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Mercer Island Family Dentistry


Procedures at Mercer Island Dentistry

We strive to obtain patient relationships based on mutual trust, excellent customer service, and the best patient care available. We provide the highest level of safety and infection control for personal protection. We believe each patient should take an active role in their care, which is why we focus on patient education. Our staff also respects you and your time demands. We encourage you to ask questions so that you can make informed decisions about your dental health.


Crown and Bridge - A crown is a tooth-like covering placed over a carefully prepared existing tooth. A crown is placed on an individual tooth to strengthen, restore, or improve the appearance. One of the most Mercer Island Dentistry Crown Procedurecommon reasons for a crown is to support the tooth when there is no longer sufficient tooth structure left to place a filling. They are also used to protect the structure of a tooth that is fractured, broken, or treated with a root canal.

A bridge is a custom device anchored to neighboring teeth that replaces one or more missing teeth. When a lost tooth is replaced with a bridge, the teeth on either side of the missing one must be prepared as crowns to hold the replacement teeth in place.Mercer Island Dentistry Bridge Procedure

Benefits of Crown and Bridge treatment:

  • Restores and maintains the natural bite
  • Prevents unnatural stress on other teeth
  • Keeps opposing teeth in their proper place
  • Prevents shifting and tilting of adjacent teeth
  • Discourages further dental decay and periodontal disease
  • Enhances your smile, speech, and chewing function


Root Canal - A root canal is a treatment performed on disorders of the nerve. When the pulp (nerve) becomes irritated and infected, bacteria will grow within the tooth pulp, causing pressure and pain.Mercer Island Dentistry Root Canal Procedure Sometimes the deterioration is so gradual that little pain is felt. As the disease process takes place, the bone surrounding the tooth may become infected and abscessed, which destroys the surrounding bone.

During the treatment, we ensure that we relieve any discomfort before removing the diseased pulp. The root canal area inside your tooth is cleaned, enlarged, and shaped. The pulp chamber may then be permanently filled and sealed. After the procedure is finished, the tooth has to be fully restored with a crown to protect and restore chewing functions.


Periodontal Disease (Gum Disease) - Periodontal disease is the most common cause of tooth loss in adults. It is an inflammatory disease that attacks the gums, bone, and other supporting structures of the teeth. Gum disease is caused by plaque, a colorless film of bacteria that forms on teeth. If not Mercer Island Dentistry Periodontal Disease Procedureremoved daily, plaque hardens and forms calculus (tarter) around the necks of the teeth. The tissue that attaches the gums to the teeth can be destroyed causing pockets to form between the teeth and gums. Eventually, the bone structure supporting the teeth can be destroyed.

Signs of Gum Disease:

  • Gums that bleed when you brush or floss
  • Red, swollen, or tender gums
  • Gums that have receded or shrunken away from your teeth
  • Pus between your teeth when you press your gums with your finger
  • Pain when chewing
  • Calculus or tarter buildup


Porcelain Veneers - Dental veneers are a cosmetic remedy for a variety of dental conditions that affect the appearance of the front teeth. Veneers are a thin shell, custom made to fit precisely over an existinMercer Island Dentistry Porcelen Veneers Procedureg tooth with only a small amount of natural tooth structure removed. The finished result is strong and durable.

Veneers can be a cosmetic alternative for a variety of dental conditions including:

  • Closing diastemas
  • Restoring broken or chipped teeth
  • Covering unsightly, stained, or washed out fillings
  • Whitening permanently stained or discolored teeth
  • Correcting uneven or crooked teeth


Dental Implants - Many patients choose implants to replace a single tooth, several teeth, or to support a Mercer Island Dentistry Porcelen Veneers Procedurefull set of dentures. Implants are posts that are surgically placed in theupper or lower jaw, where they function as a sturdy anchor for replacement teeth. They are made of titanium (a strong, lightweight metal) and orther materials that are accepted by the human body.

Most patients find that an implant is secure and stable - a good replacement for their own tooth. However, implants are not an option for everyone. Because implants require surgery, patients should be in good health overall. Patients either must have adequate bone to support the implant, or be able to have surgery to build up the area needing the implant. Patients also should be ready to commit to a daily oral care routine and to regular dental visits.


Clench Guards for Bruxism - About 15% of people have a habit of grinding their teeth or clenching their jaws, a condition called bruxism.Mercer Island Dentistry Clench Guards for Bruxism Procedure

Bruxism can:

  • Wear down tooth enamel
  • Chip teeth
  • Increase temperature sensitivity
  • Erode gums and supporting bone
  • Break fillings, other dental work, or natural teeth
  • Worsen tempromandibular joint (TMJ) dysfunction
  • Result in cosmetic damage

Symptoms to Look For:

  • Teeth grinding during sleep
  • Jaw pain, headache or earache
  • Frequent contraction of muscles on the side of the face
  • Sensitive teeth
  • Teeth that look flat at the tips
  • Abnormal alignment of teeth

Treating Bruxism - A night guard or clench guard can be fabricated to prevent damage by bruxism.


Botox Cosmetics at Mercer Island Dentistry

Botox Cosmetics - BOTOX® Cosmetic (onabotulinumtoxinA) is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in people 18 to 65 years of age for a short period of time (temporary).

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To our valued dental family and community:

We hope this correspondence finds you and your family in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Starting Monday May 18th, our office will slowly and safely reopen to take care of our urgent and dentally compromised patients followed by non-urgent services.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.

Our office follows infection control recommendations made by the WA State Dept. of Health, the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC), the Occupational Safety and Health Administration (OSHA), and the Washington Industrial Safety and Health Act (WISHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current and adhere to each agencies’ recommendations.

You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. All appointments prior to May 18th have been canceled. We will call all cancelled patients back as soon as possible to get you rescheduled. Please be patient as our rescheduling process will take several weeks to complete as we navigate our way to slowly and safely reopen our office to our patients. If you have questions, please feel free to call our office at 206-232-8100.

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends. Stay Healthy!

Dr. Strelow and Team