My Blog

Posts for: September, 2017

By Inland Oral Surgery
September 27, 2017
Category: Dental Procedures

The gaps in your smile can do more than just affect the way you look, your confidence, or your ability to laugh freely without covering your dental implantsmouth. Missing teeth can also cause a myriad of dental and health issues which can quickly affect your quality of life. However, dental implants can replace your missing teeth and, unlike other tooth replacement options, their roots, making them the ideal choice for decreasing the chances of these dental issues and restoring your smile to one that you will love. Find out more about dental implants with Dr. David Gailey at Inland Oral Surgery with locations in the South Hill and Wandermere areas in Spokane and Colville, WA.

What can dental implants do for me? 
Dental implants can help your smile whether you have a single gap or need to replace all the teeth on one or both of your arches. A dental implant will replace your missing tooth. However, unlike other options for tooth replacement, an implant will also replace your tooth’s root. Thanks to its design, implants sit within the jawbone in your mouth. The bone grows around the implant to hold it securely in place. This adequately stimulates the bone to avoid issues such as bone atrophy, which comes along with several unsightly side effects like sagging facial skin or premature aging.

Types of Dental Implants
A single dental implant stands on its own, not depending on the surrounding teeth like a dental bridge. To replace several teeth in a row, your oral surgeon will use multiple tooth replacement. Two implants on either side of a bridge-like restoration hold it in place. If a patient requires replacement of an entire arch of teeth, an implant-supported denture may benefit them most. Oral surgeons often use these types of implants alongside each other and other cosmetic dentistry procedures to fill in a heavily damaged, gapped, or unaesthetic smile.

Dental Implants in Spokane and Colville, WA
For more information on dental implants, please contact your oral or maxillofacial surgeon, Dr. Gailey at Inland Oral Surgery with locations in the South Hill and Wandermere areas in Spokane and Colville, WA. Call (509) 321-1404 to schedule your appointment at any of the three locations today!

By Inland Oral Surgery
September 16, 2017
Category: Dental Procedures

If we could go back in time, we all probably have a few things we wish we could change. Recently, Dr. Travis Stork, emergency room physician and host of the syndicated TV show The Doctors, shared one of his do-over dreams with Dear Doctor magazine: “If I [could have] gone back and told myself as a teenager what to do, I would have worn a mouthguard, not only to protect my teeth but also to help potentially reduce risk of concussion.”

What prompted this wish? The fact that as a teenage basketball player, Stork received an elbow to the mouth that caused his two front teeth to be knocked out of place. The teeth were put back in position, but they soon became darker and began to hurt. Eventually, both were successfully restored with dental crowns. Still, it was a painful (and costly) injury — and one that could have been avoided.

You might not realize it, but when it comes to dental injuries, basketball ranks among the riskier sports. Yet it’s far from the only one. In fact, according to the American Dental Association (ADA), there are some two dozen others — including baseball, hockey, surfing and bicycling — that carry a heightened risk of dental injury. Whenever you’re playing those sports, the ADA recommends you wear a high-quality mouth guard.

Mouthguards have come a long way since they were introduced as protective equipment for boxers in the early 1900’s. Today, three different types are widely available: stock “off-the-shelf” types that come in just a few sizes; mouth-formed “boil-and-bite” types that you adapt to the general contours of your mouth; and custom-made high-quality mouthguards that are made just for you at the dental office.

Of all three types, the dentist-made mouthguards are consistently found to be the most comfortable and best-fitting, and the ones that offer your teeth the greatest protection. What’s more, recent studies suggest that custom-fabricated mouthguards can provide an additional defense against concussion — in fact, they are twice as effective as the other types. That’s why you’ll see more and more professional athletes (and plenty of amateurs as well) sporting custom-made mouthguards at games and practices.

“I would have saved myself a lot of dental heartache if I had worn a mouthguard,” noted Dr. Stork. So take his advice: Wear a mouthguard whenever you play sports — unless you’d like to meet him (or one of his medical colleagues) in a professional capacity…

If you would like more information about mouthguards, please contact us or schedule an appointment for a consultation. You can read more in the Dear Doctor magazine article “Athletic Mouthguards.”


Bright, naturally white teeth are a key component in a beautiful smile. But the opposite is also true: nothing diminishes an otherwise attractive smile more than stained or discolored teeth.

There is good news, however, about tooth staining: it can be greatly reduced with the right whitening technique. But before taking action we need to first uncover the cause for the staining — whether from the outside or inside of the tooth, or a combination of both.

If it’s an external cause — known as extrinsic staining — our diet is usually the source. Foods and beverages that contain tannins, like red wine, coffee or tea fall in this category, as do foods with pigments called carotenes as found in carrots and oranges. Besides limiting consumption of stain-causing foods and maintaining daily oral hygiene, you can also diminish extrinsic staining with a bleaching application.

There are two basic ways to approach this: with either a professional application at our office or with a home kit purchased at a pharmacy or retail store. Although both types use similar chemicals, the professional application is usually stronger and the whitening effect is obtained quicker and may last longer.

Discoloration can also occur within a tooth, known as intrinsic staining, and for various reasons. It can occur during tooth development, as with childhood overexposure to fluoride or from the antibiotic tetracycline. Poor development of enamel or dentin (the main sources of natural tooth color), tooth decay, root canal treatments or trauma are also common causes of intrinsic discoloration.

There are techniques to reduce the effects of intrinsic staining, such as placing a bleaching agent inside the tooth following a root canal treatment. In some cases, the best approach may be to restore the tooth with a crown or porcelain veneer. The latter choice is a thin layer of dental material that is permanently bonded to the outer, visible portion of the tooth: it’s life-like color and appearance covers the discoloration, effectively renewing the person’s smile.

If you’ve been embarrassed by stained teeth, visit us for a complete examination. We’ll recommend the right course of action to turn your dull smile into a bright, attractive one.

If you would like more information on treatments for teeth staining, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Teeth Whitening.”