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(503) 223-5040
Information About Technologically Advanced Restorative Options
•  American Society of Implant Restorative Dentists
•  Spear Education
•  The Academy of Laser Dentistry
•  The American Academy of Cosmetic Dentistry
•  Invisalign®
•  The Las Vegas Institute for Advanced Dental Studies
•  Opalescence Customized Tooth Whitening System

Information About Periodontal Disease and Treatment Options for Periodontal Disease
•  American Academy of Periodontology

General Dental Information
•  The American Dental Association
•  The Academy of General Dentistry
•  Know Your Teeth

Frequently Asked Questions
How can I get whiter teeth?
Achieving your ideal tooth shade is easier than ever before. Techniques and materials are continuing to advance and improve in regard to effectiveness and ease of use.

Power whitening with custom trays for home use: a single session with one of our whitening specialists gives you whiter, brighter teeth instantly. Then, maintain your new smile at home with periodic booster applications using customized trays.

Customized at home system: a prescription strength whitening solution placed in clear trays designed to fit the unique shape of your mouth. Most people see their ideal shade within a few weeks of daily application and maintain it with periodic booster applications.

Pre-made at home system: innovative preloaded whitening trays worn on the teeth for 60 minutes a day put the white back in your smile.

Does whitening damage my teeth?
The whitening systems we use and recommend are very safe and do not damage the teeth.

Although most patients complete the whitening process effortlessly and without concern, occasionally people do experience side-effects:
•  Tooth sensitivity: this is usually temporary and will subside shortly.
•  Gum tissue sensitivity: this is usually a result of too much solution being placed in the trays and can be alleviated by reducing the amount of solution used with each application.

Is it possible to get my teeth straighter without going through metal braces?
Absolutely. We offer several technologically advanced options for creating straighter smiles for our patients. Dr. Wiley will recommend the best option for your unique smile that achieves your specific goals.

Porcelain veneers: a state-of-the-art technology that places ultra-thin veneers of porcelain over the teeth, easily changing the shape and color, and allowing for a straight, white smile in just weeks.

Invisalign®: straightens teeth with a series of clear, virtually invisible aligners. This advanced process creates straight teeth in less time and with less hassle than traditional braces.

Do you do tooth colored fillings?
Yes. Dr. Wiley restores teeth with the most advanced materials available. These may be bonded resin restorations or laboratory fabricated porcelains or ceramics depending on the clinical indications of your tooth. Modern dental restorations are conservative, strong, long-lasting and beautiful. Regardless of the material placed, Dr. Wiley will match the shade to your teeth for a natural looking result.

I have a periodontal infection. What does this mean?
First of all, you are not alone. According to the American Academy of Periodontology nearly 80 percent of American adults have some form of an active periodontal infection. The important thing is to take action and arrest the infection.

We screen for signs of active periodontal infection at each hygiene visit. We evaluate the tissue for the color, texture, bleeding, deposits and pocket depth. Any one of these can indicate infection. This infection leads to bone loss and tooth loss. Infection causing bacteria can leach into the bloodstream and possibly contribute to many other systemic health issues including (but not limited to) cardiovascular disease, diabetic problems, increased risk of stroke, high cholesterol and respiratory problems.

How can I have an infection if nothing hurts?
An early stage periodontal infection is not painful. Often more advanced stages are not painful either. Some signs or symptoms you may notice are gums that bleed easily, red or swollen oral tissue, tender tissue, bad breath, loose teeth or indications of pus from between the teeth.

How does this happen?
There are many factors that can contribute to the infection. Some of these factors include stress, smoking or other tobacco use, systemic diseases (diabetes, HIV, high blood pressure, etc.), medications, hormonal changes, genetics and gender. Bacteria adhere to root surfaces of teeth and form colonies that spread and create a protective layer that cannot be flossed off or manually removed.

What now?
We use state-of-the-art micro-ultrasonic instrumentation in coordination with other treatments such as laser, locally delivered antibiotics or antibacterial mouth rinses. We use strong topical anesthetic to make the treatment very comfortable. Treatment is designed to meet your individual needs. We work closely with several periodontists, a gum and bone specialist, and a referral may still be necessary. Depending on how your body starts healing after your initial therapy, we will see you 6 weeks, 8 weeks or 3 months later for management appointments.

What happens in the future?
MANAGEMENT APPOINTMENTS ARE ESSENTIAL TO CONTROLLING THE DISEASE PROCESS. Home care is also an essential component to managing the infection. We can't cure this disease because the bacteria are always present in the mouth, but we can manage it. It may take up to a year for your body to stabilize and we are able to find your balance point for proper maintenance. There may be some areas of the mouth that may require additional therapy.

We do all that we can to help manage this infection, but your continued diligence and home care efforts are the key to successful treatment. It is an investment that can save your teeth and contribute to better health.

What can I expect from my temporary?
A temporary is a filling or crown that protects a tooth while the final restoration is being created by a laboratory technician. You may experience some mild soreness or sensitivity with the tooth or the gum tissue; this should gradually dissipate. Try to chew on the opposite side of your mouth as the temporary to minimize sensitivity and the risk of dislodging the temporary. You want to avoid chewy and sticky foods entirely.

Common questions or concerns:
•  It feels rough: Some roughness is not unusual, but please call us if it is making your tongue or check sore.
•  What if it comes off: You can try setting the temporary back in place and then call the office so that your dental assistant may rebond the temporary.
•  It feels high: If you feel that you hit the temporary before your other teeth when you bite down, please calls us so that your dental assistant can adjust the temporary for you.
•  Is this how my real one will look: The temporary is designed only to protect the tooth, it is not the shape nor color of your final restoration.
•  It is sensitive: Some sensitivity to temperature and biting pressure is normal. If it severe, please call the office.

The temporary is important to protect the tooth from potential damage to the prepared area. It also prevents teeth around the prepared tooth from shifting. Keep the prepared tooth and gum tissue as clean as possible; brush thoroughly, but do not floss around the temporary.

My insurance pays 100 percent, why do I have a co-payment?
Unfortunately, when an insurance company says 100 percent, they mean 100 percent of their own fee schedule, not 100 percent of the actual fee. Fee schedules vary greatly between policies. We understand this is incredibly frustrating for patients and apologize for the confusion it creates. We will calculate your co-payment based on the payment history of your insurance policy.

My insurance company says you are over usual and customary and charge too much.
Every insurance company creates their own fee schedule. These are not based on the actual fees for treatment. They call this 'usual and customary,' but they won't tell us what it is based on or how they determine it. Dr. Wiley's commitment is to provide the highest quality of care, based on the individual patient's needs and not an insurance policy.

Why isn't Dr. Wiley a member of my insurance?
Dr. Wiley tried for many years to be a participating provider for insurance companies; unfortunately, he found these companies established policies that did not allow for individual patient health and wellness needs. This was not acceptable to him as a health care provider. Dr. Wiley recommends the treatment in the best interest of the health and wellness of each patient, not what an insurance company recommends.
David B. Wiley, DMD, LLC
2330 NW Flanders, Suite 204
Portland, OR 97210

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

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Dr. Wiley is a member of the American Society of Implant & Reconstructive Dentistry (ASIRD). ASIRD is committed to improving the quality of care for dental implant patients by elevating the standards of surgical and restorative dental education and practice. Not every dentist routinely restores and maintains dental implants and not all placers of dental implants are surgeons. By using an ASIRD team, rest assured that your dentist routinely restores and maintains dental implants and only a trained dental implant focused oral surgeon will place your implant. Learn more about ASIRD.

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David B. Wiley, DMD, LLC | | (503) 223-5040
2330 NW Flanders, Suite 204, Portland, OR 97210



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