Russell and Bode Family Dentistry

TMJ Disorders

amandakatiejudysteveDr. Russell, Katie, Amanda, and Judy attended an exciting conference hosted by the American Academy of Craniofacial Pain. They learned a tremendous amount about jaw joint (TMJ) Disorders and their relation to sleep and breathing. The association of many types of headaches, neck and facial pain with sleep and breathing and jaw joint problems is clearly shown in the research and can be managed by appropriately trained dentists and healthcare providers. If you have any of these problems, the size and position of your jaw and teeth, among other factors, may be affecting your ability to breath properly at night. 

Some common symptoms of TMJ Disorder:
  • Pain and soreness in your jaw joint and muscles of your face
  • Headaches
  • Noises in your joint such as clicking or popping sounds
  • Difficulty opening or closing your jaw
  • Difficulty chewing food
  • Your teeth not feeling like they fit together properly
  • Difficulty opening your mouth wide
  • Ringing in your ears
  • Grinding your teeth
  • Awakening in the morning with soreness in your jaw or muscles of your face
  • Sleep problems
  • Feeling worried about these symptoms
  • Feeling stressed
If you or someone you know is experiencing one or more of these symptoms, you may benefit from a consultation w/ Dr. Russell to discuss your concerns in more detail.

R&B Tips: emBRACE it!

laurensteveWhile undergoing orthodontic care, it is important to maintain your oral hygiene. In addition to brushing and flossing after every meal, it is also extremely important to both your General Dentist and your Orthodontist that you maintain a regimented hygiene schedule to keep your smile healthy.

We recommend when undergoing orthodontics such as wearing braces, to schedule your hygiene appointments every 3-6 months. While wearing your braces, it is increasingly difficult to clean around the hardware and remove unwanted plaque and food buildup, which can lead to inflammation and decay.

We recommend going to your Orthodontist prior to your hygiene appointment to remove your wires, increases your hygienist’s ability to clean well between your teeth, catching the gunk that you may miss during your daily cleanings. In addition, keeping your gum tissue stimulated and healthy allows your orthodontic appliances, such as braces, to move at a more expedient pace.

And finally having your wires removed prior to your hygiene appointment allows your Dentist to take X-Rays without the wire blocking portions of your teeth that may have decay.

We understand running around to your Orthodontist and your Dentist and back to place wires back in is a lot to handle, but it is a short term chore for a lifetime of healthy, straight smiles. 

R&B Tips: Tylenol vs. Ibuprofen and Salt Water Rinses

amandawalterAcetaminophen/Paracetamol/Tylenol (brand name)

Though they do not act on the inflammation, paracetamols will hinder transmission of pain messages to the brain. They work well for those who are not able to take aspirin. You can combine paracetamol with aspirin or any non-steroid anti-inflammatory drugs (NSAIDS), such as Ibuprofen. In this way, it can work for toothaches. Generally, a dose of 400-500mg is recomended for a toothache. However, excessive use of paracetamols can lead to liver damage.  Always follow the manufacturer’s recommendations.

Ibuprofen or Ketoprofen

Ibuprofen is the best over-the-counter option for a toothache.  It is an anti-inflammatory that contains no steroids.  Motrin and Advil (US) are the most common brands.  200-400 mg is recommended.  Ketoprofen is sold under several trade names as well. You can ask your pharmacist for ketoprofen. If you are asthmatic, however, you should not take it. Make sure you read the label for any other contradictions.

Salt Water Rinses

Using salt water rinses has dated back to some of the oldest medical scripts in existence. More than 2000 years ago, the ancient Egyptians found that the use of salt had anti- infective and anti-inflammatory effects.

Salt inhibits bacteria in the mouth. It temporarily increases the PH balance in the oral cavity, creating a alkaline environment in which bacteria struggles to survive. Bacteria prefer an acidic environment to grow and breed. Salt water is an isotonic solution, which means it contains the same salts and minerals our bodies do in equal concentrations. This is the reason why it does not irritate the mucous membrane. 

It is recommended to use by dentists after a dental procedure because it is a gentle healing aid.

It is used to soothe and heal mouth sores. It reduces discomfort or swelling after a dental procedure. It can help reduce aches from a sore throat caused by strep, tonsillitis or even the common cold.

Use salt water rinses 2-3 times a day or more after dental surgery or any other procedure.

Welcome Lauren to our Team!

billlaurensteveWe are excited to welcome Lauren to our team!  Lauren is a new addition to our front office staff!  She has worked in the dental field since 2007 and is excited to bring her knowledge to the team.  She and her husband live in Olympia and have a dog, three cats, and six chickens.  In her free time, she enjoys hiking with her husband and younger brother, writing, and traveling.

R&B Tip of the Week: Home Care with Dentures

judypamCare of partials and dentures:

Removable partials and dentures require care the same as natural teeth.  Although the approach is different they are equally importance tasks.

Partial dentures attach to remaining teeth which can allow for plaque and tarter to collect on the supporting teeth and can make them more vulnerable to cavities and periodontal disease.  It is important to be diligent in your oral homecare and professional cleanings protecting your remaining teeth. 

Use a soft toothbrush or a special denture brush to remove plaque and food deposits from your appliance daily.  Use of liquid dish soap and hand soap as well as over the counter denture cleaners are all acceptable but avoid using toothpaste as it can be too abrasive for daily use.  Make sure you rinse thoroughly after cleaning, using warm water.  Lining the sink with a towel while cleaning can help protect appliance in case it is accidently dropped. 

Remember to remove your appliance every night, as they are not meant for around the clock wear.  Prolonged denture wear can lead to increased loss of bone supporting your denture and oral infections. While your appliance is out, nightly brush your tongue and gently brush or wipe gum ridges to remove any visible plaque and freshen breath. 

Be careful to not leave your appliance accessible to young children to get a hold of or especially pets who are notorious for using them as a chew toy!

R&B Tip of the Week: Invisalign

kamikatieDid you know there is now a way you can straighten your misaligned teeth without having to use traditional wire braces?  We now offer Invisalign at Russell and Bode Family Dentistry, giving you the option of clear and removable braces to align your teeth!

Invisalign uses a sequence of clear and removable braces to align your teeth.  The aligners can be easily removed, so you can eat and brush your teeth as you normally would, unlike traditional orthodontics.   Dr. Bode is a certified provider of Invisalign.

Katie and Kami are both currently using Invisalign.  Katie had traditional braces in the past, but needed something to maintain her beautiful smile.  Invisalign offers retainers that can be worn at night, protecting the investment of time and money you have already made.  Katie loves the comfort of the Invisalign retainer.   Kami also had braces as a teen, but made the unfortunate decision to not wear her retainers!   This resulted in some crowding of her lower teeth and changes in her bite.  She is in her 3rd month of Invisalign.  Her full treatment time is estimated to be 10-15 months.   She can already see the positive changes in her teeth, and is excited to see the end result.

Feel free to ask Katie or Kami if you have any questions about Invisalign.  Call the office at 360-742-3912, to schedule your consultation to discuss Invisalign and see if it is the best option for you!

R&B Tip of the Week: MI Paste


mipasteWhat can MI Paste/MI Paste plus do for you?

  • Relieves tooth sensitivity
  • Does not irritate dry mouths caused by certain medications
  • Helps minimize tooth sensitivity before and after professional cleaning
  • Helps minimize tooth sensitivity after whitening
  • Releases minerals such as calcium, phosphate and fluoride in the oral cavity

What is MI Paste/MI Paste Plus?

Is a special milk-derived protein that release calcium and phosphate to the surface of the teeth.  It is also a water-based, sugar-free topical tooth crèmes.

How do I use MI Paste/MI Paste Plus?

To apply:

  • Brush with fluoride toothpaste in the morning and at night
  • Apply a pea-sized amount of MI Paste to your teeth’s surface using a cotton swab or finger
  • Leave undisturbed for 3 minutes
  • Expectorate (spit) but do not rinse; leave the excess to slowly dissolve

At your next appointment ask any of us about MI Paste/MI Paste Plus.


R&B Tip of the Week: Carbohydrates and teeth

joeyalyssaHave you ever wondered why you have cavities when you don’t eat sugar often and you brush your teeth twice a day? Many people don’t realize that fermentable carbohydrates and starches can also lead to tooth decay.

What is a fermentable carbohydrate?  The two main forms of carbohydrates are sugars (such as fructose, glucose, and lactose) and starches, which are found in foods such as starchy vegetables, grains, rice, breads, and cereals. The body breaks down (or converts) most carbohydrates into the sugars glucose or maltose. This process starts in the mouth.

Only a small amount of glucose or maltose is required by plaque in the mouth to produce acid. The bacteria in the plaque produces an acid that lasts for approximately 20 minutes after each exposure to sugary or starchy foods and beverages. This acid attack leads to tooth decay (cavities).

Tooth decay destroys the tooth structure and can affect both the outer layer of the tooth, the enamel, and the inner (dentin) layer of the tooth.

With both carbs and sugar, it’s important to remember to minimize the amount of time your teeth are exposed to them. Continuous exposure throughout the day is much more damaging to your teeth than short term exposure. Your goal should be to lessen the amount of time that bacteria have to feast on your teeth, thereby cutting down on the acids they will be able to produce.

Of course, proper dental care is a big part of the equation. Rinse your teeth with water right after eating whenever possible, and be sure to clean them thoroughly by brushing and flossing.

Foods to enjoy on special occasions:

  • Chips, bread, pasta, crackers, pretzels, cereal, cookies, cakes, bananas, raisins, soda, diet soda, orange juice, apple juice.

Foods to enjoy daily:

  • Cheese, milk, plain yogurt, nuts, green tea, apples, carrots, celery, water.

R&B Tip of the Week: Your Oral Health During Pregnancy

Your Oral Health during Pregnancy


Always inform your dentist and hygienist if you are or may be pregnant and don’t postpone or put off seeing your dentist during your pregnancy. Keeping your mouth healthy helps keep you and your baby healthy.

Pregnant woman are more at risk for oral health conditions such as “Pregnancy Gingivitis”.

Pregnancy gingivitis can cause complications not only in your mouth but also with your pregnancy. It can lead to periodontitis (a more advanced stage of gum disease) which increases your risk for preterm birth and low birth weight.

Signs of pregnancy gingivitis/periodontitis:

1. Red/swollen gums

2. Gums that bleed easily (when brushing or flossing)

3.Tooth or gum pain

Ways to prevent pregnancy gingivitis/periodontitis:

1. Practice good oral hygiene

2. Eat a healthy diet

3. Visit your dentist

Some dental benefit plans cover an extra cleaning for pregnant women (three cleanings per year). Check and see if your insurance plan has this feature.

R&B Dental Tip of the Week: Xylitol


Xylitol is a natural sweetener derived from the fibrous parts of plants and birch trees.  It does not break down like sugar and can help keep a neutral pH level in the mouth.  Research has shown that the daily use of Xylitol containing products such as foods, chewing gum, candies, and toothpaste can significantly reduce the rate of cavity formation and help repair damage to enamel in both adults and children.  





Here are a few reasons to use Xylitol:

  • Xylitol is a tasty, perfect sugar substitute

  • Boosts oral health by inhibiting the growth of cavity-causing bacteria

  • All natural

  • Can be used for baking a wide range of tasty treats

Ask Tina or Sonya at your next dental visit for more information!