Search

 

Dr. Stuart Rich, DDS, PS Auburn, Washington

1348 8th Street NE
Auburn, WA 98002
 

Phone: (253) 245-3597

Email: info@stuartrichdds.com

Website: www.SleepSolutionsNW.com

Website: www.StuartRichDDS.com

 

Bachelor of Science in Graphic Design 6/1983
La Sierra College, Riverside, CA

Doctor of Dental Surgery degree 5/1987
Loma Linda University School of Dentistry
Loma Linda, CA

Private Practice, employed by Stuart Rich, DDS, PS 9/1987 – present
9 years in the Silicon Valley of California and 17+ years in Auburn, WA

Dr. Rich has held various positions, including Publications Chair and board member of the Santa  Clara County Dental Society while in California. He currently writes a column on dental topics periodically for our local newspaper, the Auburn Reporter. He is a member of the ADA, WSDA, SKKDS, ACSDD and the AADSM. He is also a member of Omicron Kappa Upsilon, an honorary dental organization that offers membership to only a small percentage of graduating dentists each year.

Dr. Rich attends many hours of advanced continuing education each year on a number of topics including Sleep Medicine, Sedation Dentistry, Endodontics, Cosmetic Dentistry and Sleep Apnea treatment alternatives to the CPAP.

Dr. Rich has been honored with repeated consecutive selection at a TOP Dentist in the Seattle area, based upon an annual survey of his specialist colleague peers. Readers of the Auburn Reporter newspaper have also repeatedly voted his practice, Simply Smiles, as “Best of Auburn” for several years in a row. The internet dentist rating site www.DoctorOogle.com also lists Dr. Rich as the most highly rated dentist in Auburn, and his practice has almost 400 positive online reviews left by patients over many years, more than any other dentist in the Seattle area.

Dr. Rich is active in the Auburn Rotary club, and has held several club positions over the years. He served as the club President during the 2011-2012 club year.

Dr. Rich has been happily married for over 25 years and counting, and is the proud dad of two amazing teenage sons. In his spare time he enjoys the fine arts, reading, writing and spending time with his camera recording the beauty of the Northwest. 

Tuesday
Nov042014

Do I Need a Crown, With Dr. Stuart Rich, Auburn, Washington

When determining if a tooth needs a crown or just a filling in terms of cost, Dr. Stuart Rich says it's important to not be short-sighted, because the tooth can end up splitting entirely and that would be far more expensive altogether.  

Dr. Stuart RichA dentist in Auburn, Washington, Dr. Rich says when making this decision, it's important to be use a dentist that has the patient's best interest in mind and shouldn't be "sold" on healthcare.  Most dental offices today have inter-oral video camera equipment, which gives patients a tour of their mouth in close up detail and the dentist should be able to show you pretty clearly why a crown would be necessary.  

There are fillers out there to bond the tooth but they're not "bulletproof," explains Dr. Rich because if you have a fracture that's extending down the side of the root approaching the gumline, that has to have a crown.  No bonding material out there is strong enough to do that.  Similar to splitting firewood, over time, a filling will split apart a tooth.

As an alternative to crowns, there is something called an extensive build-up, using the bonding material and offering a temporary solution.  This can get the decay out and partially splints the fracture back together and buys you some time to get the crowns done.  Loosing the tooth altogether is 4-6 times the cost of a crown, by the time a bridge or implant is put in.  

The standard accepted care is that if the filling exceeds two-thirds of the width of the biting surface of the tooth, it really needs a crown.  Even more so if that filling extends down the sides of the tooth or if it has a fracture line or crack.  

Dr. Stuart Rich is a dentist with Sleep Solutions Northwest in Auburn, Washington.  He is a leading sleep expert with Sleep Better TV, providing online, sleep disorder breathing video content and is a featured network of Sequence Media Group.

Tuesday
Nov042014

Dental Accidents, With Dr. Stuart Rich, Auburn, Washington

As dental accidents often occur, especially with children, Dr. Stuart Rich, a dentist in Auburn, Washington, says it's important to stay calm and in the case where a tooth gets knocked out, to find the tooth as quickly as possible.  He says once found, to not rinse it with tap water because the chlorine will kills the cells on the root that will be needed to reattach.  He says to pick it up by the crown of the tooth because the delicate tissue is the part that needs to be viable to successfully implant.  

Dr. Stuart RichIf the injury occurs during sports, Dr. Rich feels that every sports team should carry an item called "Save a Tooth."  It contains a vial of a pH-balanced salt solution which is nutrition for the cells.  The tooth gets dropped into the solution without being cleaned beforehand and the dentist is to be called right away.  

Research has shown that getting the tooth back in place within 30 minutes is ideal and while Dr. Rich realizes that is a time frame that is difficult to achieve, he will often try up to 3 hours later.  After he rinses the tooth off with the appropriate solution, he will then gently place it back into the socket and attach it temporarily to the other teeth by splinting it, similar to a broken bone.  The tooth will almost certainly need a root canal in this case.  

If the tooth is still intact but has just been fractured, Dr. Rich says it's not a huge deal, although if the broken piece is found, it can be cleaned off and brought to the dentist's office.  If it's not found, Dr. Rich says the materials available to dentists today are quite amazing and they can match the tooth pretty closely.  Depending on how big the fracture is, a root canal may need to be done, especially if the area is pink and bleeding.  If the tooth starts to turn gray over time, that nerve is dying and will need a root canal.  

A custom-made mouth guard is a simple way to prevent these incidents and Dr. Rich says that the ones available for purchase in a sports store don't provide the same level of protection as do custom-made ones.  The loss of one tooth can cost many thousands of dollars over the course of a lifetime, so to spend a few hundred dollars initially is well worth it, in Dr. Rich's opinion.

Dr. Stuart Rich is a dentist with Sleep Solutions Northwest in Auburn, Washington.  He is a leading sleep expert with Sleep Better TV, providing online, sleep disorder breathing video content and is a featured network of Sequence Media Group.

Tuesday
Nov042014

Mercury Fillings, With Dr. Stuart Rich, Auburn, Washington

About half of people's fillings are mercury fillings and while Dr. Stuart Rich, a dentist in Auburn, Washington, isn't convinced they lead to heavy metal poisoning, he says that mercury is, still in fact, a heavy metal.  There is concern of mercury present in seafood and contaminated ground water and for all of this concern, the FDA highly regulates mercury in the environment yet continues to say mercury is okay in the mouth.  "If it's considered toxic in the environment, then what about the environment that's considered your own body?" asks Dr. Rich.  

Dr. Stuart RichIn fact, there are other countries worldwide who recognize mercury as a serious issue, to include many Scandinavian countries banning the use of mercury in fillings for children and women who are of child-bearing age.  Mercury is a neuro-toxin that affects brain development, Dr. Rich says, who also believes we're "behind the rest of the world" on this issue.

When removing mercury fillings, they're considered hazardous waste and so, Dr. Rich uses a high vacuum suction, copious amounts of water and a rubber dam during the procedure.  It goes into a special filter trapping all of the metals, including mercury, and a specially-regulated waste hauler removes the waste.

Dr. Stuart Rich is a dentist with Sleep Solutions Northwest in Auburn, Washington.  He is a leading sleep expert with Sleep Better TV, providing online, sleep disorder breathing video content and is a featured network of Sequence Media Group.

Thursday
Oct302014

Dental Fixes When You Can't Get Into a Dental Office, With Dr. Stuart Rich, Auburn, Washington

For those experiencing tooth problems and can't get into a dentist right away, there are some things that you can do.  If there is pain and swelling, Dr. Stuart Rich, a dentist in Auburn, Washington, says that the tooth has most likely become abscessed.  For severe pain, Dr. Rich advises calling your dentist who can hopefully see you right away.  

Dr. Stuart RichSometimes after eating, food can get stuck in teeth and it's a good idea to remove it but Dr. Rich says to be careful with what you use.  Using a piece of floss with a knot in it, Dr. Rich says to drag the floss sideways to help pull it out.  He also says that using a water pick is a good idea but cautions against using anything hard because it can cause more damage.

Losing a crown, while uncomfortable, is not an emergency.  Dentemp, that's sold over the counter, is a temporary cement that can be used to replace the crown.  Sometimes, Dr. Rich says, even using toothpaste inside the crown can work.  If it keeps coming off, however, he says to stop trying, so you don't accidentally swallow it.  If a filling comes out, the Dentemp can also be used in this case, as well as sugarless gum to cover the hole so the air gets blocked, which is what makes it sensitive.  

If a child loses their front tooth during an accident or athletic event, Dr. Rich says it's important to immediately start looking for the tooth.  That tooth needs to be back in the mouth within an hour to have any reasonable chance of staying in the mouth later.  It's important that you don't pick it up by the root or wash it off.  If you can get your child to put the tooth in between their cheek and gum, that is ideal but if they're uncooperative, the parent can always do it.  Otherwise, you can put the tooth in tap water because the chlorine in the water will help kill the cells to help reattach the tooth to the bone.

Dr. Stuart Rich is a dentist with Sleep Solutions Northwest in Auburn, Washington.  He is a leading sleep expert with Sleep Better TV, providing online, sleep disorder breathing video content and is a featured network of Sequence Media Group.

Wednesday
Oct292014

Root Canals Less Painful Than Ever Before, With Dr. Stuart Rich, Auburn, Washington

While most of the root canal references are cringe-worthy, the treatment today saves thousands of teeth every year that would otherwise need to be extracted.  The procedure has changed in that it's not what it was years ago, according to Dr. Stuart Rich, a dentist in Auburn, Washington, so that any pain or discomfort afterwards is minimal.

Dr. Stuart RichAs teeth are hollow, there is a space, or chamber, that has openings to each root.  Those openings open up into the canals, which are there from when the tooth growing and developing.  When a tooth is dying, the nerve is not actually dead and there is inflammation.  The pressure is pushed out through the root and the tooth swells the bone and that's where the pain is coming from.  Gone untreated, the nerve can actually die and not send a pain signal anymore, however, what's still left in the tooth is dead tissue and pus and swelling can form and cause pain, explains Dr. Rich.   

To perform a root canal procedure, Dr. Rich accesses the chamber to remove the filling and old decay.  Tiny instruments go down through the canal all the way to the root to clean out all of the dead and dying tissue and it's disinfected with a solution and then the canals are filled with custom corks to seal the area up so no more bacteria can back in there.  The older instruments, if not used carefully, could push some of the infected tissue out into the bone, which caused some pain after treatment.  Now that the instruments are designed differently, the material is drawn up and out of the tooth, which makes a huge difference as to how much inflammation there is afterwards.  Most of Dr. Rich's patients do not need more than 1 pain pill that he prescribes for them. 

Dr. Stuart Rich is a dentist with Sleep Solutions Northwest in Auburn, Washington.  He is a leading sleep expert with Sleep Better TV, providing online, sleep disorder breathing video content and is a featured network of Sequence Media Group.