Micro Abrasive Dentistry


Dr. Mark Caggiano introduced micro abrasive dentistry in Seattle 15 years ago. Micro Abrasive dentistry for restoration preparation involves removal of the tooth structure with a stream of aluminium oxide particles generated from compressed air. Dr. Caggiano states that air abrasion is an extremely efficient tool in terms of identifying pit and fissure caries. It can be used to remove the organic debris and check if caries is present. The main benefit of micro abrasive dentistry is that Dr. Caggiano is able to do fillings without using any anaesthetic. It likewise makes visiting dental office a delightful experience for patients.

Dr. Mark Caggiano, D.D.S
Micro abrasive dentistry, for example, is something we started doing about almost 15 years ago. What it allows us to do is work on a tooth that’s never had a filling before but that has a cavity, to clean out that cavity and to seal it out properly without using any anaesthetic. Lot of times children have sealants placed they can be placed over active cavity or decaying side of the tooth. So we have this diagnodent, which is an infra-red light which looks inside of a tooth to detect if there is any decay in there. If there is we use the micro abrasion to, actually it’s abrasive air that blows out the cavity. And then we can seal it with a tooth colored flowable filling. So we actively have removed the decay and reduced that risk of the tooth decaying over the lifetime of the tooth. Having for children and adults that have this procedure done, it’s amazing. I always, after we complete the procedure, I’ll say to the person, hey now you can go back to work or you can go back to school and tell your friends, you had three filling done without any anaesthetic and they’ll look at me like, yeah, I did. You know, it’s kind of a, it’s, the win-win experience in dentistry, building positive experiences, making people realize that it doesn’t have to be so bad to go to a dental office.

Dr. Arkadi Razoumovitch, DDS provides cosmetic, restorative, and implant dentistry in a comfortable, professional environment. Dr. Razoumovich received his Doctor of Dental Surgery degree from The University of Washington. He has had extensive post-graduate training, including residency training at the University of California Los Angeles, and is a member of numerous professional organizations including The American Dental Association and The Academy of General Dentistry. Dr. Razoumovich makes dental treatment relaxed and comfortable for patients while enhancing their oral health and beautifying their smiles


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  • I tell everyone to come here. Dr. Caggiano also saw my 4 yr old daughter and her first experience was PERFECT! Jennifer, my hygienist, is also amazing!
    Adam H.
  • I tell everyone to come here. Dr. Caggiano also saw my 4 yr old daughter and her first experience was PERFECT! Jennifer, my hygienist, is also amazing!
    BJ L.
  • He fix my teeth that were bad and made me happy to smile and joke around that we all do. And you get to see your X-rays all of the time.
    Al J.
  • The experience was great, I appreciate the patience that was shown. The care was wonderful and that staff was very supportive. THANK YOU!
    Ronald A.
  • I am grateful Dr. Caggiano has restored my trust and confidence in dental experiences. I am no longer afraid to visit and have work done.
    James M.
  • I am happy with the sedation dentistry. Anything that needs to happen can. I don’t remember a thing on my own sedation visits, I am more relaxed and I no longer fear coming in. I couldn’t be happier
    Anne B.
  • Everyone at the office always happy to see you and greet you by name. The work I had done looks and feels great. Thank you all so much!
    Eric P.
  • I’m very happy with everyone from the time I opened the door. Loved the casual talk and honesty from everyone. My dental visits will be here from now on.
    Steve P.
  • Hi, my name is Jennifer G. I was seen for two cavities to originally get filled, I ended up with six. The experience was great, it was really relaxing
    Jennifer G.
  • Hi my name is Elena K., I came to see Dr. Caggiano. I needed some work done on my front teeth and he fixed the veneers that I had done before which didn’t look good and he did an amazing job.
    Elena K.
  • This is Penny Rand, and I saw Dr. Caggiano at Seattle’s Best Smiles for a crown replacement recently. I just wanted to say that Dr. Caggiano has a method of giving the numbing shots that is completely painless...
    Penny Rand – Crown
  • This is Brian, I live in Auburn, Washington. I saw Dr. Caggiano at Seattle’s Best Smile. I had the Great on 8. The story is...
    Brian – Great on 8



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