GROVE OFFICE
200 E. 3rd St

LANGLEY OFFICE
758 E. Hwy 28

SERVICES

Before and after image of a dental procedure

DENTAL HYGIENE

While at our office, we make sure that you receive the highest level of service and ensure that our dental work is of the highest quality. To ensure that you maintain great oral health, this level of quality needs to extend into your personal oral hygiene routine. We can help you establish a dental hygiene routine that will keep your teeth healthy and white. If you have any questions about your current hygiene plan please ask us.

Your teeth are not the only important part of your mouth. Your gums are essential to oral hygiene as well. We can provide periodontal cleanings and treatment, or refer you to one of our recommended specialists. Please let us know if you have any questions.

While at our office, we make sure that you receive the highest level of service and ensure that our dental work is of the highest quality. To ensure that you maintain great oral health, this level of quality needs to extend into your personal oral hygiene routine. We can help you establish a dental hygiene routine that will keep your teeth healthy and white. If you have any questions about your current hygiene plan please ask us.

Your teeth are not the only important part of your mouth. Your gums are essential to oral hygiene as well. We can provide periodontal cleanings and treatment, or refer you to one of our recommended specialists. Please let us know if you have any questions.

Dental Office

COSMETIC DENTISTRY

Veneers

Veneers are an excellent way to redesign and reshape your entire mouth. Veneers are a very thin ceramic shell that covers your existing tooth structure. In placing these new veneers on your teeth, you are able to fix the look of issues such as staining, cracked teeth, spaces, misaligned teeth, chipped teeth and many other issues.

In terms of the process to place veneers, it is a process that takes approximately two to three visits. In the first visit, we will discuss the new shape and look of what we are going to accomplish by placing the veneers. Once we have put a plan in place, we will carefully prepare the teeth for the placement of the new veneers. As we complete this piece of the process, the next step is to take an impression of the newly prepared teeth. This impression will be sent to our laboratory for the final product to be fabricated. We only utilize the highest standard laboratory for fabrication of all of our work. This process at the laboratory takes between 10-14 days. While the new veneers are being fabricated at the lab, we will provide you with a beautiful temporary solution to wear for this time.

As the veneers are finalized, we will make every effort to make sure that your new veneers will feel just like your natural teeth. We will bond them into place ensuring that you can enjoy your new smile for a very long time!

Want to know what to expect?

Before After

Whitening

Keeping our teeth their whitest is a lot harder than it sounds. With all the coffee, wine, smoking and other foods that have the ability to stain our teeth on a daily basis, even proper maintenance sometimes leaves them a little lackluster. Teeth whitening is an excellent way to restore the natural color of your teeth or even make them whiter than your natural color if you would like.

To accomplish the whitening of your teeth, we utilize a tray whitening system. This tray whitening system is completed in 2 steps. The first step is to make an impression of your teeth. With this impression, we’ll craft you custom whitening trays that you can use over and over. Finally, you will take the whitening gel and put it in the gel for a short period of time over a period of a few days. This often results in a whiter smile of 4 – 8 shades!

Please contact us today to see if you are a candidate for this type of whitening

Keeping our teeth their whitest is a lot harder than it sounds. With all the coffee, wine, smoking and other foods that have the ability to stain our teeth on a daily basis, even proper maintenance sometimes leaves them a little lackluster. Teeth whitening is an excellent way to restore the natural color of your teeth or even make them whiter than your natural color if you would like.

To accomplish the whitening of your teeth, we utilize a tray whitening system. This tray whitening system is completed in 2 steps. The first step is to make an impression of your teeth. With this impression, we’ll craft you custom whitening trays that you can use over and over. Finally, you will take the whitening gel and put it in the gel for a short period of time over a period of a few days. This often results in a whiter smile of 4 – 8 shades!

Please contact us today to see if you are a candidate for this type of whitening

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ENDODONTICS

Root Canals

Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics. When a tooth becomes infected it is usually related to the nerves in the root of the tooth. The infected nerves need to be removed. If left untreated an infection can turn into an abscess, which is a much more serious problem that includes bone loss in the jaw.

The area around the tooth is numbed with a local anesthetic to start the procedure. The dentist will then drill down into the tooth to create an opening into the canal. They will then be able to remove infected tissue and clean the canal. After the infection has been removed, the space if filled with a sealant called gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth, and will also make it much more likely that the root canal is successful.

“Root canal” has become a scary term for dental patients to hear, but the benefits of the procedure and advances in dental technology have made it much less “scary”. Local anesthetics and proper pain medication allow the procedure to be performed with little to no pain in most cases. There may be some soreness following the procedure, but that is normal for most dental procedures. Over the counter painkillers are usually enough to relieve any pain afterwards, but your dentist may prescribe medication. The procedure will also relieve you from pain caused by the infection allowing you to enjoy all the foods you love without any pain from heat, cold, or biting too hard. If you are experiencing pain consult your dentist today.

Want to know what to expect after surgery?

RESTORATIVE DENTISTRY

Bridges

Dental bridges are a great way to replace missing teeth. Your existing teeth are used to literally create a bridge to cross the area where your tooth is missing. Bridges are made from gold, metal, alloys, or porcelain to ensure that they are strong and durable.

The process of creating a bridge begins by creating abutments out of your existing teeth where the bridge will be attached. The existing teeth are recontoured to provide a base for the bridge. After the abutments have been created, a mold is taken of the area which is sent to a dental lab. The lab is able to use the mold to create a bridge that will fit properly and feel as close to your natural teeth as possible. The bridge consists of two crowns on either end to place on the abutments and a pontic, which is the new tooth that replaces your missing tooth.

We will fit you with a temporary bridge while we wait for the lab to craft your permanent bridge. This will protect the abutments and the exposed gum areas and look more appealing than having a missing tooth. When the permanent bridge has been created, you will have a follow up visit to set the bridge. It will be placed on the abutments and the dentist will then use an adhesive to make sure that the bridge is set.

The bridge may take a little while to get used to, but after a few days it should feel like you have your own teeth back again. You should eat soft foods for the first few days after having your bridge placed. After the initial phase, you will be able to eat whatever you want with no issues.

If you are missing a tooth you should strongly consider having it replaced. Besides the aesthetic disadvantage of missing a tooth, it could also cause structural changes to your mouth and jaw, as well as making it difficult to eat or speak properly. Set up an appointment today to restore your smile.

Want to know what to expect after surgery?

Crowns

Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks, discoloration and others. If you feel your smile isn’t what it once was, crowns can help you recover your smile. If your dentist notices that a tooth is decayed or seems weakened/cracked a crown may be necessary to make sure that there are no additional problems with the tooth. In cases like this a filling or bonding will not be sufficient.

Crowns can be made from porcelain, porcelain fused to metal, or a full gold crown. To maintain a natural look and feel a porcelain finished crown is best, as it can be matched to the shade of your other teeth. This will allow it to blend in and appear just like one of your natural teeth.

The process of installing a crown takes 2-3 visits to the dentist. On the first visit the tooth will be reshaped by filing down the enamel so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that you do not experience any discomfort. Once the tooth has been reshaped, a mold will be taken of that tooth and the surrounding teeth. This mold will be sent to a dental lab so that your new crown can be made so that it fits in the spot created for it and looks the same relative to the surrounding teeth. Before leaving, your dentist will fit you with a temporary crown until your permanent crown is ready.

The crown takes about 2-3 weeks to be returned to your dentist. At this time you will have another appointment to place and fit the permanent crown. You will again have a local anesthetic to numb the area and the tooth will be placed using a cement to ensure the tooth sets in place. When you look in the mirror, you will see your old smile back. Crowns are durable and will usually last about 10-15 years. You should care for it as you would any of your other teeth with regular brushing and flossing. Call us today if you would like to learn more about how crowns can help restore your smile.

Want to know what to expect after surgery?

Dentures

Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures are used when all of the natural teeth are removed from the mouth and replaced with a full set of dentures. There are two types of full dentures.

•     Conventional Full Dentures – This is when all the teeth are removed and the tissue is given time to heal before the dentures are placed. It could take a few months for the gum tissue to heal completely, and during this time you will be without teeth.

•     Immediate Full Dentures – Prior to having your teeth removed, your dentist takes measurements and has dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth heels. The dentures will need to be tightened after the jaw bone has healed.

Partial dentures are another option when not all of your teeth need to be removed. This is similar to a bridge, but it is not a permanent fixture in your mouth.

Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over your gums. Some people say that it feels bulky or that they don’t have enough room for their tongue. Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better than the alternative of not having teeth.

Even though dentures are not real teeth, you should care for them like they are. You should brush them to remove plaque and food particles before removing your dentures. After they have been removed you should place them directly into room temperature water or a denture cleaning solution. Never use hot water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when handling them so you don’t drop them. Also, never try to adjust your dentures yourself. You could ruin them, so you should always seek assistance from your dentist if they feel uncomfortable or loose.

Bonding

Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth.

A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied, an LED light is used to harden the resin, which is then polished to give you a fresh, new smile.

Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, bonding usually lasts for over 10 years. It is a safe, affordable, and attractive solution for many dental problems.

Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth.

A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied, an LED light is used to harden the resin, which is then polished to give you a fresh, new smile.

Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, bonding usually lasts for over 10 years. It is a safe, affordable, and attractive solution for many dental problems.

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PEDIATRIC DENTISTRY

Sealant

Sealants are a great way to protect against tooth decay and cavities on your back teeth (molars). These are the teeth that are most vulnerable to cavities and decay because they are used in the chewing process, and are the most difficult to reach and clean. Molars first come in at around 5-7 years of age, with a second set coming in between the ages of 11-14. It is best to have a sealant placed when the molars first come in to ensure they are protected early.

To place a sealant an adhesive is first applied to the teeth. The sealant is then placed over the adhesive as a liquid, as if it is painted right onto the tooth. The liquid then hardens and creates a barrier between your tooth and any plaque, food particles, and bacteria. Sealants last for about 10 years and can be reapplied if necessary.

Sealants are a great way to protect against tooth decay and cavities on your back teeth (molars). These are the teeth that are most vulnerable to cavities and decay because they are used in the chewing process, and are the most difficult to reach and clean. Molars first come in at around 5-7 years of age, with a second set coming in between the ages of 11-14. It is best to have a sealant placed when the molars first come in to ensure they are protected early.

To place a sealant an adhesive is first applied to the teeth. The sealant is then placed over the adhesive as a liquid, as if it is painted right onto the tooth. The liquid then hardens and creates a barrier between your tooth and any plaque, food particles, and bacteria. Sealants last for about 10 years and can be reapplied if necessary.

Image of a smiling person holding a camera

Mouth Guards

Mouth guards are an essential piece of equipment in contact sports.  They should be worn by athletes of all ages who participate in sports such as:

  • Football
  • Hockey
  • Lacrosse
  • Wrestling
  • Basketball
  • Baseball/Softball
  • Soccer
  •  …any sport where contact is a possibility.

Wearing a mouth guard helps prevent against structural damage to your teeth and jaw and also helps prevent injuries such as lacerations to your cheeks, tongue, and lips.  Mouth guards have also been shown to help decrease the risk of concussions.

Mouth guards are available in most any sporting goods store, but you should be careful when purchasing a mouth guard.  Mouth guards like this do not offer the best level of protection.  They are also usually ill-fitting and uncomfortable.  

For the highest level of comfort and protection, you should visit your dentist for a custom mouth guard fitting.  A custom mouth guard is created specifically for the optimal protection of YOUR mouth.  It is created with thin plastic that is hardened to protect your teeth.  The thinness of the custom mouth guard allows for easy breathing and also allows for easy communication (especially important for you star quarterbacks calling out the signals).  

See your dentist today for a custom mouth guard to protect your teeth and ensure that you maintain the highest level of performance on the field, court, or rink.

PERIODONTIC DENTISTRY

Arestin: Fighting infection where it starts
You may have heard about gum disease, also known as “periodontitis” or “periodontal disease.” Maybe a dental professional or hygienist recently told you that you have this infection.

But do you really know the difference between periodontal disease and other types of complications that can affect your mouth, such as gingivitis?

Do you know why it’s so important to treat periodontal disease-and why brushing and flossing alone won’t do the trick?

Most importantly, did you know that periodontal disease is today’s #1 cause of tooth loss among American adults? Or that, although a causal relationship between periodontal disease and an elevated risk for systemic events has not been established,recent data suggest a possible association between periodontal disease and other health issues including cardiovascular disease, diabetes, and preterm low birth-weight babies?

Fight infection right where it starts
ARESTIN® (minocycline hydrochloride) Microspheres, 1 mg is an effective antibiotic treatment that comes in powder form. This powder is placed inside infected periodontal pockets just after the dental professional finishes the scaling and root planing (SRP) procedure.

Throughout the medical field, a biopsy is simply the removal of a tissue sample to determine if it is diseases. In dentistry, teeth and gums are sent for biopsy. The role of a biopsy in the dental industry is to diagnose oral cancer. In these instances, a brush biopsy is used to identify oral lesions that warrant further attention.

If you have unexplained lesions in your mouth, they need to be examined by a dentist. They may or may not be cancerous, but they need medical attention nonetheless.

It is no secret that dentists are committed to saving teeth. This is why we fill a cavity, instead of pulling the tooth. 

Cavities can decay to tooth to the point where restoration is virtually impossible without a procedure called crown lengthening. Crown lengthening is a routine surgical procedure, which remodels the contour of the gum line. The procedure does not actually lengthen the crown, but rather lowers the gum line. When there is not enough tooth structure to affix a crown, this is the only option. Sometimes a tooth has been broken below the gum line. In this instance, crown lengthening is very successful in exposing more of the tooth, so that the dentist has something to work with.

A frenulum is a piece of tissue that prevents an organ from moving. There is a frenulum that attaches your upper lip to the gums, while another connects the lower lip to the gums. A frenulum that is too short or thick, will cause problems in speech patterns and tooth misalignment. In infants, a shortened frenulum underneath the tongue will inhibit breastfeeding. When the frenulum disrupts movement, growth, or development, corrective action is necessary to resolve the situation.

A frenectomy is a minor surgical procedure that is performed in your dentist’s office. It can be performed with either a scalpel or laser and takes less than 15 minutes. Using a laser causes very little bleeding and does not require stitches. A laser also results in less postoperative discomfort and a shorter healing time. Young children and infants are put under general anesthesia for the procedure and adults have the procedure performed using local anesthesia. If your child needs a frenectomy, there is nothing to worry about. The procedure is very successful and causes minimal discomfort.

Do you wake in the morning with sore jaws?
When you bite, do you feel like your jaw is lopsided? If so, then you may need an occlusal adjustment.

An occlusal adjustment corrects the alignment of the bite, that is a result of loose, shifting, crowded, or missing teeth. The result is an evenly distributed bite that eliminates irregular pressure on one side of the mouth.  Once your bite is adjusted, your teeth will meet properly. Occlusal adjustment causes minimal pain, and only a little discomfort. The adjustment is made by using a dental drill using a fine filing stone. In addition to the actual adjustment, removal mouthpieces are also utilized, to protect the tooth surface, and relax the jaw muscles once the adjustment is completed.

Who is a good candidate for an occlusal adjustment?  Patients with loose or shifting teeth will many times not meet correctly. Patients, who grind or clench their teeth, will have an uneven bite and pressure distribution in the mouth, which is also corrected through an occlusal adjustment. Sometimes tooth sensitivity can be corrected through an occlusal adjustment as the treatment reduces pressure on the sensitive tooth.

New technology allows dentists to accurately identify the areas, which need adjustments. The dentist utilizes a computer scan of the mouth, which records hundreds of bite registrations per minute, and notes even the slightest irregularity. That data allows the dentist to make only the adjustments that are absolutely necessary, which ensures a well aligned bite and minimal tooth wear.

If you suspect that you may need an occlusal adjustment, schedule an appointment.

Periodontal (gum) disease is insidious. It is an infection of the gums that starts out as plaque, an opaque film on the teeth that hardens to form tartar. As tartar accumulates, it harbors bacteria that attack the soft tissue around the gums. This is the early stage of gum disease known as Gingivitis. Left untreated, Gingivitis becomes Periodontitis which ultimately destroys the tissue surrounding your teeth AND the bone that holds your teeth in place. Except for bad breath and gums that bleed, there are very few early warning signals. The disease advances silently, often without pain, and before you know it, you are losing your teeth and you don’t know why.

Tooth loss is only the most obvious indicator of gum disease. Scientific research has discovered linkage between gum disease and stroke, heart disease, diabetes – even an increased risk for pregnant women. When your gums become diseased, your entire immune system is weakened.

In the past, fear of painful dental surgery has kept people with gum disease from seeking the care they needed. Well, those days are gone forever.

Gingivitis is a generative disease that left untreated, will cause significant tooth and gum deterioration.  Just the word gingivitis can strike panic in a patient’s mind. The reality is that the treatment is simple and performed right in your dentist’s office.

Plaque and tarter that sits on the teeth provides an environment, which allows bacteria to thrive and multiply.  The bacteria cause the gums to become inflamed and bleed. The condition becomes more noticeable when you brush your teeth or sometimes when you eat. These are signs of the early stage of gingivitis. Gingivitis is easily treated by having the hygienist scale and polish the teeth.  If gingivitis is left untreated, the condition will progress and the roots will need a planing. The difference between scaling and root planing is simple. Scaling is the removal of the dental tartar from the tooth surface Root planing is the process of smoothening the root surfaces and removing the infected tooth structure.

As a non-surgical procedure, scaling and planing is performed without any anesthesia, in the dentist’s office. While the procedure is usually painless, advanced stages of gingivitis may make it necessary to numb the area for complete comfort. Deep scaling and root planing is usually broken down into one section of the mouth per appointment. This allows for adequate healing time, and reduces the time for each appointment.

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ORAL SURGERY

Wisdom Teeth

Wisdom teeth are the third and final set of molars that emerge, usually during your late teens to early twenties. For some people the wisdom teeth emerge through the gums and have enough room to grow in naturally. For others, wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.

Impacted wisdom teeth can cause structural damage to the jaw and other teeth. They can also provide a place for bacteria to gather since they are hard to reach and clean. These potential problems make it necessary to remove impacted wisdom teeth so that larger problems do not arise. Routine x-rays during a dental exam can reveal if you will need to have your wisdom teeth removed.

Wisdom teeth are the third and final set of molars that emerge, usually during your late teens to early twenties. For some people the wisdom teeth emerge through the gums and have enough room to grow in naturally. For others, wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.

Impacted wisdom teeth can cause structural damage to the jaw and other teeth. They can also provide a place for bacteria to gather since they are hard to reach and clean. These potential problems make it necessary to remove impacted wisdom teeth so that larger problems do not arise. Routine x-rays during a dental exam can reveal if you will need to have your wisdom teeth removed.

Extractions

Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.

When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.

Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated during the procedure.

The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.

After the surgery you will need to rest. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.

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STAINLESS STEEL CROWNS

More Info Coming Soon

IMPLANT SUPPORTED DENTURES

More Info Coming Soon

BLEACHING

Professional Results - in about an hour

For a brighter, whiter smile without the wait, choose Opalescence Boost, an in-office, chemically activated whitening treatment that offers results in less than an hour. It’s ideal for people who want instant whitening gratification or those who have that special event coming up that requires a bright, white smile.

  • Opalescence tooth whitening gel contains PF (potassium nitrate and fluoride)
  • Chemically activated, so no hot, uncomfortable light is needed
  • Dentist-applied treatment
  • Provides dramatic results in less than one hour

For a brighter, whiter smile without the wait, choose Opalescence Boost, an in-office, chemically activated whitening treatment that offers results in less than an hour. It’s ideal for people who want instant whitening gratification or those who have that special event coming up that requires a bright, white smile.

  • Opalescence tooth whitening gel contains PF (potassium nitrate and fluoride)
  • Chemically activated, so no hot, uncomfortable light is needed
  • Dentist-applied treatment
  • Provides dramatic results in less than one hour
Bleaching at Lakehaven Dental