General Dentistry

At Pacific Oak Dental, we perform a wide variety of services to help you get the smile you deserve. By leveraging today's advanced techniques and technology, your Forest Grove dentist Dr. Jared Thompson can restore your beautiful smile to help you maintain your youthful appearance. Whether you need to get a tooth filled, have crooked teeth, or need a complete smile makeover, we can offer a treatment plan that's right for you.

Click the links below to learn more about some of the procedures we offer:
•  Preventive
•  Restorative
•  Cosmetic




Preventive Dentistry


Regular examinations at your dentist's office are essential to promoting good oral and dental health by detecting problems before they get worse, or preventing them altogether. Through cleanings and education on good oral hygiene, Dr. Thompson and his staff at Pacific Oak Dental will help you maintain your healthy smile for years to come.

Below are some of the preventive services that our practice offers.

Professional Cleanings

Professional cleanings performed by a certified dentist or hygienist are just as important to your dental health as daily brushing and flossing. Using specialized tools and training, your hygienist or dentist will:
•  Remove plaque build-up from the surfaces of teeth. Bacteria in the mouth form plaque, which collects on teeth and causes decay, gum disease and gingivitis
•  Remove tartar from teeth surfaces. Tartar, or calculus, is plaque that has become so hardened on the teeth that its removal requires special procedures. Tartar below the gum line is also an indicator of gum disease
•  Remove surface stains from teeth through polishing

Examinations

Regular examinations help detect and prevent health issues before they become serious. Consistent dental check-ups help catch problems when they are small and easier to treat. Left unattended, small treatable problems become worse and may require more extensive, expensive procedures to repair. Dental examinations generally include the following:
•  Gum disease screening
•  Oral cancer screening
•  Visual tooth decay evaluation
•  Visual gum disease examination
•  Gum pocket measurement and tracking
•  X-ray examination to detect: tooth decay, cysts, tumors, problems below the gums and other hidden issues

Regular examinations are very important for your health. Remember, "An ounce of prevention is worth a pound of cure." –Benjamin Franklin

Sealants

Sealants are generally used to help prevent tooth decay on the biting surfaces of back teeth (molars). The natural grooves of these teeth can trap food that can resist casual brushing and rinsing. If left in place, the trapped food allows bacteria to multiply, eventually causing tooth decay and requiring costly attention.

Sealants are painted directly onto the tooth where they seal the natural grooves to help prevent tooth decay. While sealants are durable, they are not permanent. They can last up to 5 years of normal wear before needing replacement.

Sealants offer a cost-effective, preventative step to reduce the chances of tooth decay on the chewing surfaces of molars. However, they do not replace the need for regular brushing and flossing.

Gum Disease (Periodontal Disease)

Gum disease accounts for approximately 70% of all tooth loss in adults. Early signs of gum disease include bleeding gums when flossing or brushing and gums that are red, inflamed, or swollen.

Gum disease and tooth decay are caused by the same bacteria. These bacteria form plaque beneath the gum line, which eats away at the bond between tooth and gum. If deterioration is allowed to continue, "pockets" form in between the teeth and the gums. Pockets deeper than 3mm may require special treatment to remove the bacteria and plaque. Without treatment and continuous maintenance, gum disease will eventually weaken the bonds that hold the teeth in place.

There is no permanent treatment for gum disease. However, it can be kept under control with proper personal hygiene and regular visits to a trained dentist or hygienist.



Restorative Dentistry


To ensure overall oral health, missing or damaged teeth need to be replaced or restored by a licensed dentist. At Pacific Oak Dental, Dr. Thompson will provide a personalized treatment plan that is right for you to get your smile back to its best.

Below are some of the restorative services that our practice offers.

Bonding

Bonding is a procedure in which we apply a tooth-colored composite material to a tooth, shape it, allow it to harden and polish it. It can be used in certain situations where a tooth has been damaged or become stained. These are generally minor repairs, ones that can be resolved through this relatively inexpensive means rather than through a more costly dental procedure.

Here's How it Works

The dentist prepares the tooth surface so that the bonding material will adhere. Once that's been applied, the dentist will shape it so that it has a natural appearance. Then the material is allowed to harden, usually with the help of a light. Finally, the composite is polished and buffed so that the surface is smooth.

This is not a process that is recommended if you are a smoker as smoke causes staining. Also, the material is not as durable as porcelain veneers and crowns so it chips more easily; eventually it may require replacing.

Bonding is a perfectly adequate and more affordable solution to certain dental problems. Dental bonding can take less time to accomplish and may not even require anesthesia. Depending upon the issue, insurance may cover it.

Please don't procrastinate if you have a dental problem but are worried about the time, cost or pain involved. Perhaps dental bonding can offer you a solution. Give us a call so we can discuss options with you.

Crowns

A crown is a covering that will wrap and protect the entire surface of a tooth, allowing it to look and function just like the original tooth. Crowns work to strengthen the tooth while protecting the existing structure, extending the life of the tooth longer that it would be with a filling or another restoration. There are three main types of dental crowns available: all porcelain, gold, and porcelain fused to metal. We'll help you choose the right one for your mouth.

Reasons for Choosing a Dental Crown

Dental crowns can correct a variety of problems that you might be experiencing with your teeth:
•  Fractured or broken teeth
•  Severely decayed teeth
•  Cosmetic imperfections
•  Fractured fillings
•  Tooth protection needed after a root canal

Same Day Crowns

Chairside Economical Restoration of Esthetic Ceramics (CEREC) is an instrument that we use to restore your teeth. The CEREC allows us to provide you with ceramic fillings that are naturally colored and can be bonded to your teeth quickly. Learn more about how CEREC same day crowns.

The Dental Crown Procedure

If you'll be getting a dental crown, you can plan on having two appointments to complete the process. At your first visit, the tooth will be prepared by removing decay, and the surface will be shaped so that it can fit the crown. We will take impressions of your teeth so that your customized crown can be created, and you'll likely wear a temporary restoration while we wait for your crown to be finished.

At your follow-up appointment, we'll take off your temporary crown and carefully place the permanent one in place. We'll also ensure proper bite and spacing.

After your appointment, we'll encourage you to follow-up with us regularly. While proper oral hygiene is essential, you'll also need regular dental care to ensure that your crown is in the best possible shape.

Bridges

Dental bridges are fixed appliances that will work to restore the structure and function of your teeth after tooth loss. These appliances are non-removable, so they will become a permanent part of your smile. There are many different types of bridges, and we can help you hoose the option that is right for your unique dental needs.

A traditional bridge is the most common type of bridge that is used to treat tooth loss, and it is made of metal and porcelain. The bridge contains two porcelain crowns fused to metal that will slip over two anchoring teeth found on either side of the artificial teeth. The bridge then fills the gap that was created due to tooth loss. For this procedure, using CEREC same-day crowns can save you time and money.

Reasons for Choosing a Fixed Bridge

There are numerous reasons that you might choose a fixed bridge to correct your tooth loss:
•  Restore the smile
•  Improve your ability to speak and chew like normal
•  Maintain your normal face shape
•  Fill in the spaces left by missing teeth
•  Prevent the remaining teeth from shifting positions
•  Upgrade from removable dentures

Getting Your Fixed Bridge

The process of getting your bridge will generally require at least two appointments with your dentist. Your teeth will be numbed to keep you comfortable throughout the procedure, and the anchoring teeth will then be prepared by having a thin portion of the enamel removed to make room for a crown. Molds will be made of your teeth to be sent into a dental lab, and the bridge is fabricated at this facility. You may also be able to wear a temporary bridge until your follow-up appointment, which will usually be scheduled about two weeks out.

At your next visit, we'll remove your temporary bridge, and the new bridge will be checked for proper fit. Once it is determined that the appliance is ready, it will be bonded or cemented into place.

Root Canal Therapy

A "root canal," or endodontic therapy, is a procedure available to save a tooth that is infected and would otherwise require extraction. There are many reasons that teeth can become infected, including: cavities, previous large fillings, crowns, cracks, trauma and extreme wear.

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (nerve and blood supply), bacteria and any decay are removed, and the resulting space is filled with an inert material called gutta percha. After the tooth is healed, getting a crown is recommended, because the tooth will become brittle.

Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a problematic tooth is the best (and most economical) solution. Extracting, or pulling a tooth, could ultimately be more costly and cause significant problems for adjacent teeth, as well as causing loss of bone around the extraction site.

While root canal therapy has a high degree of success, it is not 100% guaranteed. It is very important to have a permanent restoration (usually a crown) placed within 30 days of the root canal. If a permanent restoration is not placed, the tooth can fracture or further decay to the point where the root canal must be re-done or, worse, the tooth must be removed.

Dentures

When teeth have deteriorated so much that they can no longer be repaired, removal is the only option. Dentures are a "replacement" option for missing teeth. There are two variations of dentures: partial dentures and full dentures. The difference between the two lies in how many natural teeth remain.

A complete denture is a removable prosthesis of white plastic teeth in a pink gum-colored plastic base; the denture rests on the remaining gum ridge once all of the teeth in the arch have been removed.

It is important to note that life with an upper and/or lower denture is a major lifestyle change when compared to natural teeth. Dentures impact the type of food you are able to eat, your self-confidence in social situations and even your self-esteem.

Reasons for a Full Denture

•  All teeth missing in the same arch
•  Restore chewing ability
•  Restore a natural looking smile
•  Economical alternative to other procedures

An upper full denture will almost always feel better than a lower full denture. In order to dramatically improve the fit of a lower full denture, we frequently suggest using dental implants as a retentive mechanism. Implants placed in the lower jaw can help anchor the denture and significantly improve comfort. Sometimes, the implants can even be placed in the jaw after a denture has been in use for several years.

Extractions

A tooth extraction is the procedure done to remove a tooth that is damaged beyond repair from its socket in the jawbone. Extractions are also done to remove wisdom teeth that may be impacted or create future problems.

Many extractions can be performed in our Forest Grove office; however, more complicated procedures may be referred to one of our trusted oral surgeons.

Why are teeth extracted?

•  Severely decayed teeth
•  Periodontal disease leading to bone loss
•  Fractured in such a way that it is impossible or impractical to repair
•  Badly positioned (impacted wisdom teeth)
•  Non-functional or poorly functional teeth that should be replaced with a bridge, denture or dental implant

Extractions are generally classified as either non-surgical (also known as "simple") or surgical (involving cutting through the gums and tooth). A simple procedure can quickly become a surgical procedure if the tooth fractures or refuses to loosen under pressure. We perform these procedures only after making the extraction site(s) profoundly numb.

Tooth Extraction Post-Operative Instructions

Following tooth extraction you may experience bleeding, oozing, soreness or moderate to severe pain.

Bleeding should stop by 8–12 hours following the extraction. If you experience significant bleeding past this time please call our office immediately. Oozing of pink fluid for 1–2 days is normal.

Discomfort following the tooth extraction is best managed with a mild analgesic like Tylenol, Advil or Aleve. If you experience severe pain that lasts more than 2–3 days after your extraction please call our office.

Healing should be as smooth as possible following tooth extraction. It is important to not disturb the extraction site. Remember to eat a soft diet and avoid vigorous rinsing for 24 hours following the extraction.

After 24 hours rinse with strong warm salt water for 1 minute a couple of times daily for 3–4 days. This will reduce the number of bacteria in your mouth and will promote better healing.



Cosmetic Dentistry


Your smile is a work of art; it deserves as much care and attention as any masterpiece. Dr. Thompson at Pacific Oak Dental appreciates the value you place on your teeth, and makes it his priority to add strength and beauty when necessary. We believe that an effective dentist combines advanced dental technology with timeless style; blending art and science to enrich your health and appearance.

Read about our cosmetic services below.

CEREC Same Day Crowns

Chairside Economical Restoration of Esthetic Ceramics (CEREC) is an instrument that we use to restore your teeth. The CEREC allows us to provide you with ceramic fillings that are naturally colored and can be bonded to your teeth quickly.

With this instrument, we no longer have to provide you with plastic temporary crowns while we wait for your permanent crowns to come in from a dentist laboratory. We can do the entire crown procedure in one day, thanks to CEREC one visit crowns.

Learn more about how CEREC same day crowns can help you.

Invisalign®

Aligners are made of clear, strong medical grade plastic that is virtually invisible when worn. Aligners are clear and look similar to tooth-whitening trays, but are custom-made to fit better while moving teeth. Some orthodontists and dentists have referred to them as "contact lenses for teeth."

For years, orthodontists and dentists have used removable appliances for limited treatment. Today, with the application of computer technology and custom manufacturing, Invisalign® treats a broader range of cases with greater precision.

Invisalign® uses 3-D computer imaging technology to depict the complete treatment plan, from the initial position to the final desired position, from which a series of custom-made clear "aligners" are produced. Each "aligner" moves teeth incrementally and is worn for about two weeks, then is replaced by the next in the series until the final position is achieved.

Clear, Removable, and Comfortable

With Invisalign®, you can straighten your teeth without anyone knowing. Unlike braces, you can eat and drink what you want during treatment, because you can remove the trays. You can also brush and floss normally to maintain good oral hygiene. Because there are no metal brackets or wires to cause mouth irritation, you spend less time in the doctor's chair getting adjustments.

Invisalign® allows you to view your own virtual treatment plan before you start so you can see how your straight teeth will look when your treatment is complete.

Teeth Whitening

Whitening the teeth is one of the easiest and most noticeable changes that you can make to improve the appearance of your smile. Whitening, or bleaching, is a non-invasive and simple dental treatment that will alter the color of your tooth enamel to make your smile look whiter and brighter.

For many people, dull or stained teeth are the primary concerns that they have about their smile. At-home teeth whitening systems are the most popular method for correcting this problem. However, if you have older fillings, crowns, and other restorations, you need to be aware that these whitening systems will only work to improve the appearance of the natural tooth enamel, so you won't notice any changes on these restorations. It is recommended that you have these restorations replaced after bleaching your teeth so that they match the new and improved color of the rest of your smile.

Reasons to Whiten Your Teeth

There are numerous reasons why you might choose to whiten your teeth:
•  Brown or yellow stains due to smoking or your diet
•  Discoloration due to fluorosis (too much fluoride during the development of the teeth)
•  Stains due to certain medications
•  Normal wear of the enamel

The Teeth Whitening Process

If you choose to whiten your teeth with a home whitening system, you will generally need two dental appointments. At your first visit, your dentist will take molds of your teeth to create customized plastic trays to hold the whitening solution.

After your trays have been fabricated, you'll have a second appointment where we'll make sure they fit properly. You'll receive instructions on how to wear the trays for optimal results. In most cases, this will involve wearing them either overnight or twice per day for several weeks.

Caring for Your Whitened Teeth

When whitening your teeth, it is completely normal to experience sensitivity. Fortunately, this discomfort should stop once you have finished your bleaching treatment, but if it doesn't, sensitivity toothpaste can help with the symptoms.

It is important to remember that teeth whitening isn't a permanent procedure, so to get the most out of your results, be sure to avoid foods and beverages that could stain your smile, including wine, tea, soda, and coffee. If you are a smoker, you should also consider giving up the habit. Additionally, you will likely need an annual touch-up in order to maintain your beautiful, white smile.

Veneers

Tooth veneers are a popular cosmetic dentistry technique for creating a beautiful smile. They consist of thin sections of durable porcelain that are custom made for the unique shape of your teeth. Dental laboratories create the veneers to match the exact color and shape specifications sent in by your dentist, and once completed, they will be bonded onto the front surface of your teeth.

Veneers are often chosen as alternatives to crowns and other restorations, and they can be used to completely alter the shape of your smile and teeth. They are quite durable and can last for several years, allowing you to enjoy a beautiful and long-lasting smile.

Reasons to Choose Porcelain Veneers

Porcelain veneers can improve the appearance and function of your smile by correcting a variety of dental issues:
•  Misshapen teeth
•  Crooked teeth
•  Teeth that have been severely stained
•  Yellowed or discolored teeth
•  Teeth that appear too large or small for your smile
•  Gaps or other uneven spaces
•  Teeth that have been chipped, broken, or worn

The Porcelain Veneer Procedure

If you've decided to use porcelain veneers to improve your smile, you'll need to schedule two visits. At your first appointment, your teeth will be prepared via light buffing and surface shaping so that the veneer can fit around the tooth. Impressions or molds of your teeth will be taken, and you and your dentist will choose the color of your new restorations.

At your second visit, your teeth will be cleaned with a specialized solution that will help the veneers to bond to the surface of your teeth. Bonding cement will be placed between the veneer and the natural tooth, and your dentist will use a specialized light to help set the bond and harden the cement.

After your appointment, you should continue to see your dentist regularly to check on the health and appearance of your smile. By following a proper dental hygiene routine and having regular visits with your dentist, you'll extend the life of your beautiful new porcelain veneers.




Jared M. Thompson, DMD
1951 Oak Street Suite A
Forest Grove, OR 97116

Call 503-357-9122


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