At Gentech Dentist, there’s no need to have the delays and uncertainty of being referred to a specialist with another organization. If you need a specialist, your dentist can simply refer you to their colleague, often just down the hall. No referral forms, no repeat paperwork, just schedule the appointment and show up. Even if the specialist you need practices at a different office, all the transfer of information is done for you. Plus, our dentists are familiar with each other and are accustomed to conferring on cases. This works to your benefit when your general dentist confers with a specialist to determine the best possible care for you.

Orthodontics

Orthodontics is the specialty of dentistry that is concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both. Orthodontic treatment often utilizes braces and other equipment to modify tooth position.

Orthodontic treatment can be carried out for purely aesthetic reasons — improving the general appearance of patients’ teeth and face for cosmetic reasons — but treatment is often prescribed for practical reasons, such as providing the patient with a functionally improved bite.

Types of orthodontic procedures include:

Braces

By far the most common of orthodontic procedures, braces are the use of devices to move teeth or adjust underlying bone. If you have crooked teeth and/or a misaligned bite (an underbite or overbite), there are a variety of treatments that can help straighten your teeth, including braces and retainers. Types of braces include: Conventional Metal Braces, Clear Braces, and Invisalign.

Screenings for Kids

The American Association of Orthodontists recommends screening all kids by the age of 7 to identify early issues, but it is never too early or late to invest in yourself and begin enjoying the lifelong results of a spectacular smile that goes beyond just straight teeth.

Smile Makeover

A smile makeover refers to any combination of cosmetic dental procedures that enhances the beauty and appearance of the smile, correcting almost any problem:

  • crooked teeth can be straightened
  • chipped, broken teeth can be repaired
  • missing teeth can be replaced
  • gaps between teeth can be closed
  • gummy smiles can be recontoured
  • stained, discolored teeth can be whitened
  • and more

Sleep Dentistry – Practiced by Dr. Darius Arlauskas

If you have an intense fear of dental treatment, previous traumas, complex dental problems requiring surgery, extremely sensitive teeth or a severe gag reflex, sedation dentistry (or sleep dentistry) may be for you.

With safe and proven techniques, the doctor administers sedative drugs which work rapidly to create a relaxed state that is maintained and monitored throughout treatment. You will still be able to communicate back and forth with the doctor if needed (this is why it’s also referred to as conscious sedation), but because the sedation tends to have an amnesic effect you may not remember your visit after it is over.

More information regarding sleep dentistry and oral sedation dentistry.

Oral Sedation Dentistry – Practiced by all Gentech Dentist providers

Oral sedation is a management technique that utilizes oral medications and sometimes nitrous oxide (laughing gas) to create a state of conscious sedation (relaxation and at times unawareness).  This technique is advantageous for patients that have mild anxiety and fear.  This technique may be used for children and adults depending upon the behavior of the child and level of anxiety of the adult patient. More information regarding sleep dentistry and oral sedation dentistry.

Periodontics – Dr. Sarah Nguyen and Dr. Alexandra Terrazzani

Periodontics is the specialty of dentistry that involves the prevention, diagnosis, and treatment of diseases of the supporting and surrounding tissues of the teeth and gums. It includes the maintenance of the health, function, and aesthetics of these structures and tissues.

Periodontists are the dental specialists who treat the gums and supporting soft and hard tissues to retain natural teeth and whose focus is on restoring your gums and oral tissue to optimal health.

Types of periodontic procedures include:

Gingivectomy and gingivoplasty

Gingivectomy is the excision or removal of gingival (gums) by surgery. Gingivoplasty is a surgical procedure to reshape healthy gingiva (gums) around the teeth. These procedures were developed to treat periodontal disease. Today, they are often used to improve the appearance of the gums.

Osseous (bone) Surgery

This type of surgery involves the removal and/or reshaping of the jawbone under the gum and is performed to treat the gum disease periodontitis. Periodontitis causes the formation of holes called defects in the bone around the teeth. Osseous surgery reshapes the bones to remove the defects. As well, it is often used to treat bone loss around multiple teeth.

Crown Lengthening

This is a common surgical procedure exposing more tooth for restorative purposes by re-positioning the gingival (gum) margin and removing supporting bone. For example, if a tooth requires a crown or filling but the gum lies too close to the area, crown lengthening surgery can be performed, creating room for the required crown or filling to be placed.

Scaling and Root Planing

In cases where gum disease is present, scaling and root planing is an effective way to treat gum disease before it becomes severe. During this procedure, your hygienist will remove plaque, calculus and stain from the crown down to the root surfaces of your teeth. Scaling and root planing, when combined with proper home care, should stop the progression of gum disease.

Perio Maintenance

It’s important to follow scaling and root planing (periodontal therapy) with proper perio maintenance in order to achieve and maintain optimal oral health. Perio maintenance takes the place of standard hygiene cleanings and continues at varying levels, determined by the dentist.

Full Mouth Debridement

If there are large amounts of plaque and tartar on your teeth, it isn’t always possible for the dentist to perform a comprehensive oral examination. Full mouth debridement removes the plaque and calculus so the dentist can perform a comprehensive oral evaluation.

Dental Implant

A dental implant is a device specially designed to be placed surgically within or on the mandibular (lower) or maxillary (upper) jaw bone as a means of providing for replacement of a missing tooth. Implants replace the roots of missing teeth and are used to support crowns, bridges and fixed dentures. Dental implants normally look and feel like your own teeth, which typically makes them a superior restoration as compared to dentures. Gentech periodontists may complete the placement of the implant, with the restorative component completed by your general dentist, or they may complete both portions, depending on the individual case.

LANAP (Laser Assisted New Attachment Procedure)

Gentech is now able to offer the latest in the treatment of gum disease using the PerioLase laser and a treatment technique called LANAP (Laser Assisted New Attachment Procedure). This is one of the most exciting advancements to have ever occurred in the treatment of gum disease because clinical research shows that it is capable of decreasing deep pockets and even growing bone in select sites, without the typical side effects of traditional gum surgery. This laser uses a specific wavelength which is selectively absorbed by inflamed gum tissues, allowing it to target only the diseased tissues while leaving healthy tissues intact. The result is a very precise surgical wound which allows for much less postoperative swelling, discomfort, and gum recession (longer appearing teeth due to root surfaces being exposed). This is often a more attractive treatment option for our patients because it provides a less invasive surgical option (no scalpel, no stitches) with a faster recovery time.

Endodontics

Endodontics is the branch of dentistry that deals with diseases of the tooth root, dental pulp, and surrounding tissue. An endodontist’s goal is to treat and prevent disorders that could lead to the loss of teeth. Simply put, endodontics is the science of saving teeth.

Types of endodontic procedures include:

Root Canal

When a tooth is badly decayed or becomes infected, a root canal can sometimes be used to save the tooth. The nerve and pulp of the tooth are removed during the root canal procedure and the inside of the tooth is cleaned and sealed. Because the tooth’s nerve is not vitally important to the tooth’s function, the nerve’s absence will not affect day-to-day function. More information regarding root canals.

Apicoectomy

Typically, this procedure is needed when infection or inflammation persists in the area around the root tip after root canal treatment. Root canal systems are very complicated and it’s possible for infected debris to remain in the many off-shooting branches even after treatment, possibly preventing healing or causing re-infection at a later date. During an apicoectomy, the root tip and surrounding infected tissue are removed.

Pulp Cap, Pulp Capping

Pulp capping is an alternative to root canal treatments in certain situations when the tooth’s nerve is still alive. In this procedure, the exposed vital pulp is treated with a therapeutic material, followed with a base and restoration, to promote healing and maintain pulp vitality.

Pulpotomy, Pulpectomy

A pulpotomy involves the removal of a portion of the diseased pulp of the tooth crown, while a pulpectomy involves removal of all of the pulp from both the root canals and crown. This procedure is often done on primary teeth (children’s teeth). The pulpotomy/pulpectomy is necessary in cases where deep decay or a crack within the tooth has allowed the pulp of the tooth to become infected. Both of these procedures are completed with the intent of maintaining the vitality of the remaining pulpal tissue and saving the tooth.

Oral Surgery – Practiced by Dr. Jovan Gvozden

Oral Surgery is the branch of dentistry that deals with the diagnosis and surgical treatment of diseases, injuries and conditions involving the hard and soft tissue of the teeth, mouth, face, and jaw.

Types of oral surgery procedures include:

Extraction of Impacted Teeth

Impacted teeth are those teeth that have not broken the surface of the gums.  Extraction of these teeth requires oral surgery.

Wisdom Teeth

Wisdom teeth are the third set of molars. They commonly become a problem for patients around age 16. Often, patients do not have space for these third molars. If space does not exist, if the wisdom teeth don’t erupt normally, or if they become infected, surgery is required to safely remove them.

Placement of Dental Implants

Whether to replace one tooth or a whole mouthful of teeth, dental implants provide a long-lasting and comfortable alternative to standard dentures. A dental implant is an artificial tooth root used to support replacement teeth. More information about dental implants.

Repair of Facial Injury

Trauma-caused facial injuries can be repaired by an oral surgeon. This includes repair of injuries to the face, mouth, teeth and jaws.

Treatment of Maxillofacial Infection

Infections of the maxillofacial region can develop into life-threatening conditions if not treated. Oral Surgeons’ training includes diagnosis and treatment of these types of infections.

Pediatric Dentistry – Practiced by Dr. Holly O’Shea

Pediatric Dentistry (Pedodontics) is the branch of dentistry that specializes in the dental care of children under the age of 16. Pediatric dentists emphasize the need for establishing trust and building children’s confidence in their dentist. Our pediatric dentists place special emphasis on preventive care, emphasizing the healthy maintenance of baby teeth until they are naturally lost as well as the importance of healthy maintenance of adult teeth as they appear. This approach means they can often correct minor problems now that could become extensive if left untreated.

Common pediatric dentistry procedures include the same type of care provided for adults, but tailored to meet a child’s individual needs. Dental exams, digital x-rays, teeth cleaning, dental sealants, fluoride treatments, and other procedures are all everyday occurrences for the pediatric dental team. However, our pediatric dentists and their team of assistants are experts in providing care with their young patients’ physical and psychological needs at the forefront, keeping in mind that children’s dental fears can be very real, and working to alleviate those fears. More information regarding pediatric dentistry.

Prosthodontics

Prosthodontics focuses on implants, aesthetic, and reconstructive dentistry. Prosthodontics frequently deals with cosmetic cases such as dental veneers, full mouth implant restorations, TMJ related disorders, and sleep disorders by planning and fabricating various prostheses and orthotic appliances. Several Gentech Dentist general practice dentists perform this type of work. As with all Gentech Dentist lab work, we use only the highest-quality and well-respected local labs to provide you with the highest quality work and optimal turn-around time, for your satisfaction.

Common procedures and appliances include:

Dentures (Removable)

Removable dentures are replacements for missing teeth that are typically made out of an acrylic resin. There are two main types of dentures, Complete Dentures (when patients has no natural teeth remaining) and Partial Dentures (when patient has some or many natural teeth remaining). Dentures help strengthen muscles controlling your expressions that require the support of your teeth, solve problems of pronunciation caused by missing teeth and aid with chewing.

Dentures (Fixed) or Implant Dentures

Fixed dentures are a method of replacing missing teeth in a more permanent manner. Mini implants are placed in the jawbone, which then attach to the denture device. This provides less movement and often more comfort than standard dentures.

Fixed Bridges

A fixed bridge is a method of replacing a missing tooth, similar to the standard bridge, but with a more permanent attachment. A pontic (the false tooth or teeth) are fused between two porcelain crowns to fill the area left by a missing tooth or teeth. The crowns holding the pontic in place are attached to your teeth on each side. Where removable partial dentures can be removed from your mouth, a fixed bridge cannot.

Occlusal guards (Removable)

Occlusal guards are removable dental appliances (sometimes called night guards) which are designed to minimize the effects of  bruxism (grinding) and other occlusal factors. (Occlusal refers to the biting surface of the teeth and the alignment of the teeth from upper and lowers jaws when biting.)

Treatment of Sleep Apnea – Practiced by Dr. Darius Arlauskas

For mild to moderate sleep apnea, an oral appliance is often the preferred treatment. These appliances fit over the teeth and are worn only during sleep. Medical insurance may help cover the cost of an oral appliance for sleep apnea. First, get evaluated by a medical professional, who can refer you for a sleep evaluation. This evaluation is measured, in part, on an Apnea-Hypopnea Index, which helps healthcare providers determine the level of severity of a particular patient’s apnea. An AHI of 5 to 15 is considered mild, an AHI of 15 to 30 is moderate, and an AHI of 30 or greater is severe. Based upon this evaluation, your medical professional will make a recommendation, ranging from an oral appliance, Positive Airway Pressure (PAP) therapy mask, weight loss or other solutions. If an oral appliance solution is chosen by the patient, your medical professional will refer you to a dentist qualified in sleep apnea devices. For further information regarding the oral appliances, contact either our Clackamas Gentech Dentist office or East Vancouver Gentech Dentist office. Dr. Darius Arlauskas who practices at these offices, is a specialist in providing oral devices for treatment of sleep apnea.

Does the thought of seeing a dental specialist frighten you? You’re not alone – dentistry is frightening to many people. Read some of our FAQs regarding dental fears, and how to relieve them.

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