20010 SW Alexander Street
Aloha, Oregon 97006
Monday-Thursday: 7:30AM – 5:00PM
Aloha, Oregon 97006
Monday-Thursday: 7:30AM – 5:00PM
Also called a “white” filling, these dental restorations are composite resins containing a mixture of acrylic plastics and quartz fillers. These restorations differ from amalgam (silver or mercury) fillings in that they are held in place by a bonded resin rather than mechanical retention. These materials have evolved to the point that they will last as long and are as durable as sliver fillings.
As we age our teeth become darker due to changes in the mineral structure of the enamel. Teeth can also become stained due to pigmentation from bacteria, foods we eat and the use of tobacco and coffee. There are several methods for bleaching teeth. The most common is “take home” bleaching where an oxidizing agent such as hydrogen peroxide or carbide peroxide gel is placed in a custom tray and placed over the teeth for a period of time.
Bleaching usually lasts for a few months before more needs to be applied. This depends on your life style; the foods you eat and weather you smoke or not. While bleaching can yiel d wonderful esthetic results for patients, there are some risks; increased tooth sensitivity and uneven results.
This is a thin layer of restorative material (such as porcelain or composite) that is placed over a tooth to improve esthetics, usually on the front teeth. These restorations are bonded to the tooth with a resin-based cement.
Veneers help improve the overall look of your smile, especially if you have chipped, broken or crooked teeth. Made of durable material like resin or ceramic, veneers are bonded to the surfaces of your teeth once confirmed that the color, fit and appearance are as natural ad possible. ‘
Invisalign is a clear way to straighten teeth. Invisalign gradually moves your teeth through a series of custom made, removable, nearly invisible aligners. Invisalign can help improve crowded teeth or teeth with space–as well as deep bites or open bites. Having straighter teeth can help promote healthier gums, improve chewing and speech, decrease risk of wear on your teeth and create a beautiful smile.
Evaluating your entire masticatory system (teeth, jaws, soft tissue, head, neck) is essential for arriving at a complete diagnosis with treatment recommendations.
During this exam we collect data, which will allow us to determine your level of gum disease, tooth decay, tooth trauma, TMJ health, occlusion and oral cancer screen. Radiographs are critical part of this examination as they allow us to evaluate your jawbones, sinus cavities and the two-thirds of the tooth that cannot be seen in the mouth.
While we encourage all our new patients to have a comprehensive examination, if you are in pain we will do site specific exams to diagnose and treat the source of your discomfort.
Regular brushing and flossing at home are key to maintaining healthy teeth and gums. Additionally, regular checkups and dental hygiene visits are critical. Our professional staff of dental hygienists can provide a range of cleanings that are suited to your oral health needs. We will be sure that you have your specific needs met so that you can achieve optimal oral health. We also have multiple Hygienists available at a time fo a<.-eetllllivdate family members may be seen at the same time, thus eliminating a long wait.
Dental sealants (also known as “tooth sealants”) can play an important role in helping to prevent tooth decay (“cavities”) in some locations on teeth. Sealants provide a protective barrier applied over the biting surface of the teeth to help prevent cavities from forming. They are mostly used for children with newly erupting teeth but are very beneficial for adults as well.
The placement of dental sealants involves bonding a plastic coating into the grooves of your tooth (the tooth’s pits and fissures). The net result is a smoother tooth surface, one which is less likely to trap food and plaque and one which is easier to clean with your toothbrush.
A night guard is for people who clench or grind their teeth at night, get migraine headaches or have TMJ issues. It is a custom fit acrylic spacer that slips over the teeth to protect from excessive wear. It also helps to align the joints and reduce muscle strain. Many patients who wear a night guard report fewer headaches and less soreness in the teeth and jaw.
An oral health issue sometimes discovered during scheduled cleanings is tooth decay. Fillings are placed to restore or fix areas that have decayed or broken. There are many different types of fillings to treat the area, which include amalgam, composite, gold or porcelain. If we discover a tooth that requires filling, we’ll advise you of your treatment options.
A crown or “cap” is a dental restoration that completely covers the visible part of your tooth. Crowns are held in place with special cements, which bond them to the underlying tooth structure.
A crown is usually required when a tooth is missing over 50% of the visible surface, when there are cracks in the tooth or when a tooth has had endodontic therapy, or “root canal”.
Crowns usually take two appointments to complete; during the first appointment the tooth is prepared, an impression taken and a temporary crown fabricated and placed; the second appointment (usually a few weeks later) is when the new crown is tried in, adjusted and permanently cemented.
Also called a Fixed Partial Denture, this restoration is used to replace a missing tooth by joining or “bridging” the teeth on either side of the missing tooth , called “abutment” teeth.
The abutment teeth are prepared to accommodate the material used to restore the missing tooth. This is a two-appointment procedure as it takes the lab a few weeks to fabricate the final bridge restoration. In the meantime, an acrylic temporary bridge is placed.
Also known as “periodontal disease” this is a process caused by long-term build up of plaque and tarter that leads to the recession of gum tissue and loss of bone surrounding and supporting the teeth. If left untreated, periodontal disease will cause loosening and the eventual loss of teeth.
Plaque is full of microorganisms (bacteria). This sticky bio-film will remain attached to the teeth for around 24 hours before it is calcified and turns into a hard material called tarter. Tarter build up around teeth will attract more plaque and eventually grow in size causing the gums and bone to recede.
This process can be stopped early (before the tarter builds up below the gum-line) by brushing, flossing and regular dental cleanings. If the build up of tarter extends below the gum-line, more aggressive treatment, such as Scaling and Root Planning or Periodontal Surgery may be needed.
We eat food every day and not all of us are fastidious about keeping our teeth cleaned; everyone has gum disease to some extent. To determine the extent of gum disease and the appropriate treatment, you will need to have a complete examination with a full set of radiographs. It is important to know that periodontal disease is painless until near the end. Its very similar to high blood pressure; prevention and being pro-active is the BEST way to treat gum disease!
Each tooth has an internal chamber that begins just under the biting surface and extends down to the ends of each root. This chamber houses the “pulp” which is comprised of blood and nerve tissue and various other cellular entities which allow the tooth to sense the temperature of food and beverage.
When tooth decay (caries) or trauma of tooth structure (such as fracture) reach the pulp, the tissue becomes irreversibly inflamed and dies. When this happens there are only two choices for treatment; pull the whole tooth or salvage the tooth by removing the diseased pulp tissue.
Endodontic therapy, or a “root canal”, is a procedure that removes the infected pulp tissue, cleans and disinfects the chamber and seals it up with an inert material preventing further infection .
It is very important to know that almost every tooth that has had endodontic therapy will need a crown placed to keep it from fracturing. The reason; accessing the pulp chamber and removing the pulp tissue and reshaping the canal weakens the tooth and a crown reinforces the structural integrity and provides for normal esthetics and function.
Implants are a wonderful option for replacing missing teeth, weather they be single teeth, multiple teeth or the entire dentition. Implants are also an excellent way to secure complete dentures from “flopping around” in the mouth. Implants are titanium posts that are placed into the upper or lower jaw and allowed to integrate with the bone.
After complete integration (usually a few months) the implants are “loaded” with the appropriate restorations, which allow for normal function and esthetics. Whether we are replacing a single tooth or restoring your entire mouth, implants require multiple appointments and several months to complete. The time and effort are worth it as these are the best restorations dentistry has to offer.
There are times when a tooth cannot be restored due to extensive decay or trauma. When this is the case, the tooth must be extracted. Depending on location and the extent of damage to the tooth, a surgical approach may be necessary.
After the area is thoroughly anesthetized , the gum tissue is reflected and bone removed from around the remainder of the tooth to facilitate its removal. The surgical area is cleaned and the gum tissue sutured back into place to allow complete healing.