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:
•  Implants
•  Cosmetic
•  Sleep Apnea
•  Restorative
•  Preventive


Implants

Dental Implants Introduction

A dental implant is a titanium post designed to replace missing teeth. The post is surgically placed into the jawbone where the tooth is missing, and provides a more permanent solution.

Crowns and conventional bridges or dentures may not be your only options when replacing missing teeth. For some people, dental implants offer a smile that looks and feels very natural. Over a series of appointments, implants are surgically placed below the gums, where they fuse to the jawbone. Implants offer stability because they fuse to your bone, a process called osseointegration.

Options for Missing Teeth

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.

Reasons for Dental Implants

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

What Does a Dental Implant Involve?

Implant Site Preparation

What can Dental Implants do For Me

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.

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.

Cone Beam Before Implant

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.

Placing the Crown

After impressions are taken a 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.

Caring for Your 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.
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 About Cosmetic Dental Services:


Sleep Apnea

Sleep Apnea

Sleep apnea is a condition that affects how you breathe when sleeping. During sleep, normal breathing can be interrupted for 10 seconds or more hundreds of times during a single night.

Untreated sleep apnea prevents you from getting enough deep, restorative sleep. Without enough deep sleep you may be sleepy, lack mental sharpness and be less productive.

Long term health effects can be serious, including weight gain, high blood pressure, heart disease and diabetes.

Sleep Apnea Appliances

Signs of Sleep Apnea

•  Loud, chronic snoring
•  Insomnia
•  Breathing pauses for long periods
•  Waking up often at night
•  Forgetfulness, irritability, depression

Home Treatments for Light Sleep Apnea

•  Avoid sleeping on your back, because your tongue is more likely to block your airway
•  Elevate your head using extra pillows or a body wedge
•  Open your nasal passage via breathing strips, saline nasal flush, or a nasal dilator
•  Lose weight
•  Exercise

Treatments for Moderate to Severe Sleep Apnea

•  Talk to a doctor trained in sleep apnea
•  Use supplemental oxygen while sleeping
•  Use a CPAP (Continuous Positive Airflow Pressure) machine
•  Oral appliances made by Dr. Boone's office to help keep your airway open

If you think you may have sleep apnea, please give us a call. We can help identify and diagnose the severity of the sleep apnea and discuss the best treatment options for your unique situation.
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:


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

Preventive Dentistry

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:



Periodontics
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

What is Gum Disease

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.

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.

How to Prevent Gum Disease

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

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.

Gum Recession

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

Periodontal Surgery

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
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.
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
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.
Root Canals
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.

Reasons for Root Canal Therapy


•  Decay has reached the tooth's pulp (the living tissue inside the tooth)
•  Infection or abscess has developed inside the tooth or at the root tip
•  Injury or trauma to the tooth
•  Extreme wear due to bruxism (grinding)

What Does Root Canal Therapy Involve?
A root canal procedure requires one or more appointments and can be performed by Dr. Margaret Boone. While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and isolated from the other teeth. Your Wilsonville dentist will then create a hole at the top of the tooth, and clean the infected pulp from inside the tooth. Medicine will be applied to remove any bacteria, and a temporary filling will be placed. When the tooth has had time to heal from the root canal treatment, you will need to return to our office to check the healing of the tooth. If the tooth has healed, then it will be ready to have a permanent crown placed to prevent any further decay or fracturing of the treated area.

At times the tooth requiring treatment has a complex root or the infection is such that it needs a specialist, called an endodontist, to examine and complete root canal therapy. Dr. Margaret Boone will work closely with our endodontic specialist to review your treatment case, send necessary records to their office, and place the crown after your root canal is completed. Our office staff will help coordinate your appointments, and help you understand your financial responsibility.







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


(503) 601-0610

 

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