September 9th, 2009 admin
Dr Timmerman often gets patients that have trouble sleeping, and even use a CPAP machine. Many people don’t tolerate its use and risk their health. An alternative to CPAP is an oral appliance that Dr Timmerman can fabricate. Call 206-241-5533 to find out what Dr Timmerman can do for YOU.


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September 8th, 2009 admin
Seattle Invisalign dentist Lance Timmerman DMD is often asked how exactly are the aligners created, or what they are made from. Please watch this video to learn how modern technology can easily give you the smile you have always wanted.
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September 4th, 2009 admin
Dr Timmerman doesn’t like to get too dramatic and try to scare people, but the fact is GUM DISEASE CAN KILL YOU.
Recent research has shown links between gum disease (periodontal disease) and strokes, heart disease, low birth weight babies, premature births and more. While it has garnered SOME press of late, it got a much higher boost to awareness on an episode of the View. Watch what Whoopi Goldberg has to say!
Call 206-241-5533 to see what we can do at Fort Dent Smiles by Lance Timmerman DMD can do for YOU…!
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September 2nd, 2009 admin
Neuromuscular seems like too much of a word to state. What it really means is a connection of the brain and the muscles. Aren’t most dentists trying to make sure that the muscles and brain are OK with what is done? Neuromuscular dentistry should be the same thing as just “dentistry”.
When we treat the TMJ, we use sophisticated equipment to analyze the muscles and their activity at rest.
This allows us to determine if what we do can really help. We try to be very clear with people that if we don’t think we can help, we won’t waste their time. We really try, but we can’t help everyone. Sometimes we can only manage the pain and not eliminate it.
Our prefered equipment is myotronics. This company has been the leader in TENS and related instrumentation and care. With their systems, we have helped many people return to a normal life and live like they used to.
Call us at 206-241-5533 and see what we can do to help YOU!
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September 1st, 2009 admin
First, a disclaimer: I am not a lawyer. I am not giving legal advice.
I thought I would share a recent experience we had here that might help others understand the way dental offices operate. Dentists are required to operate based on laws set forth by each state, but the “Standard of Care” is not written down anywhere.
The Standard of Care is the minimum level of care. It is established via case law, meaning until someone complains and a lawsuit follows, each dentist can operate how they see fit. Once a complaint is argued, judgments are passed and the minimum level is set.
Patients entering a dental office come under the care of the dentist and team. The dentist is now responsible for the oral health of the patient and related systemic issues. Diagnostic records (x-rays, photographs, models, etc) are needed in addition to clinical examinations to determine someone’s level of health. The absence of current records means that a proper diagnosis cannot be determined. After a diagnosis, proper care is recommended.
An example would be if a new patient entered an office to get their teeth cleaned. If for some reason they did not want x-rays taken of their teeth, the doctor would only be guessing what their condition was. Since the patient does not have the same dental education, they are not qualified to waive the standard of care and decline the x-rays. The dentist must decide if they require the records or if it’s a “big enough deal”. Some offices give in and don’t take the x-rays. If they have access to recent records, those often suffice.
If during the examination it was determined that periodontal disease is present (active) or maintained (dormant), a “cleaning” cannot be performed. In a dental setting, a prophy (a cleaning) is both a service and a diagnosis. Performing a prophy means that the person has a healthy mouth without history of periodontal therapy or disease. Generally, a patient must decide if they want treatment in the general dental office or in a periodontal specialist’s office.
Standard protocols are in place for the safety of the public. Violations of these standards simply put people at risk, and dentists are at risk should something go wrong. There ARE offices that operate below the standard of care and that is their choice. If nothing goes wrong, then nothing happens.
The lawyers have decided what the minimums are. In our office, we don’t strive for the Standard of Care; we desire to exceed the standard, or a Standard of Excellence.
Nobody can force anyone to do anything against their will here. If a new patient comes to our office and wants JUST a cleaning (no exam and no x-rays), then they simply are not a good fit to our office. They don’t HAVE to have x-rays, but we don’t HAVE to treat them. It truly is “My way or the highway,” when it comes to standard protocols.
With the litigious society we live in, this office will not risk everything just to placate a person’s desire.
We recently had a patient come through our office that questioned everything that we did. She had left several other offices and shared her many complaints of how she was treated, and her non verbal communication made it clear that she didn’t see the point of our diagnostic records. She just wanted her teeth cleaned, even though she had a history in a periodontist office (you go to a periodontIST if you have periodontAL disease).
Her previous offices caved in to her demands. I believe they operated below the standard of care… and that is their choice. She had every right to not follow my advice, but I also have every right to refuse to treat her.
Finding the right dental office that fits both ones personality and philosophy can be a challenge for patients and dentists alike. When the match is found, the relationships can last a very long time.
For more information (and “slightly” more official) click http://jada.ada.org/cgi/content/full/135/10/1449
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