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 info@brooksidedental.com.

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 info@brooksidedental.com in Bellevue, WA, and additional information may be viewed at their Bellevue Cosmetic Dentistry website.