Dec 21, 2009




THIS BEAUTIFUL SMILE IS NOTICED IMMEDIATELY. This Patient of Dr Cindy Pauley has had an already attractive smile enhanced by cosmetic dentistry procedures.


Beautiful Teeth and a Radiant Smile are usually among the first things noticed when you meet a new person. However, there is a difference between what men observed first and what women view initially about a person. Also, it depends on whether women or men are being observed and whether or not they are being observed by the same sex or the opposite sex. Men and women have different perceptions of the face, head, teeth, and smile along with the body and they perceive the same and opposite sexes differently. According to a recent study by the Baluke Dental Studios and published in Gallery Dental Smile Designs by Patient News Publishing 2009, teeth and smiles may be viewed and perceived somewhat differently by men and women. However, there is no doubt that these are very important in terms of how a first impression is made. This is the most recent information available regarding how teeth and smiles are perceived by people. From this information you can draw your own conclusions as to how important you think these things are upon initial contact with new people.

Smiles and Teeth for Women were very important when encountering a new person and they were the second items noticed by men. Somewhat surprisingly it was the eyes of women that were noticed first by men according to the Dental Studios Survey. The eyes and smile accounted for 64% of women’s features that are initially noticed by men. Those things noticed next by men about women were the body, clothing, hair and lastly a variety of other things combined. The percentages of what men noticed first about women according to the Dental Studios Study are indicated below:


  • EYES – 39%
  • SMILE – 25%
  • BODY – 14%
  • CLOTHING – 12%
  • HAIR – 3%
  • OTHER – 7%

MEN have their Teeth and Smile noticed first by women according to the survey. Among women surveyed, 40% noticed a man’s smile first. Eyes were the second things about men that were noticed by women. Together, the eyes and teeth accounted for 75% of the features that women notice first about men. These first two things were followed in order by the clothing, hair and body (these two were tied) and followed by other things combined. The percentages of what women noticed first about men in the Dental Studios Survey are indicated below:


  • SMILE – 40%
  • EYES – 35%
  • CLOTHING – 11%
  • BODY – 4%
  • HAIR – 4%
  • OTHER – 7%
It was not surprising that a person’s teeth and smile ranked so high in the survey with both women and men. It is certainly one of the first things that people see when they encounter a new person or acquaintance. I think most people quickly notice a beautiful or handsome smile and also they notice a very poor smile. A poor smile is greatly accented if there are missing, cracked, broken, crooked or discolored teeth. A very poor smile can imply many things to a new person at an initial meeting, most of which are not good. On the other hand, if you have an unsatisfactory smile or teeth that are not in optimal condition, you should visit your Bellevue Cosmetic Dentist, because there are many modern dental techniques such as porcelain veneers and crowns can be used to create a smile that is very attractive. In the case of missing teeth, porcelain crowns placed on dental implants are a perfect solution to an attractive smile. Individual teeth that are crooked do not need full orthodontia and can be part of a beautiful smile using limited cosmetic tooth movement of the individual tooth or teeth that are not straight. Cracked and broken teeth can be repaired with dental bonding and composite tooth-colored fillings. Front teeth often have unattractive spaces between the called diastemas, which can be altered with either porcelain veneers or tooth-colored composite fillings. Often, an ordinary smile can be made beautiful simply by having your teeth bleached by your cosmetic dentist. In the case of a “gummy” smile, simple gum surgery with a laser can be accomplished with wonderful results and almost no pain even without anesthesia. At Brookside Dental in Bellevue, WA, we are dedicated to giving people beautiful and handsome smiles that are durable as well as attractive. Dr Cynthia Pauley and Dr Patricia Pauley provide excellent high quality family and cosmetic dental services in the Bellevue, WA, and Seattle, WA, metropolitan areas.

Dec 14, 2009


Bellevue Dentist Discusses Periodontal Disease Correlation with Cardiovascular Disease

Periodontal Disease (gum disease) has been demonstrated to have a strong relationship to cardiovascular disease with an increased prevalence of coronary artery disease in patients with serious gum disease. Several studies have indicated a very strong link between the presence of these two diseases in a patient. Atherosclerosis, exhibiting an increased thickness in the carotid artery wall, which can lead to cardiovascular disease also has often been reported in people with cardiovascular disease. In our Bellevue Dentist Office, we encourage patients with periodontal problems to actively keep up their treatments on a regular basis. According to American Dental Association guidelines, any patient with gum disease needs to be seem multiple times per year on a periodontal maintenance regime.

It should be pointed out that although various studies suggest that there is a strong correlation among people with a history of periodontal disease toward a higher risk for cardiovascular disease, there is not any clear evidence of a causative role between these two disease conditions. However, because of the high correlation and relationship between periodontal disease and cardiovascular disease, known cardiovascular patients should optimize their periodontal care. There are different options that may be useful in correcting periodontal disease, including regular visits to a dental hygienist, such as our Bellevue Dentistry hygienists, to have periodontal scaling and root planning performed and in some cases to have pharmacological therapy performed.

Inflammation is believed to be a major factor related to both periodontitis and atherosclerotic cardiovascular disease. Pharmacologic therapy can be effective in treating periodontal disease because it is a bacterially induced chronic inflammatory disease. The progression of periodontal disease depends on a variety things, including environmental and genetic factors. Additional factors that have an influence on these two diseases include smoking, diabetes, obesity, dyslipidemia, hypertension, major depression, physical inactivity, older age, male gender, and family history of disease. Moderate to severe forms of periodontitis are associated with increased systemic inflammation, which can be present from the very early stages of atherosclerosis and can continue to play a role in subsequent cardiovascular complications. Consequently, the incidence of cardiovascular events, such as myocardial infarction, is increased in the presence of chronic inflammatory conditions, including peridontal disease. Bacterial infection also may be another direct link between periodontal and cardiovascular diseases, because the same species of gram-negative anaerobic bacteria that are found in periodontally diseased pockets around the teeth are the same as those found in atherosclerotic plaques in arteries.

Regular visits to your dentist can help prevent and control periodontal disease. People without periodontal disease should visit their dentist twice a year for check ups and routine tooth cleanings. If periodontal disease is detected, then dental visits will be need to made once every 4-months to control the disease. In advanced cases of gum disease, it may be necessary to visit your dentist every 3-months.
For patients with advanced periodontal disease, their care might require being under the partial or total supervision of specialist called a periodontist rather than just a general dentist. In our Bellevue Cosmetic Dentist Office, we often have patients with advanced periodontal disease alternate their visits between our office twice per year with visits to a specialist periodontist twice per year.

Aug 27, 2009



Bellevue Cosmetic Dentists, Dr Cynthia Pauley and Dr Patricia Pauley, were featured recently on the cover photo and in a six-page article in the national magazine "DOCTOR OF DENTISTRY'. Following is a summary of that article which appeared in Seattle/Western Washington Edition of the magazine.

The Bellevue Dentist team at Brookside Dental is a rare family-run practice dedicated to general and cosmetic dentistry and to meeting the needs of every patient with genuine care and excellence. Dr Patricia Pauley and her daughter, Dr Cynthia Pauley, are the only mother-and-daughter dentist team in the Pacific Northwest. These ladies offer more than excellent dentistry, because they provide a level of service and genuineness that makes patients want to visit more frequently.


This Bellevue Dentist team began back in 1974, when Dr Pat, who was a school teacher, was accepted into the University of Washington Dental School, which was the second year that women were taken into the program. After graduation, she ventured out on her own near Overlake Hospital, Bellevue, Washington. Later she changed to her current location when her daughter, Dr Cindy, was nearing graduation from the University of the Pacific School of Dentistry. "We hired an architect and remodeled our office to accommodate two dentists. Since then, we've remodeled the office three times with both patient and staff comfort in mind." An integral part of the team is Dr Gil Pauley, who is Dr Pat's husband. After he retired from the University of Washington, he joined the dental office "just to be helpful, here and there." Ten years later, he does the office management and operations--from website enhancement to patient photography, screening new job candidates to managing health and retirement plans, which is part of the success seen at the Pauley Family Bellevue Dentists Office. Dr Cindy says of her father, "I used to think that some of the technology and updates he brought to the office were excessive. Now, I can't imagine our office without all he's implemented." The next hardworking Dr Pauley at Brookside Dental is Dr Cindy Pauley, whose demanding schedule rivals her parents. She's been married to Dr Brian Cave for nine years. He is a dentist that has his own practice in Edmonds, Washington. "I have a great husband and great parents," says Dr Cindy. Her boys are her passion where being a good mom has taken over much of her life in the last five years. She goes on to say, "The support I have allows me to give back to the community, work a full schedule and have some time for myself. I can do all of this because of my support system." She loves to play tennis, swim and is an avid reader. "We all try very hard to live a balanced life, having time with the boys, time for some fun and exercise. Since we're all passionate and immersed in dentistry, it's good to have other interests to discuss."


Dr Cindy followed in the footsteps of her mother at a young age. "I was 9 years old when Dr Pat began at the University of Washington Dental School. I walked the halls of that dental school until I was 13 years old, and remember being in the lab with her, playing with wax models while she worked and studied. I had a sense of the dental school environment and I worked summers in her office. I suppose dentistry as a career path just came naturally to me."


When Dr Pat and Dr Cindy use warm and friendly words to describe their patients and peers, you know you're dealing with two very sincere and genuine people. There is no mistaking that their passion for people and dentistry has led them to a place where there desire is to provide excellent dental care beginning at the moment a patient first walks through the door of Brookside Dental. The front office staff is amazing and greet patients warmly. The comfortable lobby and reception area which is full of inviting, over sized, soft chairs, is the first phase of great care. "The home-grown multicolored dahlias amaze patients during the summer and fall months. We installed a fireplace for added coziness in the winter time." Assistants and hygienists do not call out names, but instead join the patients in the lobby with a personal greeting before taking them back to an operatory. Patients are never left alone and each operatory has a handmade blanket for a cozy touch. There is plenty of comfort for both adults and children. One room is dedicated to children's dentistry where the room is filled with stuffed animals, balloons and toys. "The kid's room is great, and we believe it encourages the whole family to feel at ease," says Dr Cindy. Practicing excellent dentistry is first and foremost, but their focus on patient relationships and service to the whole person--both physically and emotionally--is of the utmost importance. "Great dentistry is first and you have to give patients a reason to stay with you as their dentist. That is why you take care of the whole person.


Great customer service starts with a healthy office environment, which is created by happy employees. "We're a close team and we want this office to be a happy place, because we make a great investment in our staff." Patients notice this happy and cohesive atmosphere among the staff and doctors. We understand that people's lives change, but it is very heartbreaking when one of our staff move. However, we are always thrilled to welcome any new staff members as part of our team. Every day begins with a morning huddle to go over the up coming day's events and what to expect. That may be typical of many dental offices, but what's not typical is the evening roundup. Dentistry is an exhausting job, so pointing out individual strengths and team accomplishments is personally supportive and a great way to finish the day. It is nice to look back on the day and pat the backs of teammates for a job well done.


Their philosophy on marketing is simple. Our best marketers are our staff and patients. Our cosmetic dentistry website is great and very helpful also and brings in about 20% of our new patients. Additionally, being involved in the community has yielded a certain amount publicity for us in the newspapers, magazines, and television, which is wonderful, but these are not a marketing focus for us. They are a by-product that results from a job well done. At one point, we were experiencing a flood of new patients. We decided to fall back and limit the number of new patients that we would accept for a short time to make sure that we were able to take care of our existing patients in the manner that would give them excellent dental care. If we continue to take care of our core patients and do quality dentistry, we will continue to see many of their friends, relatives and associates as new patients. We have some patients that have been with us for decades--in fact Dr Pat's first two patients from 28 years ago are still with her. We try to find the positives to make people feel good about maintaining good oral health and hygiene. It is these positives that keep our patients coming back. This is the way to close the back door, so that people stay with you and not by the use of negatives and fears. Being the first mother-daughter dentist team in the area and having worked together for 18 years has given them a good deal of attention and recognition. They have given much back to the community and to the dental profession. Dr Cindy served four years as a committee member and then as Chairperson for the Pacific Northwest Dental Conference and currently serves as an officer on the Executive Council of the Seattle King Count Dental Society. she also taught restorative dentistry at the University of Washington School of Dentistry for 12 years and was twice selected by the students as the outstanding dental instructor. Dr Pat has served a delegate to the Washington State Dental Association and for several years was a member and Chairperson of the Foundation Board of Lake Washington Technical College, where she was instrumental in inception and formation of the Lake Washington Dental Hygiene School. Because of the dedication of Dr Cindy and Dr Pat to their community and to the dental profession, they received the prestigious 2005 Small Business of the Year Award from the Western Washington Better Business Bureau, as well as recently being given an A+ rating by this organization.

Aug 13, 2009

Origin of the Toothbrush


The first toothbrush used by ancients was the “chew stick” a pencil size twig with one end frayed to a soft fibrous like brush. Chew sticks were initially rubbed against the teeth with no toothpaste, and have been found in Egyptian tombs dating to 3000 BC and back to 3500 BC, where Babylonians also used “chewing sticks”. Additionally, there is mention of primitive toothpicks being chewed to clean the teeth and mouth in ancient Rome and Greece. Toothpicks matured into the chew stick which was about the size of a modern pencil. One end was chewed to soften it into a brush-like fiber, while the opposite end was pointed and used to pick food and debris from between the teeth. The twigs were chosen from aromatic trees that had the ability to clean and freshen the mouth.

Chew sticks are still used in some parts of the world. Many African tribes fray twigs from special trees. The American Dental Assoc discovered that frayed sticks often serve as tooth brushes for people living in remote areas of the United States, and can be every bit as effective as a modern toothbrush. They reported on one elderly man living in Louisiana who had used frayed elm sticks all his life and had plaque free teeth and healthy gums. Now that is truly amazing in the modern era.

The first bristle toothbrush, similar to those used today, had its origin in China around 1498. The bristles were taken from the backs of hog necks living in the cold climates of Siberia and China (cold weather causes them to grow bristles) and fastened them to handles made of bamboo or bone. Traders to the Orient introduced this brush to the Europeans, who found the hog bristles too firm and uncomfortable. At that time those Europeans who did brush their teeth, which wasn’t a common thing, preferred horsehair toothbrushes.

The father of modern dentistry is Dr Pierre Fauchard, who in his 1793 dental textbook was critical of the ineffectiveness of horsehair bristles and of the large proportion of Europe that didn’t use any kind of tooth cleaning device at all. Dr Fauchard recommended daily rubbing of the teeth with a piece of natural sponge. Other animal hair used in toothbrushes included badger hair, but many preferred to pick their teeth clean with a stiff quill or feather, while some had a brass toothpick. The metal toothpicks were less of a human health hazard than the natural hairbrushes. Once Louis Pasteur discussed his theory on germs, the dental profession realized that all animal hair retains moisture, which promotes fungal and bacterial growth. But the ultimate solution didn’t arrive until 1938, when nylon bristle brushes were invented in the USA. Dupont de Nemours placed “Doctor West’s Miracle Toothbrush”, on sale as the first nylon February 24, 1938. Today we have all types of toothbrushes for every occasion: electric, travel, baby, and pet toothbrushes.

Aug 6, 2009



Bellevue Dentist Extreme Makeovers

Bellevue Cosmetic Dentistry is an excellent way to create an Extreme Makeover Smile. Changing and improving your smile is one of the easiest methods to improve your overall appearance. A great smile not only looks great but also makes you feel more confident. Cosmetic Dentistry may be able to Help You at Work and in Your Personal Life. A recent study by the Baluke Dental Studios and published in Gallery Dental Smile Designs by Patient News Publishing 2009, indicates how a smile is perceived by people. The study states that Teeth and a Beautiful Smile are among the first things noticed by a stranger. However, it depends on whether women or men are being observed. Additionally, men and women perceive the face and head differently. WOMEN have their eyes noticed first by men according to the survey. The Smile and Teeth are the second things about women that were noticed by men. MEN have their Teeth and Smile noticed first by women according to the survey, while the eyes of men were the second thing noticed by women. One thing is certain, Bellevue Cosmetic Dentistry creates smiles that work for men the same as beautiful new smiles work for women.

Look into a mirror and observe your smile. When you consider cosmetic dentistry to alter and improve your smile, it is important to look at your bite and your gums, as well as your teeth. Cosmetic dentistry can improve and maintain your bite in a correct manner. Your gums should be healthy and adequately frame your teeth in a symmetrical fashion. Finally, observe what you don’t like about your teeth and think what you would like to have changed. Do you have fillings that show? Are your teeth discolored from coffee, tea, red wine or smoking? Are your teeth poorly shaped or broken? Are there large spaces, chips, or cracks?

Bellevue Dentist Extreme Makeover Options

Bellevue Extreme Makeover Dentists may adjust your bite and sculpt your gums, as well as change your teeth in some fashion to improve the overall look of your smile and the function of your teeth and gums. Gum reshaping with a laser can help to reframe your teeth and make your smile more symmetrical. Chips and cracks can be erased with tooth-colored fillings and by reshaping the teeth. Cosmetic dentistry may use tooth bonding to restore the shape and size of your teeth. Stained teeth can be bleached and whitened easily, which will give your teeth a beautiful and refreshed pearly white appearance.

There are several full-mouth reconstruction options that are available to create a beautiful new smile. The least costly and quickest procedures may be used to target specific problems such as a decayed tooth or a general discoloration of the teeth. Discuss with your Bellevue Dentist what alternatives and procedures are available and determine what kind of smile you wish to have.

Cosmetic dentistry technology, such as digital cameras and computer imaging can demonstrate to you visually the effect of any of the procedures that you and your Bellevue Cosmetic Dentist are considering to use in the alteration of your smile. A picture of your existing smile can be taken and placed on a computer monitor for use with a program that can simulate different cosmetic procedures and the probable outcome of an alteration of your smile. Using the computer in such a way, allows you to assist your Bellevue Cosmetic Dentist in the design your smile and to get an idea of the outcome of various cosmetic dentistry procedures. Additionally, your well-trained Cosmetic Dentist will be able to show you many portraits and photographs of before and after cosmetic dental work that are associated with extreme makeover smiles done at Brookside Dental, Bellevue, WA, and Dayton Dental, Edmonds, WA.

Bellevue Dentist Extreme Makeover Procedures

Bellevue Extreme Makeover Dentists at Brookside Dental offer several procedures that can improve the quality and look of your smile.

TOOTH WHITENING - Many people considering cosmetic dentistry have stained or discolored teeth. The simplest and least expensive way to brighten the color of your teeth is with Tooth Whitening or Tooth Bleaching, which can be done either at home or in a dentist office. When done properly, teeth whitening can last for up to five years if the patient avoids tooth staining items such as coffee, tea, smoking and red wine. However, touch-ups can restore the whiteness to teeth and is recommended as a periodic treatment for anyone that bleaches their teeth.

TOOTH BONDING - Common wear and tear cause teeth to have chips, breaks and cracks. Cosmetic dentistry tooth bonding can easily fix these common problems and enhance your smile. Additionally, teeth repaired in this fashion will stay healthy for a long time. Tooth bonding is a procedure in cosmetic dentistry that is used to fix chips, cracks, and small breaks or to fill gaps. It is achieved by applying a white-colored plastic material to the outside of the teeth, which is light cured to harden. As technology has advanced, there are now more options than simple bonding.

PORCELAIN VENEERS – When a large number of teeth need to be fixed or altered, one of the more popular procedures is to have porcelain veneers placed on your teeth to achieve an almost perfect smile makeover. A thin porcelain shell is attached to both the front and the biting surfaces of the teeth after they have been etched and prepared for the veneers. Unlike conventional bonding there is very little chance of discoloration. Porcelain veneers are highly resistant to coffee, tea, and cigarette stains. Porcelain veneers can be used to replace badly stained teeth, as well as teeth that are chipped or have other small imperfections. Crooked and twisted teeth also can be fixed with veneers. Porcelain veneers are easy to maintain with brushing and flossing everyday just as your regular teeth would be maintained.

PORCELAIN CROWNS – When a large amount of a tooth is decayed, broken off, or cracked, porcelain crowns can be used to cover the remainder of the tooth. Unlike veneers, a crown covers the entire tooth. Porcelain or Ceramic crowns are the preferred choice for an extreme smile makeover when there is a large amount of structural damage to your teeth. They also can be used to cover twisted or crooked teeth. Porcelain crowns are also used to cover any tooth after it has had a root canal performed to prevent loss of that tooth. In some cases a full crown is not required, in which case a ¾ crown can be used. The ultimate goal always should be to save as much of the natural tooth as possible. For posterior teeth, crowns made of porcelain attached to a precious metal base can also be used. These crowns can be structurally more stable in some situations than an all porcelain crown. Crowns are made of porcelain, ceramic or porcelain fused to metal, and in some cases all gold for posterior teeth. Crowns can also be used in tandem, called a bridge, to fill gaps where teeth are missing due to decay and extraction. Another cosmetic method of filling gaps is with a titanium dental implant that is anchored into the jawbone. The implant is designed to support an all porcelain crown specially made to fit that particular dental implant. The problem of missing teeth is easily solved with dental implants and is the preferred method of choice to accomplish this. The implant is extremely permanent and stable. Dental implants have a 95% success rate.

PORCELAIN ONLAYS AND INLAYS – Two other procedures can be used for cosmetic smile makeovers. These two are onlays and inlays, which have the drawbacks of being expensive and often not covered by dental insurance plans. Onlays and Inlays can be an option for cosmetic restoration of teeth. At Brookside Dental, we rarely use either of these techniques, because we feel bonded fillings and porcelain crowns are better alternatives. An Onlay covers all points over a tooth, while an Inlay is similar to a filling. Both the Onlay and Inlay are preformed from a composite resin which is tooth colored. They are design to fit over or into a specific area of the tooth in same manner in which a crown or ¾ crown is designed to do. The resin structurally reinforces the tooth ensuring your smile lasts for a long time.

Dr Cynthia Pauley DDS and Dr Patricia Pauley DDS provide Family Dentistry including services for children as well as cosmetic dentistry, which includes extreme makeover smiles. They provide quality dentistry to the areas of Bellevue, Seattle, and Kirkland, WA.

Bellevue Smile Makeover | Phone 425.643.2818 | Fax 425.746.8041

© copyright 2009 - 2019, Dr Pauley all rights reserved – Brookside Dental

Creating Beautiful Smiles - Keeping Smiles Beautiful

Jul 27, 2009



Bellevue Dentist, Patricia Pauley DDS, has a brother who is a dentist. Dr Thomas Potts DDS, PhD, is a Buffalo, NY, area dentist who has been running a free Clinic, two to three months each year, for 28 years in Chiapas, Mexico. The dentistry in this free clinic is available to all residents of the Chiapas Area. Dr Tom is fluent in Spanish and also speaks Mayan which is the other language spoken in that area, primarily by the women. When he first went to Mexico, his initial work consisted almost exclusively of extracting teeth, even on the young people. However, after many years, his goal to educate the people about dental hygiene and care to improve their overall health and lives is working, as now he does considerably fewer extractions and can focus on the restorative needs of the people. For mainly years, Bellevue Dentist, Dr Patricia Pauley, has sent dental supplies and money to her brother to assist him with his goal of helping the people of Chiapas.

The Seattle Vocational Institute, Dental Assisting School, of which Dr Gil Pauley is the Advisory Committee Chair Person, recently sent Dr Thomas Potts a number of different supplies and equipment, which were no longer being used by SVI. Dr Tom does his work through the Latin American Solidarity Committee, which is a task force under the aegis of the Western New York Peace Center, a charitable organization. Dr Tom is starting a new free dental clinic in El Sauce, Nicaragua. He recently wrote a letter to Dr Pollene Speed DDS, Director of the SVI Clinic and Peggy Camden, CDA at SVI, thanking them for their dental materials and equipment contribution saying,

“We would like to express our profound gratitude for this wonderful contribution to the health and well being of our friends in Latin America. These dental supplies will be shipped this fall by Pastors for Peace to El Sauce, Nicaragua, and put to use in a dental clinic there, which services the rural poor.”

In our Brookside Dental Blog, we recently discussed the Seattle Vocational Institute Dental Clinic Annual Fund Raiser for the Dental Assistant Program, which trains minority students for good paying positions in the dental field. What a logical synergistic relationship for SVI to help out the poor of Latin America. What a great job that Dr Tom is doing and we are really pleased to be able to assist him in his efforts to bring dental care to these people.

Jul 21, 2009




The glittering teeth (Grills) of some hip-hop stars are not exactly unprecedented. Sophisticated cosmetic dentistry allowed Native Americans to add splash to their teeth as far back as 2,500 years ago, a new study says. Drills made of obsidian were used to embed jewels into the teeth of these ancients. I came across this very interesting article about gem-studded teeth in the Implant blog which I follow. Early Cosmetic Dentists exhibited rather amazing technical skills. Some of the ancient civilizations made false teeth by using beautifully polished abalone shells made into an elongated triangular shape that had the pointed end notched. These new notched teeth were then hammered into the jaw bone with multiple teeth being implanted in some cases. Also, some ancient civilizations used silver wire and gold wire to make artificial bridges. As far back as 2,500 BC, extensive gold bridgework was made with gold bands running across the front of the teeth and would have been very apparent to onlookers. People of high status, wealth and positions of power who had the money would most likely have had these golden cosmetic dentistry bands and other types of cosmetic dental work performed. Interestingly, according to the original National Geographic article about the jeweled teeth, they were only meant for decoration and not to represent status. Before the Spanish conquests of the 1500s, the ancient people of Mesoamerica sought to beautify their teeth with gem stones, such as the skull from Chiapus, Mexico, shown in the original article. So based on this information, it is logical to say that the first American Cosmetic Dentists were practicing their dental arts somewhere in Mexico or Central America.

Jul 15, 2009



Dental Implants are changing how Bellevue Dentists are able to create beautiful new smiles for people. Dental bridges used to be the standard restorative dental treatment when a tooth or two was missing and they are still used in many instances. However, with dental implants, people are discovering they are more comfortable and natural feeling than bridges in many cases. Amazingly, dental implants can be used in large numbers and throughout the mouth often replacing the need for dentures or partial dentures. Dental Implants are giving people the confidence to eat, speak, laugh and enjoy life. Dental implants are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth. A person with implants regains the ability to eat virtually anything and can smile with confidence, knowing that their teeth and smile appear natural and that their facial contours have been preserved.

Dental implants are an option to create new smiles for people with missing teeth, which can be put in place by your Bellevue Cosmetic Dentist. Several different options are available in modern dentistry to patients with teeth that are missing. Dental implants can be used to replace either a single tooth or multiple teeth. The dental implant actually acts as an anchor to hold either a crown for single tooth replacement or a bridge for replacement of multiple teeth. The dental implants take the place of the roots that have been lost by the tooth or teeth. The implants are metallic titanium screws that are surgically imbedded into the jawbone where teeth are missing and can be placed in either the upper or lower jawbone, depending upon which tooth or teeth are missing. The bone grows around and bonds with the titanium screw to create a strong foundation for artificial teeth. Your cosmetic dentist will permanently attach special porcelain crowns to the dental implants after they are anchored securely into the bone of the jaw. Implants preserve more natural tooth structure than classical dental bridges that are physically attached onto adjacent healthy teeth that have been prepared to act as abutment anchors for the bridge by removing a considerable amount of the healthy tooth on each side of the dental bridge. In addition to restoring a natural appearance in the mouth, dental implants can help preserve facial structure, preventing bone deterioration and gum recession, which typically occur when teeth are missing.

Teeth may be lost from a variety of conditions or situations, such as tooth decay, trauma, injury, or gum disease. Regardless of the reason for the tooth loss, dental implants are very aesthetic and often feel and function much more like natural teeth than other type of tooth replacement such as traditional dentures or bridges. The dental implants help prevent bone loss and gum recession which may be seen when traditional bridges or dentures are used that do not have any anchoring support in the jawbone. If someone is missing a large number of teeth, multiple implants can be used to support either a partial denture or a full denture. In implant supported dentures, the integrity and shape of underlying jawbones are better preserved. There is a very high satisfaction rate among patients that receive dental implants. Some general dentists, such as Dr Brian Cave, have specialized training with dental implants. However, specialists such as an oral surgeon or a periodontist frequently are used for implant placement. Your Bellevue Dentist may work very closely with either an oral surgeon or a periodontist to insure that your implants and associated crowns and bridges are the best and most natural fit and function available to the patient. With proper materials, procedures, and patient care, dental implants should last your entire life.


  • Beautiful Smiles give an improved appearance, which is the most obvious advantage of using dental implants to help your smile look more natural and more youthful.
  • Comfortable Teeth because the implants are part of your jawbone after attachment is complete and there is not any discomfort such as that associated with removable partials or removable full dentures.
  • Natural Tooth Preservation because implants do not require that the crowns on them need to be physically anchored onto adjacent healthy teeth as three or four unit bridges do.
  • Cost Effective due to the fact that adjacent healthy teeth do not need to be cut, prepared and restored as is done with three or four unit bridges.
  • Long-lasting Beauty because dental implants are very durable and should last for many years with the same oral care as that of natural teeth and other dental restorations.
  • Improved Oral Health because individual dental implants allow very easy access between the natural teeth and the implant supported crowns.
  • Speech Improvement occurs because the implants do not slip as occurs during speech with improperly fitted removable full dentures.
  • Eating Improvement occurs because sliding or moving dentures make it difficult to chew properly and you can eat all of your favorite foods, vegetables, and fruits without any concerns.
  • New Image and Self-esteem can accompany your successful implant supported teeth, because you should have a new radiance to your smile and a better overall self-confidence.
  • Reliability and Success Rate of dental implants is very high which makes their usage very predictable and reliable with a long-term implant retention rate of approximately 97%.


Optimum success for Dental Implant placement requires good general and oral-health as prerequisites, the same as with any type of surgical procedure. The jaw should have adequate bone levels to support the implant once it is anchored in place and the patient's gum tissues should be disease free. If you do not have adequate jawbone structure or healthy gum tissue, you will need to have graft surgery performed by either an oral surgeon or a periodontist to increase the bone or gum tissue in the area where the dental implant will be located.

If you are interested in a consultation to discuss dental implants with one of the cosmetic dentists at Brookside Dental in Bellevue, WA, please call 425-643-2818 or email our office at

Jul 2, 2009



Bellevue Cosmetic Dental bonding is accomplished by using a composite resin material that that can be colored in various shades of white to match existing teeth. It is used to fix a variety of dental situations. Some of the things that dental composite bonding material can be used to fix are certain small tooth breaks, tooth cracks and chips on teeth. A wonderful use of this material is to close some spaces between teeth called diastemas. Of course, its most common and original use is for fillings in anterior teeth after the removal of decay. However, in the last decade it has been used by Bellevue Cosmetic Dentists for posterior teeth after decay removal, since our office went amalgam free with all of our fillings. Although it can be used to repair some fairly large problems with teeth, when various tooth imperfections or spaces are large, bonding may not be an option. If that is the case porcelain veneers or crowns may be required to give a good cosmetic result.

Bellevue Dentist patient with cosmetic bonding on multiple anterior teeth.
Only Anterior Dental Bonding was used to create this extremely beautiful smile.
Patient of Dr Patricia Pauley, Brookside Dental, Bellevue, WA

To start the tooth bonding procedure, your Bellevue Dentist will prepare your surface of the tooth or teeth to be bonded so that the composite resin material will be accepted. Surface roughening is performed to allow the resin to adhere properly to the tooth structure when it hardens. When the tooth or teeth are properly prepared, the cosmetic dentist will apply a mixture of two different materials which have an adhesive and a catalyst in them. The composite material mixture is then carefully applied to the properly prepared area of the tooth to be fixed. The tooth-colored composite is then shaped and smoothed to accomplish the desired cosmetic appearance. A high intensity light is used by your Bellevue Cosmetic Dentist to harden the composite resin material once it is placed on the tooth. If the area to be fixed is large or deep, more than one layer of composite material may have to be applied and cured separately. After shaping, the newly repaired area is smoothed and polished to look like natural tooth structure. If done correctly by someone well trained in cosmetic dentistry, the finished composite should have the same appearance as the adjacent natural tooth structure and be completely undetectable as a repaired area of the tooth. Any tooth whitening that is needed or desired must be done prior to the use of cosmetic dental bonding resins, because the resin is not effected by the bleaching process and remains color shade that you have created. Therefore, composite bonding almost always is done on teeth after they have been bleached, when the tooth-colored bonding material can be matched to the newly whitened teeth. Cosmetic tooth bonding with composite material can usually be completed during one office visit, depending upon the amount of repair needed and the number of teeth to be treated. Cosmetic cases that are complicated involving multiple teeth in various parts of the mouth may require more than one visit to your Bellevue Cosmetic Dentist.


Cosmetic Dentistry Bonding as a finished product is usually fairly long lasting, assuming the patient takes normal care of their teeth. Tooth colored dental bonding is a wonderful alternative to more extensive and more expensive cosmetic dentistry treatment that is done with porcelain veneers, crowns, and bridges. The cost of dental tooth bonding varies depending upon (1) the number of teeth repaired; (2) the size of the individual area repaired; and (3) the city where the dental bonding is performed.

An important fact about dental bonding is that very frequently, it will be at least partially covered by your dental insurance if not fully covered, because in many cases the problems are primarily structural rather than just cosmetic. However, there may be a combination of structural problems and cosmetic problems, where the structural probably will be given preference as to payment by an insurance company. Strictly cosmetic dental work is never covered by your dental insurance. Dental bonding is usually worth the cost even if your insurance does not pay any it because it is usually cheaper than other alternatives and it can straighten, fill spaces and generally improve your smile. If you are having extensive dental bonding performed on your front teeth, this anterior tooth work will always have some cosmetic dentistry component to it. Therefore there is both a technical aspect and an artistic aspect to dental bonding, especially on anterior teeth. So be sure to check the credentials of your dentist before having extensive anterior tooth bonding performed.

If you do not currently have a dentist, you may contact Bellevue Cosmetic Dentists, Dr Patricia Pauley or Dr Cynthia Pauley, to set up a dental exam. Both cosmetic doctors can be contacted at in Bellevue, WA, and additional information may be viewed at their Bellevue Cosmetic Dentistry website.

Jun 23, 2009

Bellevue Cosmetic Dentist Porcelain Veneers

Bellevue Dentist Porcelain Veneers

Porcelain Veneers showing before and after creation of a new Beautiful Smile!

Bellevue Porcelain Veneers are also called dental veneers,porcelain veneers or dental porcelain laminates. They are one of cosmetic dentistry's more recent and successful developments. They are wafer-thin shells of porcelain which are bonded onto the front side of teeth and also cover the biting edge of the teeth. They can be an excellent cosmetic dental solution for a variety of problems including teeth that are stained, chipped, or slightly misaligned.

Porcelain Veneers are used for extreme makeovers in cosmetic dentistry everyday. Porcelain veneers are used to close gaps in teeth, fix chipped teeth, improve a gummy smile, lengthen short teeth, and generally improve your overall smile. Many Hollywood stars have porcelain veneers rather than traditional teeth whitening methods, because you can choose the shade and amount of whiteness that you want and they are resistant to staining. Bellevue Porcelain Veneers uses an on-site porcelain artist that will give you the whitest smile imaginable.

Porcelain Veneers Become Available

Bellevue Porcelain Veneers are the most recent application of the art and science of cosmetic dental bonding. For decades dentists have had available materials which can bond to tooth enamel. The porcelain veneer technique utilizes the bonding capabilities of these materials to securely attach a thin sheet of porcelain (the porcelain veneer) to an individual tooth. These veneers are attached so that they cover the front and the biting surfaces of the tooth that has the veneer. Although porcelain is inherently brittle, when it is firmly bonded to a sturdy substructure (a tooth) it becomes very strong and durable.

Porcelain Veneer Advantages

Two of the greatest advantages of porcelain veneers over other types of cosmetic dental bonding are:

A) Bellevue Cosmetic Porcelain Veneers create a very life-like tooth appearance.

You might be surprised to learn that a major component of teeth is enamel, but teeth are not solid enamel. The enamel component of a tooth is actually only an outer shell. It is this cosmetic veneer that then becomes the permanent tooth covering shell. This veneer covering is not susceptible to dental decay.

B) Porcelain veneers resist staining.

Cosmetic dental bonding materials utilized in the past had the shortcoming of being susceptible to staining and discoloring. This was especially severe problem for people whose teeth had excessive exposure to tea, coffee, red wine, or cigarette smoking.

A significant advantage of porcelain veneers over other types of cosmetic dental bonding is related to the fact that a porcelain veneer's surface is just that, porcelain. Since porcelain is a ceramic, or glass-like, its surface is extremely smooth and impervious so it will not pick up permanent stains.

Porcelain Veneers Additional Advantages

Porcelain veneers or porcelain laminates from your Bellevue Cosmetic Dentist can often be an effective method by which to make cosmetic changes to teeth that are chipped, worn, stained, crooked, or discolored. Please note that individual case selection is an extremely important factor in the success of this technique. Porcelain veneers cannot be utilized in every situation.

It is not always necessary to use these veneers on all of your teeth to obtain a beautiful smile. In some cases as many as 10 porcelain veneers may be needed. However, beautiful smiles can be accomplished with 4, 6 or 8 veneers. And in some cases only 1, 2 or 3 veneers maybe needed. At our Bellevue Dentistry office we have done many cases ranging from a single veneer to 10 veneers.

Only an examination by your cosmetic dentist can determine if porcelain veneers are an appropriate method by which to make the changes you desire. Even if porcelain veneers are not appropriate for your circumstances, your cosmetic dentist will most likely be able to suggest other treatment options that will yield suitable results.

One property of tooth enamel covering is that it's translucent. This means that when light strikes a tooth's surface it is not immediately reflected off, but instead penetrates into the thickness of the enamel. This light will subsequently be reflected off the non-translucent tooth structure beneath the enamel. This property of translucency is an important part of what gives teeth their characteristic appearance. Your Bellevue Cosmetic Dentist working with their porcelain artist will create this translucence in your porcelain veneers. This will translate into a strikingly beautiful smile.

Historically the cosmetic dental bonding materials dentists have had available to them were only semi-translucent. This means that most of the light striking the tooth did not penetrate into the bonding layer but instead was reflected off the bonded outer surface. The net result was that while the bonding did give the tooth an improved appearance, there was no sense of a tooth's characteristic translucency and ultimate beauty. Light striking a porcelain veneer will penetrate its thickness, and then subsequently be reflected back out once it has reached the opaque cement and tooth structure lying underneath the veneer. This translucency effect provides a sense of depth, and thus a very life-like appearance.

Porcelain Veneers Smiles

Patients usually need three appointments for the entire procedure when a porcelain artist is working with the cosmetic dentist: diagnosis and treatment planning, preparation, and bonding.

Diagnosis and treatment planning: It's critical that you take an active role in the smile design. Spend time in the decision-making and planning of your smile. Be sure that you understand the corrective limitations of the procedure. Have more than one consultation, if necessary, to feel comfortable that your dentist understands your objectives. See our previous article on how to choose a cosmetic dentist.

Preparation of teeth: This appointment will take two or more hours depending upon how many teeth are going have veneers on them. To prepare the teeth for the porcelain veneers, the teeth are lightly buffed to allow for the small added thickness of the veneer. Usually, about a half a millimeter of the tooth is removed, which may require a local anesthetic. At this appointment, a mold is taken of the teeth, which is sent to a porcelain artist for the fabrication of the veneers. This can take about one to two weeks. Because the teeth are unsightly at this time, temporary veneers are placed over the prepared teeth. Bellevue Cosmetic Dentist temporary veneers will be of the highest quality and appearance and are included without any additional cost.

Porcelain Veneer Bonding: This appointment will take about one or three hours usually depending again upon the number of teeth receiving Porcelain Veneers from your Bellevue Dentist. First, the dentist places the veneers with water or glycerine on the teeth to check their fit and get a sense of the shade or color. While the veneers are resting on your teeth, view the esthetic results, and pay particular attention to the color. At this point, the color of the veneers can still be adjusted with the shade of the cement to be used. The color cannot be altered after veneers are cemented. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special light sensitive cement is placed between the veneer and tooth, and a visible light beam catalyzes the hardening of the cement.

Porcelain Veneer Maintenance

For about a week or two, you will go through a period of adjustment as you get used to your beautiful "new" teeth that have been changed in size and shape. Brush and floss daily. After one or two weeks, you'll return for a follow-up appointment for any final adjustments. Bellevue Dentists, Dr Cynthia Pauley and Dr Patricia Pauley, recommend the use of a night guard when you are sleeping to protect your beautiful new investment because about 80% of all people either grind or clench their teeth during the night while sleeping.

Jun 18, 2009



Bellevue Cosmetic Dentistry Slide Video Collage of some of our recent Cosmetic Dental patients with their beautiful smiles. The Bellevue Dentists at Brookside Dental recently put together a short two minute video collage of some recent patient smiles because we are very proud of the work that we have done and the many smiles that we have enhanced. The video represents various techniques performed to create or enhance beautiful new smiles. Each person in the slide show has a beautiful end result exhibited that was created with different types of Cosmetic Dentistry in each situation. The work includes extensive restoration with all porcelain crowns and porcelain veneers as well as tooth colored fillings and tooth colored dental bonding. Several cases involve cosmetic movement of a few teeth to give perfectly aligned smiles. Most cosmetic dental smile alterations and creations involve some type of tooth whitening in addition to the other cosmetic dentistry work that is done.

This is our second video about our Bellevue Dentist Office. The first was produced by the NBC Today Show, which featured our Bellevue Dental facility along with a New York Dental Office as examples of Cosmetic Dentistry Spas and how dentistry has evolved to include many amenities other than just fixing routine tooth cavities.

Cynthia Pauley DDS and Patricia Pauley DDS are available for cosmetic and family dentistry in Bellevue, WA. Dr Cindy has been selected by Seattle Magazine as one of the Top-10 cosmetic dentists in the Seattle area. Recently, both Dr Pat and Dr Cindy have been elected to the Pierre Fauchard Academy for their outstanding dental work.

Jun 4, 2009

How to Chose a Cosmetic Dentist

Actual Patient Brookside Dental


Cosmetic Dentist Location

The number of dentists in the United States and many other parts of the world that are offering cosmetic dental procedures is increasing all the time. Cosmetic Dentistry includes a large variety of procedures and techniques that are used individually and in various combinations for the purpose of enhancing, altering or completely changing your smile. The later is often called an extreme makeover smile.

Cosmetic Patient Brookside Dental

Finding a Cosmetic Dentist

Finding a qualified cosmetic dentist requires careful consideration and caution, because Cosmetic Dentistry is not a recognized specialty of American Dental Association. Therefore, there is no neutral referral system in place or third party insurance administrator involvement to assist with the selection of a cosmetic dentist. In general, most cosmetic dental procedures are not covered by any dental insurance plans. However, if a restorative procedure is needed on a single tooth, which is part of a cosmetic process, dental insurance may pay a portion of the restorative work done on that single tooth. A wide variety of cosmetic dental procedures are available depending upon the condition of your teeth and gums. Keep in mind that consultations with multiple cosmetic dentists will most likely yield several variations and differences of opinions on how you can obtain a beautiful new smile.

Cosmetic Dentist Referrals

Your general dentist may give you a referral to a qualified cosmetic dentist, assuming he or she does not do extensive cosmetic work. There are organizations and referral agencies that can suggest a “cosmetic dentist” for you. There are several well-known cosmetic dental training groups and organizations that keep lists of qualified dentists. However, keep in mind that these groups and organizations usually only recommend dentists that have taken ALL of their specific courses or that have paid them an advertising fee. For example, if a dentist takes advanced training in cosmetic dentistry with several different groups, they may not be listed with any of the groups, even though they are highly qualified to do excellent cosmetic dentistry. It is important for you to investigate the level of cosmetic dentistry experience that each cosmetic dentist has attained either before or during a consultation appointment. Bellevue Cosmetic Dentists, Dr Cynthia Pauley and Dr Patricia Pauley, both have had extensive advanced training in various cosmetic dentistry techniques at several different facilities, including the Las Vegas Institute (LVI). Look at the websites of cosmetic dentists in your area. Their websites will usually list their credentials, honors and awards, as well as exhibited examples of their cosmetic dental work, including before and after photographs of their cosmetic dentistry. Additionally, their websites should also list the various types of procedures that they do and those in which they specialize. Ask your friends, neighbors, and business associates that have undergone any type of smile enhancement, smile change or smile makeover what dentist that they would recommend. A personal referral from a happy friend or associate is probably the best referral source that you can have. During your phone inquiries, ask whether or not if the dentist does amalgam (silver) fillings, because cosmetic dentists do not do these—they only do composite (tooth colored) fillings.

Cosmetic Dentist Consultation

Ask the dentist what types of advanced courses they have taken in cosmetic dentistry. You will want to see photographic examples of both before and after work that they have performed using various procedures and techniques. Other criteria for determining if a cosmetic dentist is the right one for you would include how long the dentist has been doing dentistry and in particular how long they have been doing cosmetic dentistry. Keep in mind that your individual results may vary depending upon the skill level of the dentist. You must decide if you like the results shown in before and after photos of previous patients. Ask the dentist if the photos are of actual patients that the dentist has treated and ask what particular procedure or procedures were done on the patients that you are viewing. Find out what dental technologies are used in the practice and what patient comforts are provided. Headphones with music and movie glasses are especially nice for long procedures lasting two hours or more. Through all of this, a very important thing is your perception and feelings toward the dentist and the work presented, so that you will have confidence in the treatment process and that it will be an anxiety-free experience. If possible, try to assess how staff members interact and what type of overall ambience is present in the office. These two things will have a bearing on how well you will be treated and cared for during and after completion of your cosmetic dental procedures and smile changes. At Brookside Dental, Bellevue, WA, we hire people for their ability to work together with each other as well as their technical skills. This is something that is very noticeable to patients when they visit our office—many of them comment on how friendly and helpful the staff members are.

At your initial consultation, you should discuss what you like and don’t like about your smile. This is the time for you and the cosmetic dentist to establish realistic expectations for your cosmetic dental treatment. Some patients may have unrealistic expectations and this needs to be addressed. Cosmetic dentistry consultations should involve a comprehensive dental examination that may include intra-oral photos and x-ray evaluation. These are important to create a unique and precise cosmetic dental treatment plan that will satisfy the patient’s needs and meet realistic expectations. Since a significant amount of time may be spent for this purpose, the dentist may charge you a small consultation fee, which should be applied to any work that you have done.

You may also meet with the practice’s office manager to discuss the types of financing or payment options available to help you manage the cost of your cosmetic dentistry treatment — as mentioned previously, dental insurance does not typically provide coverage for cosmetic treatment. If not, ask what financing options are available through either a dental loan provider or as an in-house payment option that your cosmetic dentist may provide. Find out if the treatment can be done in phases and if it can be then, which phase the is most important. Always ask if the work is guaranteed. Any good cosmetic dentist should be willing to guarantee their work for a reasonable period of time against “normal wear and tear” without a lot of caveats. Many cosmetic dentists will not offer a guarantee unless the patient agrees to have ALL the work done that the doctor indicates should be done. Be very careful in evaluating this, because often all recommended work is not always necessary to obtain a beautiful smile. Because some people have budget constraints, there is a trade off between getting a nice smile and a stunningly beautiful smile. The patient must make this final evaluation, but be realistic in what you expect for the dollars you can spend–this is why multiple consultations are valuable. In our office at Brookside Dental, Bellevue, WA, if we do any work, that work done is guaranteed even if the patient did not get all the work done that we felt would give the maximum result.

Cosmetic Dental Treatment Plan

The patient should be given a treatment plan at the time of the consultation, including a detailed cost breakdown. Your treatment options should be understood and you should feel comfortable with the detail and inclusiveness of the treatment plan given to you. Be sure to ask about expected longevity of the final results and what maintenance may be required in order to maintain the benefit of your smile changes. For example, to protect veneers, you may need to wear a protective mouth guard at night to help prevent them from chipping or cracking. Bleaching of your teeth, commonly called tooth whitening, may have to be repeated on a regular basis — depending upon the procedure used to get your teeth white. A night guard is something that we often recommend to protect veneers.

When crowns, bridges, porcelain veneers, or dental implants are used in your smile makeover, a dental laboratory will be involved in your smile restoration. Find out how long the dentist has worked with the lab he or she uses. Also find out if the same porcelain technician always does his or her cases—this gives continuity and reliability to the work. It is preferable that the dentist has a long-term working relationship with this laboratory and they have done similar cases to the one you will be having done. An on-site porcelain artist is ideal to deal with any color or shade questions immediately. However, most dentists do not have on-site porcelain artists and must ship their work out to a laboratory, often in another state. In our office at Brookside Dental, Bellevue, WA, we have an onsite porcelain artist that we have worked with for over 15 years who is a master craftsman at fashioning all porcelain veneers and crowns. Any minor adjusts can be made onsite for the convenience of the patient.

Cosmetic Dentist Final Selection

When you select a cosmetic dentist, you are selecting a dental professional who will help you change your appearance by changing the look of your teeth and your smile. It is a very personal and important choice. Most cosmetic dental procedures are not reversible, so you will want to take your time, ensure that you feel comfortable with the dentist, and that you feel confident with his/her skills and capabilities. When you do, you will likely be happy and completely satisfied with the results that are achieved with the cosmetic dentistry treatment you receive.

If there are any complications during a cosmetic dentistry procedure, an experienced cosmetic dentist will be more adept at handling the situation. In addition, a cosmetic dentist who has performed many complicated dental procedures will have had more time to perfect his or her technique and results. Cosmetic dentistry treatments like dental veneers and bonding require an artistic touch to produce the most attractive and natural-looking results. Choosing the best possible cosmetic dentist near you requires evaluation of many things. When you plan cosmetic dental work to enhance, alter, or change your smile, it is important that you choose a qualified and experienced cosmetic dentist. Cosmetic dentists who have performed numerous complicated dental procedures will have had more time to perfect their techniques. Cosmetic treatments like porcelain veneers, tooth-colored fillings, and crowns on dental implants require an artistic touch as well as superior technical ability to produce the most attractive and natural-looking results.

The following guidelines may help you find a qualified cosmetic dentist in your area:

·Verify the dentist’s dental education through your state’s certification board or the American Dental Association.
·Look for a dentist who has received specialized training in the field of cosmetic dentistry.
·Find a dentist who has made cosmetic dentistry a major part of his or her practice.
·Learn about his or her qualifications and experience by requesting this information at the time you talk to the office manager.
·Visit the practice’s website for the dentist’s qualifications, before and after case information and office ambience.
·Look at before and after pictures of previous patients with various procedures.
·Find out how long and under what parameters the restorative work is guaranteed.
·Make sure the dentist is licensed to practice in your state and that they have not had any disciplinary actions brought against them.
·Check their standing and membership with the Better Business Bureau.

Bellevue Cosmetic Dentists, Dr Cynthia Pauley and Dr Patricia Pauley, were featured in “Doctor of Dentistry” 2008. You can for additional information on Cosmetic Dentistry.