Patient Services

Dr. Boone talking with a dental patient in Wilsonville.At Boones Landing Dental Center, you will find we offer a variety of dental services to meet your healthcare needs. Our staff is highly trained and professional, and keeps informed of the latest techniques and technologies through continuing education.

To learn more about the dental services we offer our Wilsonville community, please click on the links below:

Dental Implants

•  Dental Implants
•  Dental Implants and CEREC Crowns

Cosmetic Dentistry

•  Dental Bonding
•  Dental Crowns
•  CEREC Crowns
•  Fillings and Restorations
•  Dental Implants
•  Dental Implants and CEREC Crowns
•  Inlays and Onlays
•  Porcelain Veneers
•  Teeth Whitening

Sleep Apnea

•  Sleep Signs and Treatment

Restorative Dentistry

•  Dental Bridges
•  Dental Crowns
•  CEREC Crowns
•  Dental Dentures
•  Dental Implants
•  Dental Implants and CEREC Crowns
•  Dental Sealants

Preventive Dentistry

•  Tooth Extractions
•  Teeth Cleaning (Prophylaxis)
•  Gum Disease (Periodontal Disease)
•  Digital X-Rays
•  Dental Examinations


Implants

Dental Implants & Replacing Missing Teeth


Do I Need to Replace Missing Teeth?

Dental Implants Introduction

Losing your teeth, whether you lose just one or you lose several, causes several significant issues. When you lose teeth, your smile and your confidence are impacted. It becomes much more difficult to bite and chew food. You may find that you have developed a lisp, or have other issues communicating. You even begin to lose bone mass in your jaw, which causes the bone to change and alter your bite. When this happens, you may be faced with other issues, such as bruxism and TMD. Replacing missing teeth is essential for restoring the functions of those teeth and your quality of life. Boones Landing Dental Center can help with dental implants.

How do I Replace Missing Teeth?

Crowns and conventional bridges or dentures have traditionally been the main options when replacing missing teeth. However, dental implants offer a smile that looks and feels very natural, and they are quickly becoming the primary choice for replacing missing teeth. Over a series of appointments, implants are surgically placed below the gums, where they fuse to the jawbone. Compared to other tooth-replacement alternatives, dental implants offer the best stability, because they fuse to your bone through a process called osseointegration.

Options for Missing Teeth

What is a Dental Implant?

A dental implant is a titanium post designed to replace a missing tooth in the mouth. The post is surgically placed into the jawbone where the tooth is missing, and provides a more permanent solution. Integration of the implants into your jaw also helps your replacement teeth feel more natural, and some people also find the secure fit more comfortable than conventional substitutes. Candidates for dental implants must have healthy gums and adequate bone to support the implant.

Why Should I get Dental Implants?

What can Dental Implants do For Me

•  Replace a missing tooth
•  Maintain healthy bone levels
•  Help support overdentures
•  Keep the look and feel of a real tooth where one is missing

Dental implants are an incredible treatment for replacing missing teeth, providing you with a unique alternative to bridges and dentures. With this treatment, small titanium posts are surgically placed into your jawbone. The bone then fuses to the posts in a natural process called osseointegration. This process stabilizes the posts within your jaw. Once you have fully healed, the posts become strong roots that provide support for the ceramic crowns that replace your teeth.

What Does a Dental Implant Involve?

1. 

Implant Site Preparation

The gum tissue is opened to expose the bone area where the implant will be placed. In situations where there is insufficient bone structure, bone grafting may be a recommended procedure. Once healthy bone has been established, a special drill is used to prepare the bone to receive the implant.

2. 

Placing the Implant

After the bone has been prepared, the implant is placed and the tissue is sutured. After seven to ten days the sutures are removed. The healing process takes three to six months. This is the amount of time it usually takes the implant to become part of the bone of the jaw.

3. 

Attaching the Post

When the gum tissue is ready, a special post is attached to the implant; it is the support for the new porcelain crown. Today's technologies often include zirconium abutments attached to the implant post, to assure that the new porcelain tooth possesses translucency properties similar to a natural tooth.

4. 

Placing the Crown

After impressions are taken, a dental crown is made and shaded to match your existing teeth. The crown is then slipped over the post and cemented. This final prosthetic crown appears as a natural tooth. Additionally, thanks to our in-office CEREC same-day crowns technology, we can provide you with your permanent replacement teeth the same day as your implant surgery.

Cone Beam Before Implant


How do I Care for Dental Implants?

There is a high rate of failure of implants in patients who smoke, so dental implants tend to not be an option for patients who are actively smoking. We will help you determine whether dental implants will be a good tooth replacement option for you. Proper brushing and flossing will maximize the longevity of your new dental implant.

What is Attached to Dental Implants?

Dental implants are an extremely versatile treatment. There are options for those missing one tooth, and there are options for those multiple missing teeth. There are even options for those who have suffered too much bone loss. Types of dental implants include:

• 

Single Tooth (Dental Implant):

With this treatment, one post supports a single crown, replacing one individual tooth.
• 

Multiple Teeth (Fixed Bridge):

Also called an implant supported bridge, this treatment replaces two or more missing teeth. The number of posts required depends upon the number of teeth missing and the condition of your jaw.
• 

Full Arch Replacement (Fixed Denture):

Commonly called an implant supported denture, this treatment replaces a full arch of missing teeth. 6 to 8 posts are used to support your new teeth.
• 

All on 4® (Fixed Denture):

If you do not have the necessary bone mass to support a full arch replacement, the All on four treatment provides you with an alternative that helps you to avoid the need for a bone graft. Four posts are placed in your jaw to maximize contact with the bone.

What are the Benefits of Dental Implants?

•  The crowns look exactly like your real teeth.
•  Your can bite and normally chew, which restores your digestion and nutrition.
•  The crowns feel just like your real teeth, restoring your speech without having to relearn how to talk.
•  Implants are comfortable. The teeth are supported by the posts, instead of your gums. This means no unnecessary pressure on your gums.
•  You can brush and floss your new teeth just like your real teeth.
•  The posts stimulate your jawbone just like the roots of your real teeth. This stops and prevents bone loss in your jaw, helping it to remain strong and healthy. This also helps to prevent the need for replacements. Dental implants are designed to be a long-term solution.

What are the Drawbacks of Dental Implants?

•  They require surgery for placement.
•  There is a recovery period after surgery. It can take several weeks to several months to fully heal.
•  Implants can be expensive.
•  If you do not have enough bone mass to support dental implants, you may need a bone graft first.

How do I Schedule a Dental Implant Consultation?

If you are missing teeth, dental implants can help. Call Boones Landing Dental Center today at (503) 601-0610 to schedule your consultation and find out if this revolutionary treatment is right for you.

How can I Learn More About Dental Implants?

•  Dental Implants and CEREC Crowns
Cosmetic

Cosmetic Surgery

Having a bright healthy smile does more than just enhance appearance. It breeds new-found confidence allowing you show off your smile. Due to modern enhancements in cosmetic dental technology, cosmetic treatments have become quicker, affordable, and in some cases pain free.

Learn More About Cosmetic Dentistry

•  Dental Bonding
•  Dental Crowns
•  CEREC Crowns
•  Fillings and Restorations
•  Dental Implants
•  Dental Implants and CEREC Crowns
•  Inlays and Onlays
•  Porcelain Veneers
•  Teeth Whitening
Sleep Apnea

Sleep Apnea

Getting good quality sleep enables you to wake up feeling rested and refreshed, ready to take on the tasks of your day. While many people experience the occasional bad night of sleep, leaving them feeling tired throughout the day, these days are few and far between. However, for millions of Americans, good quality sleep seems elusive. They wake up morning after morning feeling exhausted, which makes it hard to get through their days. If this sounds familiar, you may be living with a condition known as sleep apnea. Boones Landing Dental Center is here to help.

What is Sleep Apnea?

Do you or your spouse have trouble sleeping or wake up feeling fatigued? You may have sleep apnea and could be a candidate for sleep apnea treatment at Boones Landing Dental Center.Sleep involves cycles. There are two cycles that repeat several times throughout the course of the night. Your body has to go through these cycles to rest and repair itself, both physically and mentally. Sleep apnea is a condition that disrupts these sleep cycles. This condition causes you to stop breathing for several seconds several times a night, called apneic events.

Every time you wake up, your sleep cycles are disrupted. When you fall back to sleep, the cycles have to start all over again. There are different levels of sleep apnea that range from mild, 5 to 14 apneic events per sleeping hour, to severe, 30 or more events per sleeping hour. In most cases, you are completely unaware that you are waking up.

What are the Types of Sleep Apnea?

There are two different types of sleep apnea.
• 

Obstructive Sleep Apnea

: This type of sleep apnea is caused by an obstruction of your airways, such as your tongue or excess oral tissue.
• 

Central Sleep Apnea

: This type of sleep apnea occurs when there is a failure of communication between your brain and the muscles that control breathing.

What are the Symptoms of Sleep Apnea?

There are several symptoms that can point to sleep apnea.
•  Snoring.
•  You find it difficult to focus.
•  Feeling excessively tired throughout the day.
•  Having a sore or dry throat when you wake up.
•  You may find that you have a hard time staying awake.
•  You feel irritable and have difficulty controlling your emotions.
If you have been suffering from sleep apnea for an extended period, you may also begin to notice health effects as well. This can include weight gain, hypertension, and fall ill more frequently. You are also at a greater risk of developing issues such as heart disease and diabetes.

How Do I Know if I Have Sleep Apnea?

Sleep Apnea Appliances

To be treated for sleep apnea, you first need to be diagnosed. Diagnosing sleep apnea is done through a sleep study. This involves having you hooked up to computers while you sleep. The computers monitor your vitals as well as electrical impulses in your body and then record the information. A sleep specialist then analyzes the information and can make the diagnosis of sleep apnea or another sleep related issue.

What Treatments are Available for Sleep Apnea?

There are numerous treatments available for sleep apnea.
• 

Losing Weight

: Sometimes, weight loss can help improve or eliminate symptoms.
• 

Changing Positions

: For some, sleep apnea symptoms show up when sleeping on the back, but breathing returns to normal when sleeping on the side.
• 

CPAP Machine

: A CPAP machine delivers a continuous stream of air through a mask worn over your nose while you sleep. The airflow keeps your airway open.
• 

Appliance Therapy

: An oral appliance is a device worn over your top teeth while you sleep. It is designed to hold your jaw in proper alignment, preventing it from sliding backward, and keep the airway open.
• 

Oral Surgery

: In cases of severe sleep apnea, or when no other treatment has proven effective, you may be recommended for oral surgery. There are several different procedures that may be used depending on your specific situation.

With the right treatment, you can take care of your sleep apnea, and finally get the quality sleep you have been searching for. Call Boones Landing Dental Center today to find out how we can help (503) 601-0610.
Restorative
You don't have to live with damage, discoloration or gaps when it comes to your teeth. There is a procedure that is right for you and your unique situation. From teeth whitening, to dental bonding, to implants, we can help or point you in the right direction. Give us a call if you have any questions.

Read more about the cosmetic services we offer by scrolling or clicking below:

African American woman smiles in mirror after receiving restorative dental services from Boones Landing Dental Center.

Learn More About Restorative Dentistry

•  Dental Bridges
•  Dental Crowns
•  CEREC Crowns
•  Dental Dentures
•  Tooth Extractions
•  Fillings and Restorations
•  Dental Implants
•  Dental Implants and CEREC Crowns
•  Gum Disease (Periodontal Disease)
•  Dental Sealants

CEREC Same Day Tooth Restorations

CEREC logo.CEREC stands for CERamic REConstruction and is a tool in our office that can take precise digital imagery of areas needing restoration and produce the appropriate restoration on the spot.

With our CEREC CAD/CAM machine, you can have your crown or other restoration completed in just one visit. We will design and custom fit your tooth precisely, right in the office, with our computer milling unit. You no longer need to have a temporary crown or wait weeks for the laboratory to fabricate your crown.

CEREC can be used for a full range of single-unit indications: inlays, onlays, partial crowns, posterior crowns, anterior crowns and veneers.

Preventive
At Boones Landing Dental Center, Dr. Margaret Boone takes exceptional care of your oral health. Read about the preventive services we offer by scrolling or clicking below:

Learn More About Preventive Dentistry

•  Teeth Cleaning (Prophylaxis)
•  Dental Examinations
•  Tooth Extractions
•  Gum Disease (Periodontal Disease) Maintenance
•  Gum Disease (Periodontal Disease) Procedures
•  Dental Sealants
•  Digital X-Rays
Periodontics

What is Gum 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.

Prophy (Regular Cleanings)

Just a Cleaning

A prophy includes a series of procedures where plaque, calculus and stain are removed from all surfaces of the teeth above the gum line. This is done with hand instruments, ultrasonic scalers, and coronal polishing. Only a licensed dental professional is qualified to determine the need for oral prophylaxis. Only a dentist, dental hygienist or a trained dental assistant can perform the procedure.

Periodontal Maintenance

A periodontal maintenance procedure (PMP) is defined as a procedure that is recommended following periodontal treatment (such as scaling and root planing) and continues at varying intervals, determined by the clinical evaluation of the dentist.

How to Prevent Gum Disease

These intervals can be as frequent as every two months and they can be extended as long as six months, depending on the patient. Keeping up your PMP interval is important because periodontal disease can recur without adequate follow-up. PMP includes removal of plaque and tartar above and below the gums, scaling and root planing of specific areas, and polishing. PMP is always completed following active periodontal treatment such as scaling and root planing or more extensive gum surgery.

Scaling and Root Planing

Periodontal Surgery

Scaling and root planing is a special type of treatment that goes deeper below the gum line to remove contaminated debris and bacteria, most often performed on patients with active periodontitis. This seems to be a procedure that causes so much confusion for patients in trying to understand the difference between "just a cleaning" and scaling and root planing, and the need/reason for this procedure.

A professional polishing or prophy removes only the soft sticky plaque and hard crusty calculus that is above the gum line on the crown of the tooth. Scaling and root planing is done to remove soft sticky plaque and hard crusty calculus that is loaded with bacteria, around and below the gum line on root surfaces. It is a method of treating gum disease when pockets formed around the teeth have a measurement of greater than 3mm and there is evidence of bleeding and tissue attachment loss.

• 

Scaling

is a procedure that meticulously removes contaminated biofilm, plaque, calculus, microorganisms and toxins from around the gum line down to the bottom of each periodontal pocket, in order to obtain a healing response.

• 

Root planing

involves smoothing the root surfaces of your teeth with thin instruments so gum tissue can more firmly reattach to roots that are clean and smooth, to prevent tooth loss and sensitivity problems. This procedure makes it more difficult for plaque, calculus and bacteria to accumulate along these root surfaces.

Because this procedure goes deeper than a regular cleaning, your mouth may be numbed. The cleaning may take one to six visits to complete. Depending on the extent of the disease, you may need one or more quadrants of the mouth to be treated with scaling and root planing.

Some Reasons Why Root Planning May Be Necessary

•  To control the growth of harmful bacteria
•  Help the pocket wall reattach firmly to the clean root surface
•  Prevent further bleeding of the gums from disease
•  Reduce inflammation
•  Reduce discomfort
•  Prevent bone loss
•  Prevent gum disease related tooth loss
•  Reduce systemic disease

Home Care After Root Planing and Scaling

Rinse with warm salt water every few hours (1/2 tsp. salt in 8 oz. water) for the remainder of the day to encourage healing and sooth discomfort. Be careful not to bite or chew your lip, cheek or tongue while they are numb. Avoid chewing for 2 hours after this procedure or until numbness has worn off. Keep your fingers and tongue away from the areas that have been treated. Take Tylenol or ibuprofen according to directions on the manufacturer label for a couple of days to help with the discomfort; do NOT take aspirin because it may prolong bleeding.

Rinse your mouth with Closys or Chlorohexidine, if prescribed by your dentist, to reduce oral bacteria. Do not smoke or chew tobacco for 72 hours after the procedure to allow for healing. Gently brush and floss your teeth after each meal. How you care for your teeth and gums at home after treatment is critical to reducing the risk of recurring periodontal disease.

Learn More About Gum Disease

•  Gum Disease (Periodontal Disease) Maintenance
IV Sedation
If you are scheduled for a dental surgery in which you will be receiving anesthesia to keep you comfortable, please follow the following steps. Compliance will help to ensure that your surgical procedure goes smoothly.

Preparing for Intravenous Anesthesia


Take care to follow a few simple steps when you are preparing for your anesthesia appointment:

•  Do not eat or drink anything, including water, for six hours prior to your procedure.
•  Do not smoke for a minimum of 24 hours prior to surgery. Ideally, we would like to see you stop smoking or at least cut back starting two weeks before your procedure.
•  Do not take medications that contain aspirin, weight loss products, herbs, vitamin E, or certain anti-inflammatory medications for at least seven days before the procedure and 24 hours after the procedure.
•  Wear loose-fitting clothes with sleeves that can easily be rolled up to expose the elbow.
•  Remove body piercings and leave all jewelry at home.
•  Take a shower and brush your teeth (without swallowing any water) the morning of your surgery, as this will help to minimize your chance of developing an infection.
•  Remember that dentures and contact lenses will need to be removed prior to surgery.
•  Do not wear excessive makeup, lipstick, or nail polish at the time of your appointment.

When to Call Our Office


When preparing for your anesthesia appointment, you should be sure to contact our office if any of the following situations arise:

•  You develop a stomach ache, sore throat, cold, or bowel trouble.
•  You develop a fever, even a minor one.
•  You are taking oral medications.
•  You suspect that you might be pregnant, as medications and anesthesia could be harmful to your developing baby. You may need to reschedule your procedure.
•  You have a heart condition, diabetes, or liver or kidney failure.
•  You have an allergy to latex.

What to Bring to Your Surgical Procedure


There are a few important things to remember to bring with you on the day of your appointment:

•  Your health or dental insurance cards and a government issued ID.
•  Copies of any consent forms or an Advanced Directive, if applicable.
•  Your inhalers if you have emphysema or asthma.
•  If you are diabetic and take insulin, bring in a bottle of insulin and syringes.
•  A responsible adult, as you'll need to have someone accompany you to the office. They should prepare to stay in the office throughout the procedure and to drive you home after the surgery has been completed.
•  Do not bring in valuables, jewelry, or cash.

Remember that after your procedure, you should not be operating any machinery or driving a vehicle for at least 24 hours, so take steps to arrange transportation if you need to go somewhere during this time period.

If you have questions about how to prepare for anesthesia or your upcoming surgical procedure, be sure to contact our office.
Oral Surgery
Dental implants can restore teeth for patients in Wilsonville, OR.At Boones Landing Dental Center we perform a variety of surgical procedures in order to correct injuries, defects, and diseases to the head, face, neck, jaws, and tissues of the oral region. Our oral surgeons are highly-qualified and expertly-trained dentists that:

•  Extract impacted or damaged teeth
•  Replace lost teeth with dental implants
•  Perform corrective surgeries of the jaw
•  Relieve jaw pain
•  Use surgical procedures to improve the appearance of the neck, jaws, or face
•  Remove complex tumors
•  Provide effective and safe office anesthesia

We understand that the prospect of having to undergo oral surgery might be daunting and even a little scary, so we work to carefully explain the process to each of our patients. We want to make sure that you fully understand what will happen during your procedure, and we will walk through your pre- and post-surgery instructions step-by-step so that you are fully prepared for your appointment.

If you are in need of any of the numerous surgical procedures that we are able to perform, you may receive a referral from your dentist, or you can certainly contact us directly. We’ll work with your general dentist to find an appropriate treatment plan to correct your issue.

Learn More About Oral Surgery

•  Tooth Extractions
•  Dental Implants
•  Dental Implants and CEREC Crowns
Root Canals
Infections in the teeth can be detrimental to both your oral health and your overall health, and they should be taken care of immediately. As bacteria irritate the pulp of the affected tooth, it becomes inflamed and swells, which can cause a significant amount of pain.

What is a Root Canal?

A root canal is meant to remove an infection from the inside of your tooth, avoiding the need for extraction, and protecting your oral health.

Why is a Root Canal Necessary?

Infections inside the result of the bacterial invasion. However, how do bacteria get inside your teeth in the first place? There are several different ways in which bacteria can get in – cracks or chips that extend into the inner layer (dentin) of your teeth, cavities or gum disease. Once inside, the bacteria take up residence in the hollow canals of your tooth. They continue to multiply and irritate the pulp. As a result, the pulp becomes inflamed, which can cause a significant amount of pain.

Over time, the bacteria can spill out of the root of your tooth, forming an abscess. The abscess continues to grow the longer the infection goes untreated. It can even rupture, spilling bacteria into your bloodstream. A root canal is the only way to get rid of infection inside your tooth, avoiding the need for a tooth extraction and restoring the health of your mouth.

Do I Need a Root Canal?

There are a few different symptoms that can point to an infection inside of your tooth.

Symptoms

•  A dental abscess. This is the biggest indication that there is an infection.
•  A painful toothache.
•  Severe pain that is brought on by something such as chewing. The pain lingers, however, after you are finished eating.
•  Severe sensitivity to such things as heat, cold, spice or acid. Again, the sensitivity lingers after the irritant is gone.
•  Swelling of your face.
•  Bone loss in the jaw.

Diagnosis

Infections in your teeth are diagnosed with a thorough oral exam. We will first take a look inside your mouth, checking your gums for signs of an infection (such as redness and swelling). We will also inspect your teeth for damage and decay.

Treatment

Along with a visual inspection of your mouth, we will take digital X-rays. These images will allow us to see everything that is going on under your gums. We can take note of issues such as abscesses and bone loss. If we do find an infection is present, your X-rays will then be used to create your customized treatment plan.

What is the Root Canal Procedure?

At Boones Landing Dental Center, your root canal treatment is performed using rotary endodontics.

Drilling into the Tooth

Your treatment begins with a local anesthetic. Next, a small hole is drilled into the top of your affected tooth.

Removing the Tooth Infection

Small tools are used to remove the infected pulp. We then use an electric handpiece equipped with a nickel-titanium tip to shape and clean the canals inside the tooth. This is used instead of the manual stainless-steel file that has been used in the past. Nickel-titanium is up to 5 times more flexible than stainless steel, which allows us to access curved canals with less risk of damaging the tooth. The rotary tool also allows us to perform your root canal in less time.

Cleaning and Capping the Tooth

After the canals are shaped, the interior of the tooth is cleaned and disinfected. We then fill the tooth and cap it with a crown.

Schedule Your Root Canal Appointment Today

Do you need a root canal? At Boones Landing Dental Center, we can remove the infection from your tooth with a root canal. Call today at (503) 601-0610 to schedule your appointment.







Margaret A. Boone, DMD
30485 SW Boones Ferry Rd, Suite 203
Wilsonville, OR 97070


(503) 601-0610

 

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