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Yearly x-ray imaging (radiographs) can be a polarizing topic in the dental office, with many people not understanding the importance of updated imaging. The answer in some cases may be, no you don’t need radiographs each year, maybe you need them every 18-24 months. The need for radiographs is in part, based on your risk for developing decay, habits, previous history of decay and many other factors. It is our job as clinicians to tailor the need for radiographs to each patient. That being said, a majority of individuals are at a moderate-high risk for developing decay, which is why … Read More


Holiday Blog

The holiday season is well upon us and we’re all busy with the decorations and shopping. This is a busy time of year at the office with students of all ages vying for hygiene appointments and everyone else trying to utilize their dental benefits. We enjoy the hustle and bustle of the  end of the year, but we also make time for fun around the office! In October, we again participated in Northwest Endodontic Specialists, annual pumpkin decorating contest. Our resident pumpkin decorator is our hygienist Deanna. She came up with a great idea this year, a UFO complete with … Read More


Clenching and grinding can worsen TMD.

A temporomandibular disorder is characterized by pain or tenderness in the temporomandibular joint (TMJ) of the jaw. The TMJ is a complex joint that enables us to chew, swallow, yawn and speak. It also has a wide range of movement. It is surrounded by muscles and ligaments that work in conjunction with the joint itself. TMD’s can cause severe pain for some, and effects in varying degrees, 33% of people over their lifetime. The causes of TMD’s can vary from injury to arthritis or even a combination of the two. It’s been thought that clenching or grinding your teeth can … Read More


Woman drinking water.

Sjogren’s Syndrome is an autoimmune disorder in which the body begins attacking its own moisture producing glands. This can be saliva glands, tear ducts and other organs. The issue for oral health occurs when the saliva glands are affected and flow of saliva is reduced. This autoimmune disorder appears across all racial and ethnic groups, but is more common in women ages 40-50 years (perimenopausal).  The cause of Sjogren’s is unknown, as is the case with many autoimmune diseases. Despite being one of the most common autoimmune disorders, it takes an average of 4.7 years to receive a diagnosis, according … Read More


Autumn shows us how beautiful it is to

Welcome Dr. Rainwater,  Kimberly, & Sara! Wow! What a year it has been at Cramer Dentistry! 2019 has been a year of change and expansion, but at the end of the day our patient care is our top priority. We have been very selective when bringing on new team members and we want to keep you updated on who has joined us. Kimberly returned as our office manager after we said goodbye to Lori. Dr. Rainwater was hired earlier in the year, but we were waiting on his graduation from dental school and then his WA State License. We have … Read More


Oral Care Tips for Seniors

October 10, 2019
Old Man Smiling

As many of us know, due to advancements in medical technology we’re living longer than we ever have. By 2030 the last of the Baby Boomers will turn 65 and older individuals will account for 20% of our population. This is great, but also presents other problems for us to deal with as we age. We’ll be looking specifically at oral health concerns for older individuals as well as providing some tips for how to improve oral health for this population. Dry Mouth Dry mouth or Xerostomia affects a large portion of the population, especially as we age. It is … Read More


IBD may cause aphthous ulcers in mouth.

  Inflammatory bowel diseases (IBD), are a group of autoimmune diseases that result in chronic inflammation in the gastrointestinal (GI) tract. The two main diseases identified in this group are Crohn’s Disease and Ulcerative Colitis. Due to the chronic inflammation eventually damaging the GI tract, the resulting symptoms are painful. There are a few differences between these two diseases, but both must be diagnosed by a physician. Crohn’s disease can take place anywhere along the GI tract, from the mouth to the anus. The most common area targeted is in the small intestine, just before the colon (ileum). These areas … Read More


Nitrous Oxide helps calm nerves before a procedure.

Here at Cramer Dentistry, we know that very few people enjoy coming to the dentist. Beyond general anxiety though is often a deep rooted fear. Often this stems from one or several bad experiences that occurred in a patient’s past. We absolutely understand how these experiences can put a stain on dentistry as a whole for many. We are always here to help anyone who is ready to cope with their anxiety. If you suffer from dental anxiety, or “hate going to the dentist” we do not take it personally! We work very hard to make all of our patients … Read More


Psoriasis lesions covering the hands

  Psoriasis is a more well known autoimmune diseases affecting 8 million Americans and more than 125 million individuals across the world. Psoriasis is the result of skin cells reproducing too quickly as a result of the immune response. The body is not able to shed these cells as they produce, which is why the resulting symptom is areas of red, thickened and scaly patches of skin. It has been found that psoriasis is a genetic autoimmune disorder but is worsened by illness, stress, alcohol and other potential factors. You may start to see lesions in the mouth if the … Read More


Whitening results may lighten teeth 6 shades.

With summer almost here, many people start thinking about whitening their teeth. Although there are certain considerations to be made, almost anyone can whiten their teeth. This month we’ll discuss the safety of tooth whitening as well as the options we provide to patients. Is it safe to whiten my teeth? One of the most common questions we receive about whitening is, “Is it safe?” Both over the counter products as well as in office procedures are safe for the teeth when used as directed.. Overuse of these products may result in damage to the enamel, but if you’re able … Read More