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

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Creating Beautiful Smiles - Keeping Smiles Beautiful