Call Us
(503) 223-5040

Our Services

Health and Beauty Through the Evolution of Technology and Compassion
We take pride in being a team of caring dental professionals, passionate about providing state-of-the-art dentistry in a comfortable and friendly atmosphere. We are dedicated to providing patients with the highest quality of personal attention and professional care. We understand that cutting edge technology must be coupled with compassion in order to have true value. We listen and do the things that make a difference for our patients. We respect our patient's time and the financial investment they make for optimal oral health.

Our team understands the connection between oral health and the health of one's entire body. Modern dentistry focuses on prevention and we believe prevention is the key to optimal oral health. Our priority is to take time to listen to our patients to ensure we understand each person's unique goals and needs.

Click on the following links to read more about the services we provide and the state-of-the-art technologies we utilize.

General Services
Preventive Dentistry
Cleanings and Exams
Gum Disease
Sealants
Restorative Dentistry
Dental Implants
Dental Bridges
Dental Crowns
Dental Fillings
Inlays and Onlays
Cosmetic Dentistry
Invisalign®
Teeth Whitening
Veneers
Dental Technologies
CAD/ CAM Restorative Restoration
Digital X-rays
Microscopic Dentistry
Sleep Apnea
Sedation Dentistry
Nitrous Oxide
Oral Sedation

Tap the links below to read more about the services we offer. (Tap again to close.)

► Preventive Dentistry
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

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.

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 resists 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 sealants do not replace the need for regular brushing and flossing.

► Restorative Dentistry
Dental Implant
Implants may be the best option for replacing a single or multiple missing teeth. An implant is a metal post that is attached directly to the jawbone. After the bone and surrounding tissue has healed an artificial tooth is attached to the implant. Implants provide superior benefits compared to bridge work as they do not depend on neighboring teeth for structural support, although they are more expensive. Implants are the closest dental structure in durability to natural teeth and have greater cosmetic appeal. Implants are used to:
•  Replace missing teeth
•  Prevent teeth from shifting
•  Correct bite issues due to missing teeth
•  Help prevent jaw joint problems from altered bite
•  Improve appearance (cosmetic reasons)

Dental Bridge
Bridges are used to replace a missing tooth in both a cosmetic and functional fashion. A bridge structure is one or more artificial teeth anchored in place by natural teeth, crowns, or implants on each side of the bridge. Using a bridge to fill the gap from missing teeth helps restore proper bite and prevent teeth from shifting to fill the gap (which may lead to additional bite and jaw joint issues). Bridges can be constructed from gold, porcelain and metal, or all ceramic. Ceramic bridge color is made to match your natural tooth color. Material choice will depend on structural requirements, wear, and aesthetics. Bridges are used to:
•  Replace missing teeth
•  Prevent teeth from shifting
•  Correct bite issues due to missing teeth
•  Help prevent jaw joint problems from altered bite
•  Improve appearance (cosmetic reasons)

Dental Crowns
Crowns are used to restore severely damaged teeth due to fracture or decay. After the tooth surface is cleaned and prepared the crown is placed to cover the remainder of the tooth. The crown strengthens the tooth structure and helps prevent future decay. Crowns also improve the tooth's look, shape, and alignment. Crowns are used to:
•  Restore a fractured tooth
•  Restore a tooth severely damaged by decay
•  Protect a tooth from fracture
•  Cover a discolored or unattractive tooth
•  Cover a dental implant
•  Anchor a bridge

Fillings
Fillings are used to restore tooth damage caused by tooth decay. After removing the decay and cleaning the area the dentist adds filling material. Fillings are made from traditional amalgam (silver colored) gold, silver, or a composite (tooth colored).

Composite fillings, in addition to being more aesthetically pleasing, bond directly to the tooth surface, unlike traditional fillings.

Inlays and Onlays
Inlays and onlays are used to restore portions of the tooth, or to strengthen a tooth. They are alternatives to using fillings or a crown to restore the integrity of the tooth.

Inlays
When there is only partial damage to your tooth, an inlay can be bonded inside the remaining tooth structure. Traditionally, gold is the material of choice for this type of restoration, and although this is available, most of our dental patients prefer the more natural look that ceramic provides.

Onlays
Onlays are used to restore a portion of the biting cusp of a tooth or to restore the strength of a tooth. Instead of removing healthy tooth structure for a crown placement, an onlay can be used as a more conservative restoration.

Sometimes onlays are referred to as "inside crowns". That is a good description, as it describes the strengthening process that an onlay creates for the tooth. At David B. Wiley, DMD, we prefer to do onlays when possible to lessen the amount of healthy tooth removed, compared to traditional crowns. Research has shown that the less you reduce a tooth, the better it will survive long-term, and our goal is to provide you with healthy teeth for life.

► Cosmetic Dentistry
Cosmetic dentistry will give you healthy, radiant teeth. It is one of the most cost-effective ways to improve confidence and make you want to share your smile.

With state-of-the-art materials, and tested, trusted dental techniques, cosmetic dentistry improves appearance and enhances self-esteem. Composite fillings have replaced traditional silver colored amalgams, while gold has given way to porcelain in the creation of bridges. Other techniques like teeth whitening and veneers can improve the color and/or shape of your natural smile.

Invisalign®
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.

Click on the first image to begin the slide show.


Teeth Whitening
Teeth whitening, as the name implies, is a process for making your smile brighter and more attractive. The many methods of teeth whitening vary widely in application time, effectiveness, cost and probability of tooth sensitivity.

Veneers
Dental veneers are custom crafted porcelain laminates fitted by a dentist over the front of an existing tooth. They bond directly to the front of the tooth, dramatically enhancing its shape, color, and appearance. Porcelain veneers are:
•  Virtually undetectable
•  Very durable
•  An effective way to improve smile appearance

► Dental Technology
Microscopic Dentistry
The dental microscope is used to see and define dental problems like never before. Using a microscope during treatment is an advancement that allows us to see better and have greater control over our instruments to provide more precise and less invasive dental procedures. The mouth is a small, dark environment where we do highly complex work. With a much higher level of magnification and illumination, far more detail can be seen and understood, and therefore better work can be accomplished. Seeing better makes us work better!

Digital X-Rays
X-rays are a primary tool for early identification of dental problems. Detecting issues with x-rays before they become problematic can save you money in the long run. Early detection can help prevent the need for more extensive, expensive procedures or surgeries. X-rays are primarily used to detect:
•  Internal tooth decay
•  Cysts (fluid filled sacks at the base of your teeth)
•  Tumors, both cancerous and non-cancerous
•  Impacted teeth
•  Teeth that are still coming in

At David B. Wiley, DMD, LLC, we use digital x-rays, which have several advantages over traditional film based x-rays. Digital x-rays allow us to take x-rays with 1/5 of the radiation that you would receive from traditional dental x-rays. The worry of exposure to excess radiation is eliminated.

Large on-screen x-rays make patient communication more effective. The immediate observation of the images on the screen allows us to discuss your dental health quickly and accurately.

Digital radiography has greatly enhanced the practice of dentistry. It allows the patient and the doctor to see images of the teeth in higher resolution on a large format for easier detection of problems, all while decreasing the radiation exposure to the patient. The process we use further defines the radiograph, resulting in clinically meaningful images that are sharp, detailed and rich in contrast.

Images are available instantly after exposure, eliminating the wait and effort spent developing and mounting x-rays. If an image needs to be retaken, it can be done immediately. Digital format also allows us to send and receive your images electronically, allowing for a faster consultation with your dentist.

► 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.

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 nasal dilator
•  Lose weight
•  Exercise

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.

► Sedation Dentistry
Many patients have had traumatic experiences in dentistry or have other anxieties about their treatment. At David B. Wiley, DMD, LLC, we strive to meet your individual comfort needs. For our patients with anxiety, sedation dentistry may be the answer. We offer both nitrous oxide and oral (conscious) sedation as options for our patients.

Nitrous Oxide
Nitrous oxide is a safe and effective sedative agent that will help you relax. It is mixed with oxygen and inhaled through a small mask that fits over your nose.

Nitrous oxide, sometimes called "laughing gas," is one option we may offer to help make you more comfortable during certain procedures. It is not intended to put you to sleep. You will be able to hear and respond to any requests or directions we may have. Dr. David Wiley will ask you to breathe normally through your nose, and within a few short minutes you should start to feel the effects of the nitrous oxide. You may feel light-headed or a tingling in your arms and legs. Some people say their arms and legs feel heavy. Ultimately, you should feel calm and comfortable. The effects of nitrous oxide wear off soon after the mask is removed. Talk to us about whether nitrous oxide would be a good option for you at your next appointment.

For more information, visit www.mouthhealthy.org

Oral (Conscious) Sedation
Oral sedation dentistry allows Dr. David Wiley to create a safe and comfortable dental experience for patients who avoid the dentist out of fear.

With sedation, your dentist can work more effectively by helping you become as comfortable as possible using well established and proven methods. There are a variety of sedation medications that are taken orally or "sublingually" (under the tongue). All sedation medicines are administered at our offices, under the care of an assistant.

This type of dental care does require that you have a driver to bring you home from your appointment, as it takes several hours for the medication to completely wear off. For more information about oral sedation at David B. Wiley, DMD, LLC, please contact our office today!





David B. Wiley, DMD
2330 NW Flanders
Suite 204
Portland, OR 97210


Phone: (503) 223-5040
Fax:     (503) 222-3101

 

Copyright © 2014-2017 David B. Wiley, DMD, LLC and WEO MEDIA. All rights reserved.  Sitemap | Links