At our office, we know image can be everything. At an age when image is so important, the thought of having braces may intensify the already-delicate confidence of today's teens. Well, May is National Teen Self-Esteem Month, and during this time, parents are encouraged to act as positive role models, help stop negative self-images, and improve confidence and security among teenagers.

One of the great ways to improve your confidence is to improve your smile. And that begins with a consultation at our office. After all, what better time to avoid having crooked teeth in your adulthood than coming in for a consultation?

We invite you to give us a call to schedule a consultation or ask us on Facebook!

Have you had a chance to meet Heidi at Dr. Carstensen's office? She began working in the dental field in 1996, and joined Dr. Carstensen and our team as a Dental Hygienist in 2011. We're pleased to share that Heidi has gone through extensive periodontal training, including full mouth deep scaling along with routine recall cleanings. She is licensed to administer anesthetic and Nitrous Oxide. If you've met Heidi, she has most likely evaluated your oral health and spoken with you about the importance of good oral hygiene. She also works behind the scenes to perform all of the necessary records that Dr. Carstensen needs to diagnose you properly.

When asked about what she most enjoys about her job, Heidi says, "I receive great satisfaction in educating patients on the importance of good oral hygiene." She also finds that it is very rewarding to see the improvement in patients' oral health that results from good home care and treatment done in our office. She also says that she loves working with Dr. Carstensen because she "admires that he is always striving to further his education so he can give his patients the best care possible. He motivates his employees strive to do their best at all times."

Heidi was born in Vancouver, Washington. She is married to her husband, Nat, and they have a 4 yr. old son, named Austin. When Heidi isn't a the office, she enjoy spending time with family and friends. She also stays active through running, yoga, cycling AND retail therapy!

Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You may not even be aware of your own bad breath, so if you’re concerned you may be suffering from it, talk to our team. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.

There are many reasons for bad breath:
• What you eat can also affect the way your breath smells. Certain foods, such as garlic and onions, can have a very strong and lasting odor.
• If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.
• Bad breath can be caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.
• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.
• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, you may be referred to your family doctor or a specialist to determine the cause.

The good news is there are many ways to help eliminate bad breath from your life. Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits with our office for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

Dental X-rays are an essential and invaluable tool to help assist us in evaluating your oral health. With X-rays, we can see what’s happening beneath the surface of your teeth and gums and identify oral health issues otherwise hidden during a visual exam, including:

• small areas of decay between the teeth or below existing restorations (fillings)
• infections in the bone
• periodontal (gum) disease
• abscesses or cysts
• developmental abnormalities
• types of tumors

If left untreated, these problems can lead to expensive, time-consuming, and painful conditions, so it’s important to find and treat them early.
Dental X-rays are extremely safe, and our team is certified in the proper use of our digital X-ray equipment. The amount of radiation that you are exposed to from dental X-rays is very small compared to your daily exposure from things like atmospheric radiation and naturally-occurring radioactive elements, as well as medical X-rays you may have gotten at your doctor’s office or hospital. In fact our digital system dramatically decreases the already minimal amount of exposure even further. We try to be as conservative as possible when prescribing x-rays but do need them to see what is going on where our eyes can't see.

March has arrived, and that can only mean one thing: it’s National Nutrition Month. Every March, Dr. Steve Carstensen and thousands of dentists and hygienists celebrate this occasion, and this year is no different. This March, we want you to think about diabetes, obesity and periodontal disease, and how healthful eating and physical activity may improve periodontal health.

Small changes really can make a big difference, and the American Dietetic Association (ADA) has some advice on ways to start improving your diet this March:

• Focus on fruits and vegetables: Add a serving each day to one meal and increase it every few weeks. Adding more of these foods into your diet is important whether you buy frozen, fresh or organic.

• Think fresh, think local: From farmer’s markets to community-supported agriculture, you have many options to find new, fresh foods in our city.

• Make each and every calorie count: When you are choosing between options, focus instead on the one with more of the vitamins and nutrients that you need. Sometimes, foods with fewer calories aren’t always the healthiest options.
• It’s tempting, but…: If you have a sweet tooth, have fruit and yogurt for dessert. If you crave a snack in the afternoon, enjoy some trail mix or nuts.

• Expand your horizons: Try a fish you’ve never eaten before or find a new vegetable recipe. By testing yourself, you might find new healthy favorites to add to your regular grocery list.

If you have additional questions about periodontal disease or keeping yourself and your mouth healthy, please give us a call!

Link: http://www.eatright.org/nnm/

Monday, Feb. 20 marks Presidents’ Day, a day known for celebrating of both George Washington’s and Abraham Lincoln’s combined Birthdays. Presidents’ Day was created in 1971, when President Richard Nixon combined the birthdays of two of our most well-known presidents into one single federal holiday. Presidents' Day also marks a hard-earned day off from work and school for a lot of patients of Dr. Steve Carstensen.
Here are a few fun facts about our nation’s presidents:

*Abraham Lincoln, our 16th president, carried letters, bills and notes in his tall stovepipe hat.

*George Washington is the first president to be featured on a postage stamp.

*Ronald Reagan, our 40th president, broke the so-called "20-year curse," in which every president elected in a year ending in zero died in office.

*Abraham Lincoln was the tallest of the U.S. presidents, measuring 6’ 4” tall.

*Virginia is the birthplace of more United States presidents than any other state, followed by Ohio and Massachusetts.

*Harry S. Truman was the first president to have his Inauguration and speeches televised.

Dr. Steve Carstensen and his team were proud to support the Toys for Tots drive this holiday season and especially proud of the participation and support from our patient community.

We recently received a wonderful comment and wanted to share it with you:

Steve, this is such a great report to your patients. Thank you for doing this, not only for the amazing food, toys and gifts, but for what this kind of effort does to boost awareness of the serious issues of hunger and poverty that surprisingly pervade the Eastside.

Thank you to everyone who supported this worthy cause and helped to provide a message of hope to those in need!

For the past 62 Februaries, the American Dental Association, or ADA, has sponsored National Children's Dental Health Month to raise awareness about the importance of oral health. National Children's Dental Health Month began as a one-day event in 1941 in a Cleveland clinic. In 1981, however, the program was extended to a month-long celebration known today as National Children’s Dental Health Month.

Each February thousands of dental professionals focus on the preventive oral care of America's children. Dr. Steve Carstensen and our staff want you to remember developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums. Has your child visited Dr. Carstensen in the past six months? If not, it’s time to give us a call and schedule an appointment!

Did you know February is American Heart Month? It’s a great time to take notice of the health of your heart, says Dr. Steve Carstensen. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.

Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit with Dr. Steve Carstensen. In observance of Heart Month, it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). If you have any questions about heart health, or about your treatment, please give us a call today.

Dr. Steve Carstensen knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one? A root canal is a treatment Dr. Carstensen uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with Dr. Carstensen.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask us during your next visit at our convenient Bellevue office! We also invite you to ask us on Facebook!

Didn't get that iPad 2 you wanted over the Holidays? Well, it isn't too late! There's still time left to enter our iPad 2 Sweepstakes! To participate, simply visit our Facebook page and select the SWEEPSTAKES tab from the left side of our wall. We will be accepting contest entries through Sunday night, and the contest winner will be announced this Monday, Jan. 9th!

GOOD LUCK!

-Dr. Carstensen and team

The year is almost over, so we wanted to ask what was memorable about 2011 for you, and what are you looking forward to in 2012? Do you have a new year's resolution, or any exciting plans for the coming year?

Have a safe and happy New Year, from Dr. Steve Carstensen and team!

In this season given to tidings of comfort and joy, and as our team at Steve Carstensen, DDS
reflect on the year that was, we’d like to ask you, our wonderful patients: What do you love
about the holidays this year? Being with your loved ones? A clean slate for 2012? Opening
presents by the fireplace? All the delicious food? Also, what gift are you most looking forward to
getting this year?

We’d love if you shared with us all the things you love about the holidays. Stay warm,
and don’t forget to stay away from those sweets! Also, if you have a dental emergency while our team is out of the office, please give us a call and follow the emergency prompts to contact Dr. Carstensen. You can also leave us a message. Our team will do our best to get back to everyone as soon as possible when we return to the office.

Happy Holidays!

--The team at Dr. Carstensen's office

When you visit Steve Carstensen DDS, we truly enjoy being able to catch up with you and hear about the things going on in your life. It’s also a great time to let you know about all the exciting things happening at our office. Did you know that you can also connect with us outside of the office on Facebook? That’s right! Also, from now until January 8th you have the opportunity to enter our sweepstakes to WIN an iPad 2!

Here’s how to enter: LIKE the Steve Carstensen DDS Facebook page and complete the entry form located in the Sweepstakes Tab on the left hand side of our Facebook page.

We look forward to connecting with you on Facebook!

Dr. Steve Carstensen knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one? A root canal is a treatment Dr. Steve Carstensen uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with Dr. Steve Carstensen.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask Dr. Steve Carstensen during your next visit at our convenient Bellevue office! We also invite you to ask us on Facebook!

Dr. Steve Cartensen and team would like to wish you a safe and happy Thanksgiving. It's a big food holiday, so be careful what you eat!

If you have any stories or pictures to share with us, we'd encourage you to post them to our Facebook page or call our office and ask how.

Gobble Gobble!

Dr. Steve Carstensen our team knows the way you care for your teeth at home doesn’t just affect your oral health – it can impact your overall health as well. In recent years, researchers have found clear links between the mouth and other parts of the body, and the evidence is especially impactful for people with diabetes.

November marks Diabetes Awareness Month, and a great time to learn about how keeping your mouth healthy is vital to your overall health, too. If you are one of the nearly 26 million Americans currently living with diabetes, there is some good news: you can protect your gums and teeth from the effects of diabetes by visiting our Bellevue dental office for regular check-ups and cleanings. Most people should have at least two dental appointments per year, but those folks living with diabetes may require additional visits to make sure their dental health remains in top shape. Many insurance plans provide expanded benefits for diabetic patients. Dr. Carstensen and our experts can tell you how often you need to come in for your dental visits.

For more information on how we can help, please give us a call or ask us on Facebook!

As the holiday season approaches, Dr. Steve Cartensen and his team are asking for your help in supporting our Bellevue communities by donating to our food drive.

From now until December 19th, bring in canned foods or a new toy and we will get you a spiffy travel toothbrush and enter your name in a drawing for Sonicare’s new Diamond brush, valued at over $200!

Toys for Tots and the food bank get a boost for our neighbors in need!

If you have questions, call us or find us on Facebook. Thanks for helping!

Dr. Steve Cartensen and his team know that as more families turn to bottled water and away from the traditional tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride!

For more than 60 years, water fluoridation has proved to be a safe and cost-effective way to reduce dental caries. Today, water fluoridation is estimated to reduce tooth decay by 20- to 40 percent in children who have access to fluoridated toothpaste.

Bottled water, however, which remains one of the more popular drinks in the world, may not contain any fluoride, which is known to help prevent and even reverse the early stages of tooth decay. The majority of bottled waters on the market do not contain optimal levels (0.7-1.2 ppm) of fluoride, according to our friends at the American Dental Association, or ADA. Many dental health specialists suspect bottled water’s increased popularity as the culprit behind rising rates of cavities.

Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. So if bottled water is your water of choice, be sure to check the label to make sure that your brand contains fluoride. As of a 2006 decision, the Food and Drug Administration, or FDA, allows bottled water containing .6 to 1.0 milligrams per liter (parts per million) of fluoride to carry a label stating that fluoridated water may reduce the risk of dental cavities or tooth decay. The ADA has backed this decision.

Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your pearly whites in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake and visiting Dr. Cartensen and our team regularly.

Did you know that October is National Dental Hygiene Month? For our staff at Steve Carstensen, DDS, that means only one thing: Reminding you that your teeth are an important part of your body, and keeping them clean helps keep your mouth and your body healthy. By taking care of your teeth, eating a balanced diet and visiting our convenient Bellevue office on a regular basis, you can have healthy teeth and an attractive smile throughout your entire life.

We encourage you to check out the American Dental Association website as well, which provides pointers on keeping your mouth clean and healthy. Lastly, has it been six months since your last visit to Steve Carstensen, DDS? If the answer is yes, we encourage you to give us a call to set up an appointment with Dr. Carstensen!

Everybody is jumping on the electric toothbrush bandwagon in recent years, with many experts in the dental field claiming electric toothbrushes provide superior dental care. It’s true that electric toothbrushes are recommended for those who can’t do a good job brushing manually or who have arthritis or other conditions. But manual toothbrushes do have some advantages, according to an article we recently found including:

• Cost. While electric toothbrushes may be expensive for many people, manual toothbrushes are both inexpensive and accessible.

• Less pressure on your teeth & gums. While we can feel the amount of pressure we’re using as we grasp our manual toothbrush, we can’t feel the pressure nearly as well with an electric toothbrush. Placing too much pressure on our teeth can wear away at the tooth enamel, which causes pain, sensitivity, as well as an increased risk of tooth decay.

• Simple to pack. Manual toothbrushes are easy to carry around for those business or family trips. People are less likely to let their good dental care habits lapse on vacation with a toothbrush that they can easily bring along!

• Better for kids. Learning at a young age how to properly use a manual toothbrush helps children get a feel for how to properly take care of their oral hygiene.

Electric toothbrushes, on the other hand, are more effective in removing plaque and are considered a better alternative to maintaining gum health. Remember, whether you choose a manual or an electric toothbrush, Dr. Carstensen and our team encourage you to choose one with soft bristles and be sure to change the bristles on the electric brush when they become worn down. We also encourage you to replace your toothbrush every three months, when the bristles are no longer straight and firm or after you recover from a cold.

Give us a call at Steve Carstensen DDS if you have any questions or ask us on Facebook!
Happy brushing!

Everybody knows that smoking causes lung cancer, but did you also know that smokers and tobacco users are susceptible to a variety of oral health problems at a faster rate than non-smokers?

It’s true! Smoking is responsible for almost 75 percent of gum disease in adults; and, similar to smokers, adults who smoke pipes and cigars, as well as those using smokeless tobacco, are just as susceptible to gum disease and other tobacco related health problems.

As soon as you use tobacco products, you become more likely to experience any of these oral health problems:

• Oral cancer
• Gum disease
• Tooth loss
• Loss of bone in the jaw
• Gum recession
• Delayed/impaired healing process after oral surgery or any other treatment
• Decreased success rate of dental implant (tooth replacement) procedures
• Mouth sores
• Loss of your sense of taste and smell
• Bad breath
• Tooth and tongue stains

If you are interested in protecting your oral health, we strongly recommend you quit using tobacco products! The following steps are recommended by the Surgeon General to help you quit smoking and using tobacco:

• Get ready – set a quitting date and remove all materials from your home, car and office
• Get support
• Learn new skills and behaviors
• Get medication and use it correctly
• Be prepared for relapse or difficult situations

For support, start with Dr. Steve Carstensen's office! We can help by recommending different options to help you quit, and above all we will support you throughout the quitting process. We are dedicated to helping you protect your oral health – and quitting smoking is significant step in the right direction.

At Dr. Steve Carstensen's office, we know your dental health is closely connected to your overall health. We also know the mouth can oftentimes be the first place to indicate signs of health issues in the body. Recently, we found a helpful article that outlined seven warning signs that indicate it might be time to check in with Dr. Carstensen and team.

Flat, worn teeth plus headache (sign of stress)
Grind, grind, grind .... grind. If you live with a teeth grinder, you’re probably familiar with this unpleasant sound. Emotional or psychological stress can definitely contribute to teeth grinding. In addition, headaches, which are caused by spasms in the muscles, can radiate from the mouth and head down to the neck and upper back. Night guards, which we proudly provide at Dr. Carstensen's office, may relieve the symptoms, as well as protect your teeth.

Cracking, crumbling teeth (sign of Gastroesophageal reflux disease)
As we age we may notice that the enamel on our teeth starts to chip at the edges of our front teeth or form hollowed out “wells” on the surface of our molars. These symptoms may be a sign of gastroesophageal reflux disease, or GERD, which is a chronic digestive disease that occurs when stomach acid—and occasionally, bile—flows back into your food pipe. Other signs and symptoms of GERD include acid reflux, dry mouth and heartburn.

Sores that won’t go away (sign of oral cancer)
More than 21,000 men and 9,000 women are diagnosed with oral cancer annually, according to the National Cancer Institute. Those most affected include the elderly (most are over the age of 60) and smokers. The survival rate for oral cancer is 35 percent. When an open sore in the mouth doesn't go away within a week or two, or when you experience unexplained bleeding or numbness, it’s always a good idea to visit Dr. Steve Carstensen's office so that we may rule out oral cancer. A lot of sores and ulcers may lurk underneath your tongue, where they are difficult to find.

Gums growing over teeth (sign of medication problems)
If you notice your gum growing over your tooth, and you're taking a prescribed or other medication, please give us a call as soon as possible. Certain medications may cause the gums to overgrow; the dosage will need to be adjusted, but it’s important we take a look.

Dry mouth (sign of Sjogren’s syndrome, diabetes)
Many things are known to cause dry mouth, but a lack of sufficient saliva is also an early warning of Sjogren's syndrome, as well as diabetes. According to the American Diabetes Association, 17 million Americans suffer from type 1 or type 2 diabetes, which is a metabolic disease caused by high blood sugar. Other signs of diabetes include excessive thirst, tingling in the hands or feet, frequent urination, blurred vision and weight loss.

Sjogren's syndrome, which affects approximately anywhere between 1-to-4 million Americans, causes white blood cells of the body attack—for unknown reasons—their moisture-producing glands. Symptoms also include dry eyes, as well as the mouth, but the rest of the body is affected by the disorder.

White webbing inside cheeks (sign of Lichen planus)
Lichen planus, whose cause is unknown, is an inflammatory skin disease that usually affects the skin, mouth, or both, according to the Mayo Clinic. On the skin it manifests with small purplish bumps while in the mouth it takes the appearance of a whitish, lacy pattern on the insides of the cheeks. The disease can't be passed from one person to another. Lichen planus may require relatively simple at-home care or no treatment. When symptoms are severe, such as pain or significant itching, please give us a call.

Crusting dentures (sign of pneumonia)
Older folks are known to inhale debris around the teeth and dentures, and inadvertently breathe in other materials into the lungs and airway, causing dangerous (even fatal) inflammation. Be sure to remove and wash dentures on a regular basis.

Rebecca Starks, your dental assistant at the office of Dr. Steve Carstensen, has been a runner for just 2 years now. She did her first half marathon last year on June 26, 2010, which was the Seattle Rock 'n' Roll Half Marathon. Exactly one year later, on June 26, 2011, Rebecca ran her 2nd half marathon in Vancouver BC, the ScotiaBank Half Marathon!

She has done various runs in Seattle; anywhere from 5k’s to 10k’s. Last year she ran in the Northwest Passage Ragnar Relay and this year she will be running for her second time on July 22-23 with the same team. She also plans on running another half marathon in Bellingham at the end of September.

Great job Rebecca! We can't wait to hear stories about where you are running next! If you see Rebecca in the office, feel free to ask her about her running adventures!