Dr. James R. Mcanally

605 W. McGraw St.
Seattle, WA 98119

Call: (206) 298-3384
Terry Sparks

Because I have a full mouth of teeth now, I am not afraid to smile. I have received so many compliments on the brightness of my smile. I feel so much better about myself.

Terry Sparks
West Seattle Retiree

I am very happy with the dental care I have received from Dr. McAnally. He has provided excellent care to my entire family. We recommend him highly.

Paul Fitzgerald
Seattle Non-Profit Administrator

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I have never been as comfortable going to a Dentist as I have been with Dr. McAnally!! The comfort begins with his support staff and extends to Dr. McAnally and his dental team. The staff is very supportive, understanding and listened to my needs and fears. The dental Procedures are explained step by step with no surprises, which was important to me. The quality of care is excellent. The dental procedure was extensive and yet remarkably free from pain. The sedation provided was truly amazing, the procedures went flawlessly and the follow-up dental care has been terrific!

Bob F.
Sedation and Implant Dentistry Patient

June of 2006, I had a date with destiny. I met Dr. McAnally and his staff for a free consult. Then I quickly scheduled a second appointment to hear the findings of my first appointment and whether there was something that could be done for me. Dr. McAnally informed me that I would be a good candidate for dental implants. Needless to say I felt overjoyed finally I could see a dream long awaited for coming true.

On January 3, 2007 Dr. McAnally and his kind staff unveiled my new smile. My self esteem soared through the roof. I have confidence that I never had before. I feel I can finally reach and attain my life goals. Dr. McAnally I thank you and your staff for making me feel special through all the visits, Surgery and finally my new smile. I’m forever grateful to all of you!

David H,
Sedation and Implant Dentistry Patient, Seattle Retiree

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Based on previous experiences at other dental offices over the years, I found that even minor surgery was always very painful afterwards. My surgery was pretty serious that Dr. McAnally had to perform but I was AMAZED at how comfortable I was after my surgery. I was virtually pain-free, and I don’t remember a thing, unbelievable!

Al Foucault
Sedation and Implant Dentistry Patient, Seattle School Teacher

Dr. McAnally and his staff always provided me with the best of care and treatment. Now that my implant dental work is complete, I will continue to see Dr. McAnally and his team to provide my regular dental care.

Don Sinclair
Sedation and Implant Dentistry Patient, Banker

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Tooth Loss = Bone Loss

The loss of teeth create many problems from the dissolving away of bone structure, loss of support for the face giving an increased appearance of age and wrinkles, damage to the remaining teeth that must still bear the full stresses of chewing. Once enough teeth are missing then food choices and nutritional changes begin to cause medical problems and affect your general well being.

Click on the topics below to learn about tooth loss and these changes:

Loss of a Single Tooth

Even after the loss of one tooth, the jaw bone irreversibly changes if an implant does not replace the tooth.







Without chewing pressure to stimulate the bone, it begins to dissolve away immediately after extraction and continues forever unless an implant is placed. If left long enough, bone grafting is necessary before an implant can be used. The last picture above shows when the bone loss has reached the severe state.

Loss of an Entire Jaw of Teeth

Below a healthy jaw is compared to one where all of the teeth have been removed and deterioration of the jaw occurs. The deterioration is described beneath the very last picture in the series.





As the bone shrinks, vital structures (such as the nerve) become exposed. The denture then pushes on this nerve making the denture even more painful to wear.

Facial Cosmetic Problems after Tooth Loss

The deterioration of the jaw bones effects the appearance of how the face “drapes” over the bone. This makes you look far older then your natural age and adds more non-age related wrinkles then mother nature intended for you.

Facial Shrinkage






Facial sagging, premature ageing, and loss of function are the results of the shrinkage in the upper and lower jaw bones.

Tooth Drifting and Destruction to the Remaining Teeth




When all teeth are present and touching throughout the mouth the teeth support each other much like the bricks in a Roman archway.


When teeth are missing, the opposite teeth have no “counter acting force” and will erupt upward into the mouth.


When no back teeth are touching the stress is now placed on the front teeth, this ‘overloads’ them and forces them to move forward and outward.


When back molars are missing the damage is even more serious.


The back chewing teeth begin to erupt down into the empty spaces where the lower molar teeth are missing.


The back chewing teeth drop even further down into the lower missing teeth spaces.


The chewing forces have shifted to the front teeth and due to overloaded stress the front teeth begin to flare and fan apart creating spaces.


The fanning and spaces get worse over time.


This fanning eventually leads to looseness and gum disease and the loss of the front teeth.

 

This example is an example of the “fanning out” and opening of front spaces due to the missing back teeth. These teeth are no longer savable.

When two molars are missing, the upper teeth erupt down.


The upper teeth over erupting downward.


This shows severe over eruption of an upper molar with most of this tooth’s roots now being out of the bone structure. The tooth will become loose and fall out during chewing and usually at an inconvenient time.


Even a single missing teeth can lead to drift (this is just like taking a brick out of an arch way and seeing the arch collapse). That one missing tooth can set you up for a “domino effect” of losing teeth for the rest of your life.


The next molar beings to drift forward.


Gum disease due to the movement and misalignment of the teeth can cause more tooth loss and decay.

Sinus Expansion Destroying Bone When Upper Teeth are Missing



When the upper teeth are present the sinus stays in its proper position.


Missing upper teeth.


One the teeth are missing, the sinus begins to expand and destroy bone from the “inside out.”


Teeth in the bottom jaw erupt and traumatize the upper gum tissue. If a partial denture is being worn it causes bone damage from the other side of the sinus doubling the deterioration.


If the sinus is looked at internally (in cross-section), one can see that the walls become paper thin in all directions.





In order to restore the missing bone structure, a predictable procedure called “sinus lifting” is done to regrown the damaged and missing bone. This allows implants to be used in these areas.

Headaches from Missing Teeth



Without the support of back chewing teeth, as the teeth randomly drift, unusual dental bites develop that cause excessive stress and damage to the joints (TMJ) that connect the two jaw bones with pain and headaches being a common side effect.

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