Restorative Dentistry

Restorative Dentistry

Dental Fillings

Dental fillings can help maintain a healthy smile through restoration. If tooth structure has been lost to decay, abnormal wear, or earlier restoration, SW Portland cosmetic dentist Dr. Teasdale and his team can provide aesthetic bonded porcelain dental fillings. Closely matched to the color and shape of your surrounding teeth, composite dental fillings protect your teeth while providing a beautiful smile.

Portland OR dentist Dr. Teasdale and the entire team at Advanced Dental Arts NW strongly recommend composite dental fillings and advise against the use of mercury-based restorations in the mouth, for a great many reasons. After years of use, alloy fillings can start to break down at the edges, which can lead to new decay or weakening of the surrounding tooth structure as well as the presence of mercury in the body. The metal of silver fillings corrodes and expands over time, which causes cracks and actual fractures in teeth. These kinds of fillings can also cause stains on your teeth and gums.

Today, materials like bonded porcelains or composites restore beauty and vibrancy to teeth, but don’t corrode or expand with time. And glass ionomers release decay-arresting fluoride, encouraging remineralization of the teeth.

Composite dental fillings are natural-looking fillings that prevent further tooth decay while strengthening weakened teeth. Bonded porcelain fillings are far more durable, hygienic, esthetic, and versatile than alloys. Generally completed during one office visit, this bonding procedure can significantly improve the appearance and strength of a tooth.

CEREC Restorations

Our goal at Advanced Dental Arts NW is to provide dental work that is imperceptible. We exchange existing crowns and dental fillings with restorations that look and feel like your natural teeth.

Cerec 3D® is a computerized system for designing and milling beautiful porcelain crowns and tooth restorations (inlays and onlays) in a single visit. With Cerec, we remove only those portions of the tooth already lost or weakened, saving as much of original structure as possible, consistent with our minimally invasive approach to dentistry. The look and feel of the restored tooth is amazingly lifelike. And there are no impressions, temporary crowns, or return visits necessary with this procedure!

CEREC CAD/CAM Procedure

Periodontal Disease

If you have been told you have periodontal (gum) disease, you’re not alone. An estimated 80% of American adults currently have some form of the disease. Periodontal diseases range from simple gum inflammation to serious damage to the soft tissue and bone that supports the teeth. In the worst cases, teeth are lost.

Gum disease is a threat to your oral health. Research points to health effects from periodontal disease that go well beyond your mouth. Whether periodontal disease is stopped, slowed, or progressed depends a great deal on how well you care for your teeth and gums every day from this point forward.

Alternatives to Periodontal Treatment

Gingivitis

Plaque and bacteria become more harmful the longer they remain on teeth. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing and regular cleanings by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue.

gum-300x300Periodontitis

When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth”). In periodontitis, gums pull away from the teeth and form “pockets” that are infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s enzymes fighting the infection actually start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and connective tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

Who gets periodontal disease?
What can I do to prevent gum disease?
How do I know if I have periodontal disease?

root-300x300Scaling and Root Planing

When you come into Advanced Dental Arts NW for your appointment, our hygienists will examine your gums and note any signs of inflammation. A tiny ruler will be used to gentlely check for periodontal pockets and to measure any pockets. In a healthy mouth, the depth of these pockets is usually between 1 and 3 millimeters. We may, with your consent, take an x-ray to see whether there is any bone loss. We want to be your choice for dentist in Portland, Oregon – so contact us today to get started.

bridge-300x300Dental Implants In Portland

Dr. Teasdale and his team at Advanced Dental Arts NW work closely with trusted, highly qualified, local periodontists and surgeons who have consistently demonstrated great skill in placing dental implants.

Essentially artificial roots, dental implants not only support single teeth, bridges, or removable partial or full dentures, but also help maintain bone height. This is important because, years down the line, bone without a tooth root or implant support system may start to shrink, opening unsightly gaps between teeth and gums and causing lisping and food impaction.

Dental implants fuse with bone and, when restored, provide rock solid support. They are impervious to decay, periodontal disease, and hypersensitivity, lasting for decades. The cost of dental implants may vary, and Dr. Teasdale can assist you in picking the best option for you.

Once the implants are placed, Dr. Teasdale finishes the process by completing the functional and esthetic restorations required for a natural-looking smile. When a crown is placed on an implant, most people can’t even tell it is an implant because it is so natural looking.

While dentures and removable partials are usually loose and unstable, implants provide you with dental replacements that are natural looking and very functional. Implants look and feel better than their removable counterparts and offer the same force for biting as bridges that are fixed. Best of all, they will last a lifetime if properly maintained.  So if you are for the best option contact us for best in dentures and dental implants in Portland!

Implant Immediate Placement Procedure

TIzWbrc7r7VAXgH5XSRcgush000dPAOPNkDkdHHUCBADentures In Portland

There is nothing really like your natural teeth, properly aligned and in excellent repair, to enable you to look, feel, and function to your very most vibrant best.

But what if, through circumstance, time, and attrition, your teeth are no longer realistic to maintain? Are there ways to replace missing teeth that are long-term, comfortable, and functional, and that look and feel natural?

Well, yes, there are several. The old solution of removable dentures has been around for nearly three hundred years, in their essence. Dentures can restore the bite adequately, but because they have limited mechanical retention, they tend to dislodge readily, and can lead to sores on the gums and to embarrassing social situations. In addition, the bulk of plastics tend to compromise speech, as well as the sensations of temperature and taste. But still and all, dentures were a vast improvement over no teeth at all, and remain a realistic option for many people.

When implants were developed, they were adapted to be able to anchor dentures, with the result that removable dentures could now be made with less plastic, less coverage of the gums, and greater retention. This made for a far more stable bite, and far fewer moments of embarrassment and discomfort for the wearer. There were few things that could go wrong, and the dentures required only minimal maintenance.

The latest development involves an implant-retained bridge, one that is literally locked into place, with only plastic or porcelain gums that are necessary for esthetics and speech restoration. You can think of it as “teeth only”, that extend around the upper or lower jaw, and which cannot be removed by the patient. They are the most comfortable and effective way to restore a full arch of missing teeth, while preserving the remaining bone muscle functions.

In essence, there are four to six implants placed per arch, and a bridge is placed the same appointment, so the patient is never without teeth. This temporary bridge remains in place, usable but not removable, for many months, until the implants have completely fused with the bone. At that point, the final restoration is done, which may involve two to four appointments (but no numbing!). At the end of the sequence, the patient has their new teeth, rock solid, and ready to speak with, chew with, and socialize with, and all with the utmost of comfort and confidence.

And although the patient cannot remove the teeth (a major convenience for the patient), we can. So at cleaning appointments (yes, they do need periodic cleanings, just like real teeth), we remove the bridge from the implants, evaluate the tissue health, make adjustments as necessary, and then re-adhere the teeth to the implants. No pain, no shots, and the actual cleaning is done outside of the mouth.

And, if repairs are necessary, we send the bridge into the lab, and replace it with the original, immediate denture for the day or two that we may need to make the existing bridge “good as new”. So there should be no point after the placement of the implants that you are without teeth.

And what a comforting thought THAT is!

 

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