Featured Services

At Pacific Oak Dental, we are pleased to offer specialized services that enhance treatment plans for patients. Read about our featured services below:
•  Dental Implants
•  CEREC®




Dental Implants


Dental implants can dramatically improve your health and confidence by allowing you to regain your beautiful and functional smile. These restorations provide a permanent foundation to support new crowns, and even your existing dentures can be anchored to them to eliminate the need for messy adhesives.

Understanding Dental Implants

Dental implants are small titanium posts that will be surgically placed into your jaw bone where you are missing teeth. These implants serve as anchors that act like the root for an artificial tooth. After the implants are placed and the bone has had time to heal, the jaw bone will actually fuse to the implants, making them even stronger than a normal tooth. Once the implants have been allowed to heal, replacement teeth can be secured to your implants.

While it is clear that dental implants can be beneficial in improving the function of your mouth, they have also been shown to benefit the existing bone of the jaw. Dental implants can actually prevent further bone loss.

Using 3D Imaging & CEREC Together

You can have implants as early as the second appointment. Integrated implantology for CEREC users is now even easier, thanks to the new SICAT OPTIGUIDE method for preparing surgical guides.

In the past, the dentist had to take a conventional impression in the first session in addition to a CBCT and CEREC scan as the basis for creating an x-ray and surgical guide. The SICAT OPTIGUIDE simplifies and accelerates the process, requiring only a CBCT scan and an optical impression with the CEREC AC.

Text source: Sirona ORTHOPHOS XG 3D

Types of Artificial Teeth Available

Diagram of a dental implant, with the crown separated from the post.When it comes to dental implants, crowns are usually chosen to replace a single tooth, and each prosthetic will attach to a singular implant. In other cases, a bridge may be used to replace multiple teeth, and it may require several implants to provide adequate support.

Full arch prosthetics could be used to replace all teeth in the lower or upper jaw. With this type of restoration, the total number of the implants used will depend on how much bone is available and other factors. An overdenture may be able to attach to a bar, while a fixed prosthetic will be permanent and can only be removed by your dentist.

Dental Implant Candidates

If you are interested in dental implants, it is important to first see if you are a candidate. An evaluation with Dr. Jared Thompson is essential, and you may need to have a special radiograph taken to further examine your condition. We'll help evaluate your unique, individual situation and explain your options.

The Surgical Procedure

Your dental needs are unique to you, so we offer individualized treatment plans for each patient. In some cases, bone grafting may be needed prior to placement of the implants, especially if there isn't enough bone available to properly support the restoration. If you have enough bone or your bone is reconstructed, the implants will be surgically put into place.

After the titanium posts have been implanted, you'll need to wait at least four months so that the bone can fuse to them. In some cases, the gum tissue may grow over the implants, so a procedure may be needed to uncover them before tooth replacement. Temporary dentures may be available during this time, and after your permanent restorations are put into place, the implant itself will be entirely invisible. In total, the procedure will take 6–8 months, but most patients report minimal disruptions to their daily lives.

Surgical Benefits

In some cases, the implants won't need to be placed under the gum line. If this is your situation, a tiny healing cap can be secured over the top of the implant. These implants won't require another procedure to uncover them, but they will still need the entire four months of healing time prior to placing the artificial teeth. In certain situations, a non-restorable tooth may be removed, and an implant placed right away.

Type of Anesthesia

Both the surgical implant placement and bone grafting can be performed in the office, and local anesthesia will be used to keep you comfortable.

Choosing Dental Implants

The more you learn about dental implants, the more you may realize that these restorations can completely change your life. When you lose multiple teeth, whether this is something you've dealt with for years or it is an entirely new situation, it can be difficult to come to terms with the change. Dental implants can open the door to improved self-confidence, allowing you to restore your old eating and socialization habits without feeling self-conscious or worrying about your traditional dentures slipping out of place.

Caring for Your Implants

After your smile has been restored with dental implants, it is important that you keep up a good oral hygiene routine so that your mouth stays healthy. You'll need to floss and brush daily, and you should also follow up with your dentist for regular examinations and cleaning. With proper care, your implants could possibly last a lifetime, making it especially important that you follow your dentist's orders in order to protect your investment.



CEREC


Times change, and so do dental procedures. Pacific Oak Dental is always up on the latest technology in dentistry, and Dr. Thompson is trained to use new instruments that are created. Thanks to modern technology, you no longer need to make two visits to have the tooth crowning procedure done.

The CEREC Cad technology makes it possible for you to have your tooth restored with a crown in one visit. There are still certain circumstances that require us to send crowns to a dental lab, but most crowns are done in-house.

What is CEREC?
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.

How Does It Work?
This procedure requires Dr. Thompson to use a Computer Aided Design, also referred to as CAD. CAD is a type of technology that incorporates a camera, milling machine and computer into one piece of equipment. The equipment, or camera, takes a picture of your damaged tooth. Once the picture has been taken, it will display on a computer screen, and we will begin to design your crown, based on the impression that was transferred to the computer through the camera. At this time, the Computer Aided Manufacturing begins, and your restoration is designed. After this step is complete, the bonding process begins. Once the crown is bonded to your tooth, the CEREC One Visit process is complete.

Changing the Color of Your Crowns
You no longer have to worry about your crowns not looking natural, because of coloring. With CEREC, you can have your crowns customized to look like your natural tooth. The crowns or inlays will be customized on a screen, and colored to match the color of your teeth, or as close as possible. This procedure does not require a lot of time. In fact, we can complete this process within 2 hours; sometimes we only need 45 minutes for this process. The completion times will vary, depending on your teeth and their complexity.

CEREC Misconceptions
A procedure this modern should cost a fortune, right? Not so! You are not only saving time by only having to come in for one visit, but you are not being charged more for the one day process. The type of material you use for your crowns will vary in pricing; one option will be more expensive than the other, but the actual CEREC one visit crowns are no more expensive than the two-visit procedure.

Contact Us
This procedure is safe, and we will have your teeth restored quickly. Contact us to learn more about the CEREC one visit crowns!

CEREC Case Studies

Case Study #1: Single Crown
Doctor: Todd Ehrlich, DDS
Problem: Recurrent caries of an amalgam
Tooth number: #12
Material: eMax CAD HT A2 bonded with Multilink Automix (yellow)
Patient time in chair: 1 hour, 15 minutes


This was a case that was not treatment planned for an indirect restoration. On the x-rays, the amalgam had simple recurrent caries, and a direct composite resin restoration was planned. However, once the amalgam was removed, a fracture line was seen to go deep into the mesial surface. Slight staining and no occlusal symptoms left me in a quandary: restore directly as an MOD but have potential difficulty with establishing an interproximal contact between the canine and the premolar. Or, conservatively cover the cusps and restore indirectly and digitally.

Text source: CEREC Case Studies



Case Study #2: Emergency Front Four
Doctor: Todd Ehrlich, DDS
Problem: Decay and replacement of one temporary crown
Tooth number: #7, #8, #9, #10
Material: Milled out of e.max; bonded with Multilink Automix
Patient time in chair: 2 hours, 30 minutes


This gentleman had been avoiding the dentist for over 6 years all the while having a temporary crown on his front tooth! It finally fell out, just days before he had a big client presentation. He realized that this was the last straw and he had to get something done, and fast! He couldn’t hide his teeth any longer.

He came into our office and was scheduled for four posts and crowns from 7-10. The other treatment would have to wait. His appointment was set and a lot of nitrous oxide was requested!

CEREC’s biogeneric calculation of the four restorations was completed and the restorations milled out of e.max. They were fired and inserted with Multilink Automix. His request for lighter restorations was not ignored, and he was very pleased. Even more because of his renewed self-confidence during his presentation. It even motivated him to continue the dental care that he neglected for so long!

Text source: CEREC Case Studies



Case Study #3: Two Veneers Before the Wedding
Doctor: Dr. Dhaval Patel
Problem: Broken incisal edges on both upper centrals with a midline diastema
Tooth numbers: #8 and #9
Material: Vita TriLuxe; Shade 2M2C
Patient time in chair: 2 hours, 30 minutes


This patient is a 55-year-old female who has always had a space between her upper centrals that she was not happy with. She chipped her teeth in an accident a few years ago and has been embarrassed to smile ever since. During her new patient exam, she revealed that her son was getting married in two weeks and that she was unhappy with her smile. I asked her if she would like to improve her smile, but she declined saying that it would take weeks to get veneers done and she is too busy with wedding preparations. When I told her that we could do her two veneers using CEREC digital impressions and milling in only one day and within a couple of hours, she was thrilled and immediately scheduled to get it done the very next day.

Text source: CEREC Case Studies




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

Call 503-357-9122


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