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Dental Procedures
Lake Oswego, OR

At Nicholas Dose, DMD - Family Dental Care, we offer a wide variety of dental procedures to serve the needs of our patients. Whether you need preventative, restorative, or cosmetic treatment, Nicholas Dose, DMD - Family Dental Care has the commitment and resources to provide an excellent and comfortable experience. Dr. Dose believes that patient education is a crucial component to maintaining a long-lasting and healthy smile. Here is a list of common dental procedures we perform.

Composite and Amalgam Fillings

If you are need of a dental filling, you have two options to consider, resin composite or amalgam. Regardless of which you choose, the process is very similar. Dr. Dose will remove the decayed material from the tooth, clean the area, and apply the filling.

Resin composite fillings are made from plastic and ceramic compounds. They are traditionally used to treat small to mid-sized cavities. Resin composite can be shaded to match the color of your existing teeth, making them ideal for teeth in your visible smile. After the filling has been applied, we will use a curing light to seal the bond and harden the material. Up until recently, resin composite could only be used for your anterior (front) teeth. In the past ten years, modern technology has allowed us to increase the strength of resin fillings. In some cases, they can now be used for posterior teeth, such as your molars and pre-molars.

Amalgam fillings are more commonly known as silver fillings. Dental amalgam consists of silver, tin, mercury, and copper. Many dentists prefer to use amalgam fillings because they are easily manipulated, cost-effective, and durable. Amalgam is best used for teeth that need to withstand a strong bite force, or in areas that are difficult to keep dry. Unlike resin fillings, amalgams are self-sealing, which is ideal for cavities in between teeth, or below the gum line. Amalgams are long-lasting and best suited for areas where aesthetics are not an issue.

Dental Crowns

Dental crowns are needed to protect or restore a weak tooth from decay and structural damage. A dental crown is a tooth-shaped restoration that is placed over an existing tooth. We may use a dental crown if a cavity has caused significant damage, or if some form of trauma has cracked your tooth. Crowns can be made from metal, resin, porcelain, or porcelain fused to metal. Dental crowns are a vital tool that can save your tooth from extraction and foster a better future for your oral health.

The procedure for a dental crown usually requires two office visits. During the first visit, we will prepare the tooth and remove a portion of your enamel to make space for the crown. After the reshaping, Dr. Dose will make an impression of the tooth, and send it off to a dental laboratory. There, they will fabricate the crown out of a predetermined material. During your second visit, we will apply the crown, make sure it fits securely, and use a cementing agent to create a permanent bond. A crown can last anywhere from five to fifteen years.

Fillings vs. Crowns

In certain instances of tooth decay, you may have to choose between a dental filling or dental crown. Dr. Dose will provide you with the necessary information to make an educated decision.

If the cavity is relatively small, there should be no concern about choosing a filling. When dealing with larger areas of decay, dental crowns become the ideal choice. Large fillings can leave your tooth at risk. The overall structural integrity of the tooth may be compromised, eventually resulting in a possible fracture. Still, some patients choose larger fillings over dental crowns to avoid a lengthy procedure and save money. Depending on the individual circumstance, a large filling may be safer and less problematic than a dental crown.

For most cases of extensive decay, a dental crown will strengthen the tooth and provide superior protection. If there is even a slight risk that the tooth may fracture or break, we strongly recommend a dental crown to reinforce the structure. If there are any issues that prolong the installation of a crown, we may place a filling as an interim solution.

Dental Bridges

A dental bridge is used to fill the gap created by one or more missing teeth. Bridges traditionally consist of two dental crowns that are “bridged” together by a pontic, or prosthetic tooth. Bridges can be made from porcelain, porcelain fused to metal, or (in rare cases) a metal alloy.

Before the procedure, we will take a molded impression to fabricate a temporary bridge. During the procedure, the two adjacent teeth (known as abutment teeth), are reshaped to accommodate the dental crowns. Another impression will be taken and sent to the dental laboratory for your final restoration. This make takes a few weeks. During this time, you can use the temporary bridge to protect your gums and teeth. Be sure to eat soft foods and implement diligent oral hygiene practices. Once the restoration is complete, we can schedule your final appointment. The temporary bridge will be removed, and your new one will be checked and adjusted to achieve a proper fit. In some cases, this may take several appointments. Once the bridge is secure, we can firmly cement it into place.

A bridge can last 15 years or longer. You may need to use a specialized tool to clean in between the bridge and your gums. Regular checkups and proper oral hygiene can significantly increase the lifespan of your bridge.

Dental Implants

A dental implant is a small titanium screw that serves as the root component of a prosthetic tooth. A dental implant usually consists of three parts: the screw, an abutment, and a restoration. The screw is surgically implanted into your jaw. Through a process known as osseointegration, the screw fuses to your bone and creates a permanent bond. This process usually takes about three to six months to complete. A second surgery is usually required to expose the implant and attach the abutment. An impression will be taken and used to fabricate the final restoration. At a subsequent appointment, we will attach the restoration to the abutment.

Dental implants can support a single crown, a fixed bridge, or an entire arch of prosthetic teeth. These restorations are made from porcelain or porcelain zirconia compounds. They will look, feel, and function like your natural teeth. For this reason and more, dental implants have become the industry leading choice for tooth replacement treatment.

Bridges vs Implants

There are practical reasons for both bridges and implants. The primary advantage of a dental bridge is the time it takes to complete. Most bridges can be installed in a matter of weeks. The process to receive a dental implant can take months.

The primary disadvantage of a bridge is the effect it has on your surrounding teeth. Sometimes we must reduce healthy tooth material to accommodate each crown. This can lead to future oral health complications. Bridges also require specialized tools for cleaning and maintenance.

Dental implants have several major advantages over bridges. Osseointegration helps to foster healthy bone growth and keeps your jaw from deteriorating over time. Implants also have no effect on your neighboring teeth, which can help you sustain excellent long-term oral health. Additionally, implants have an unmatched durability. With proper care and maintenance, an implant can last a lifetime.

A major downside to implants is cost. Many insurance companies consider implants an elective procedure and offer little coverage. Bridges can initially be a more cost-effective option; however, replacement costs are inevitable, and implants can save you money over time.

Porcelain Veneers

Porcelain veneers are extremely thin, custom-made shells, that are designed to fit over the surface of your teeth. Veneers can help fix cosmetic issues such as chips, stains, and misshaped teeth. Because they are so thin, veneers are only recommended for your anterior teeth.

During a consultation visit, Dr. Dose will examine your teeth to ensure that veneers are right for you. We may even utilize cosmetic imaging to help you visualize your new set of teeth. After we develop a treatment plan, we can schedule the procedure. A small amount of your tooth enamel must be removed to make space for the veneers. Once this is complete, we will take an impression and fabricate the final product. At a second visit, we will check the margins and make any necessary adjustments. Once the veneers are properly fit, we will cement them to your teeth using a special bonding agent.

Veneers typically last between seven and 15 years. They are sometimes considered to be a more conservative option over dental crowns. Many of our patients find veneers to be an excellent cosmetic solution that allows them to achieve their dream smile.

Scaling and Root Planing

Many of our adult patients need to receive professional deep cleanings to remove plaque, tartar, and maintain proper periodontal health. Often, this involves a process known as scaling and root planing.

Scaling is the removal of tartar and plaque from the surface of the tooth. Our dental hygienist uses an ultrasonic scaler to blast away tartar and kill bacterial microbes that cause plaque. Ultrasonic scalers are an effective tool that removes the majority of tartar without damaging your tooth enamel.

Root planing eliminates plaque and biofilm from the areas of the tooth the sit below the gum. Using a hand scaler, we smooth out rough areas to decrease the chances of bacteria re-establishing on the root. This type of bacteria can cause your gums to pull away from the tooth, leading to infection and eventually gum disease. Root planing can help prevent or even reverse this process.

Root Canal

Root canal therapy is recommended when an infection has spread deep within the tooth. Infection can spread as the result of trauma or significant tooth decay. Without treatment, the infection can become so severe it may lead to tooth loss.

Beyond the enamel, each tooth contains dentin (which is slightly softer than enamel), and pulp (which is primarily comprised of spongy organic tissue). If the infection spreads beyond the pulp and to the root, extraction may be necessary. We perform a root canal to remove all decay from the tooth and prevent extraction.

During the procedure, we will numb the area with local anesthetic. Using a very small drill, we then make a hole at the top of the tooth to access the decay. Dr. Dose will remove all of the infected pulp within the root of the tooth. Once the canals are hollow, we apply a cleaning solution to eliminate any remaining bacteria. Next, the tooth is filled with a rubber-like material, called gutta-percha, to help support the tooth and prevent future fractures. The hole at the top of your tooth is then sealed, and the procedure is complete. Thanks to modern technology, root canals are now virtually painless.

Teeth Whitening with a Bleach Tray

According to the American Association of Orthodontists, nearly 90 percent of all patients are interested in whitening their teeth. There are several methods that can help remove stains and discoloration from tooth enamel.

Contrary to popular belief, whitening toothpaste cannot change the color of your tooth enamel. They can only remove and prevent stains at a surface level using abrasives and special chemicals or polishing agents.

There are also several products for at-home bleaching such as gels and strips. Gels are usually applied to a whitening tray, and strips are directly applied to the teeth. Both products contain a bleaching agent that lightens the shade of your enamel.

If you are looking for the most effective whitening method, Nicholas Dose, DMD - Family Dental Care offers professional whitening treatment using bleaching trays. We will take a molded impression of your teeth to create a custom-fit tray. This increases the effectiveness of treatment over other store-bought trays. After your tray is complete, you will be given a whitening solution that contains a bleach concentration stronger than consumer gels and strips. Follow our instructions over the next few weeks, and you will see your teeth drastically improve!

Contact Us Today

If you would like to learn more about the procedures we offer at Nicholas Dose, DMD - Family Dental Care, call (503) 765-7300, and schedule an appointment today!

Call us today
(503) 765-7300
Fax Us
(503) 697-5999
Nicholas Dose, DMD
601 1st Street Suite A
Lake Oswego, OR 97034-2370

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