery, among other fields of interest. Consult with him on any matter of dental concern and he will tell you if his expertise covers your best treatment plan. Like any good generalist, he will recommend when your situation warrants it.

Auburn Dentist: What you need to know before a Root Canal

Questions to Ask Before the Root Canal Procedure

There are diagnostic techniques in the form of very important fundamental questions that should be asked, along with clinical criteria to consider, prior to every potential endodontic case, more popularly called root canal treatment or root canal. It is the most common and popular procedure with the aim to salvage the tooth when its pulp tissue is diseased, injured or damaged.

Firstly, what is really the origin of the patient’s pain? Is it really the dental pulp? Hence, it is of endodontic origin and the endodontist must be sure of it. For there are non-endodontic causes of pain, such as dentin hypersensitivity, occlusal trauma such as clenching/grinding, or is sinus-related.

The clinician should ascertain that the pain is pulpal in origin such as symptoms of lingering pain to hot or cold, no response to pulp tests (with exceptions), and cases with apical pathology, like abscess at root tips, or do a cold test with Endo-Ice. He may also see if mastication muscles are tense or tender, look for occlusal wear, or non-localized pain that either wakes the patient up at night or is present upon waking up in the morning.

Next important issue- is the tooth worth saving? It is worth saving if there is sufficient and sound crown tooth structure to retain a restoration. Also worth saving if there is no vertical fracture that extends from the crown to the pulp floor which will severely compromise the strength of even the best crown restoration. Another fracture indication (but is not so always) is vertical bone loss and/or an isolated periodontal pocket.

In other words, one should not perform endodontics if the tooth is not structurally salvageable. Also, if it shows that it is less expensive to save the tooth rather than extract and restore it, root canal is indicated.

What Is the Long-Term Prognosis of the Tooth?

There is a more than 90% success rate for a period of many years for a successful root canal treatment in a tooth that is ideally and well restored. However, if the patient is in a poor state of periodontal health, one can’t expect longevity with even a successful root canal. One should also consider the combined financial costs of endodontics versus an alternative, like a single dental implant. Discussion on treatment options is encouraged.

Expertise and Experience in Auburn Dentistry

Talk to your Auburn dentist and find out if you are a perfect candidate for Root Canal. And also find experience and expertise in endodontics here at Auburn Avenue Dental.

Who Needs Fluoride Treatments?

The Benefits of Fluoride

We know that fluoride prevents tooth decay by making enamel stronger, more resistant to bacterial colonies that attack plaque on teeth. We also know that plaque are hardened food debris, especially of sugar, that once colonized by bacteria can start a cavity on enamel surface. Fluoride can also protect beginning cavities and reverse early decay. Fluoride, calcium and phosphate are minerals naturally occurring in food and water that are redeposited (remineralization) to the enamel layer.
Added fluoride speeds up this redeposition, strengthening the enamel.

So, who needs this strengthening from fluoride. All teeth do, of children and of adults. A child not yet 6 years of age has fluoride already incorporated into his developing permanent teeth. The teeth of babies , toddlers, up to children who are 16 years of age should be exposed to fluoride. This is the time in which primary and permanent teeth erupt. Fluoride also benefit the teeth of adults, hence, normal oral hygiene routine of brushing with fluoride toothpaste is recommended.

Adults with certain conditions need additional fluoride exposure, such as in cases of dry mouth, due to certain diseases and medication that initiates environment for more bacteria, and gum disease which increases the chances of tooth decay. More fluoride is beneficial also for people who have frequent tooth cavities, and if they wear appliances like bridges, crowns and braces. Apart from toothpaste and mouth rinses, dentists can recommend fluoride gel, foam, or varnish. Fluoride supplements are also available as liquids and tablets.

Fluoride Treatments from Auburn Dentist

Knowing the benefits of fluoride to dental health, it becomes clear how regular brushing with fluoride toothpaste helps. From your Auburn dentist, you can get additional protection from tooth decay if you’ll have fluoride treatments on a regular basis. Ask your dentist if you could benefit from additional fluoride.

Dental Hazards of Thumbsucking by Auburn Dentist

Worrying About Thumbsucking

Babies are prone to sucking on their thumbs, fingers, pacifiers and other objects that seem to calm them, soothe them and make them easily fall asleep. As parents, you are likely to let it be seeing your child is happier and less fuzzy; you might even think the child will soon outgrow this seemingly harmless habit.

Prolonged thumbsucking, like after the toddler years or when the child’s first permanent teeth start to come in, this finger habit can cause interference with the proper growth of the mouth and alignment of the teeth. Teeth, gums, jaws, the roof of the mouth, and even facial form can be impacted. Some children tend to vigorously suck their thumbs and its intensity can determine whether or not dental issues will arise. Some aggressive thumbsuckers may develop problems with their baby teeth, while passive suckers may not. A dental or skeletal open bite can develop among aggressive suckers but it will self-correct if the habit stops while the child is still growing.

Though thumbsucking may cease between the ages of 2 to 4 years of age, you can still do some intervention soon enough to prevent untoward effects. For example, you can provide extra comfort and caresses to ease your child’s anxiety or insecurity, or wean the child away from dependency on the thumb by distracting his attention towards, say, speech sounds. Older children may understand if you explain what happens to the teeth if they continue to suck or praise the child for not thumbsucking.

Seeking Professional Advice

Want to know more tips to help you wean your little one out of this reflex? Ask your Auburn dentist about thumbsucking and ways to manage it.