Restorative Dental Care

Restorative Dental Care

At Sunnyside Dentistry, our understanding of teeth and supporting tissues has helped us devise less invasive ways to repair teeth and maintain gums and bone in our dental care treatment plans. We prevent problems before they appear, and repair teeth in ways that are more natural looking. Restorative dental care treatment options include fillings, caps, replacing missing teeth, dentures, and esthetic enhancements. We want to be your dentist in Sunnyside, Oregon!

Dental Fillings

When a filling is required, Dr. Hikade and his team can provide aesthetic tooth-colored and bonded restorations. Closely matched to the color and shape of your surrounding teeth, this procedure protects your teeth while providing a beautiful smile.

If you have received fillings over the years, Dr. Hikade will closely monitor them for any signs of failure. After years of use, fillings can start to break down at the edges, which can lead to new decay or weakening of the surrounding tooth structure.

Tooth-colored/bonded restorations are natural-looking fillings that prevent further tooth decay while strengthening weakened teeth. Generally completed during one office visit, this bonding procedure can significantly improve the appearance of a tooth. Composite restorations come in a variety of shades to match the color of the actual and surrounding tooth structures.

Root Canal Therapy

A tooth that has been injured or infected may require root canal (endodontic) treatment for it to remain a healthy part of your mouth. Dr. Dick Hikade, Dr. Brooke Hikade-Wyatt and their staff at Sunnyside Dentistry provide root canal therapy to treat infection and save the structures of your teeth.

A tooth is made of pulp (also known as nerve tissue) on the inside and enamel and dentin on the outside. A root canal is necessary when the pulp inside the tooth, develops infection. The infection can have a variety of causes, including a crack in the tooth, repeated dental work, or deep decay. Without treatment, pulp infection can result in pain or lead to an abscess.

A root canal is a treatment that will save your damaged tooth. In this situation, a tooth is restored through removing the infected nerve tissue, treating any remaining infection, and filling the empty root canals with medicated dental materials. Antibiotic treatment may also be required in conjunction with root canal therapy.
Root canal therapy usually involves one office visit to Sunnyside Dentistry, where a crown will be placed over the tooth for protection until it’s fully healed.

Dental Crowns

Our goal at Sunnyside Dentistry is to provide dental work that looks and feels natural. Crowns generally support damaged teeth and fix functional chewing problems. Crowns are constructed from materials such as high-grade porcelain, ceramic, or porcelain bonded to gold.

Fitting a crown requires two visits to Sunnyside Dentistry. Initially, Dr. Hikade will get rid of any decay, shape the tooth as needed, and then fit the tooth with a temporary crown.

On the subsequent visit, Dr. Hikade will remove the temporary crown, replacing it with a permanent crown. Once adjusted, if necessary, the permanent crown will be cemented into place and you have a new beautiful looking tooth.

Replacing Missing Teeth

Teeth help us perform a variety of important functions, including chewing, speaking, and maintaining proper alignment of our teeth. There are many reasons for tooth loss, but if not replaced, missing teeth can cause stress for the gums and other oral tissues, resulting in a number of potentially harmful disorders.

Dr. Dick Hikade, Dr. Brooke Hikade-Wyatt and their staff at Sunnyside Dentistry offer several options for correcting tooth loss, including dental bridges, dental implants, and removable partial and full dentures.

Dental Bridges

Dental bridges are often used to replace missing teeth, attaching artificial teeth to adjacent natural teeth, called abutment teeth, and maintaining proper alignment of the mouth as well as reducing the risk of gum disease.

A fixed bridge involves the placement of crowns on the abutment teeth, or by bonding the artificial teeth directly to the abutment teeth. Dental bridges can be made using porcelain, gold, or a combination of these materials.

Fitting a dental bridge usually takes two appointments to complete at Sunnyside Dentistry. The abutment teeth are prepared for the addition of the dental bridge, and impressions of the teeth are taken and sent to the lab to guarantee correct bite and to match the opposing teeth. Between appointments, a temporary bridge will be provided to protect the teeth.

A strict regimen of brushing and flossing will keep the bridge and surrounding teeth clean. Good dental care of these teeth is critically important, as the bridge relies on the neighboring teeth for support.

Dental Implant and Prosthetics

Dental implants can be used in a variety of ways to replace missing teeth and present a natural-looking smile. Dental implants take the place of the roots themselves, providing support support for crowns, bridges, and dentures.

Dental implants are fixtures of titanium, which are surgically placed into your jaw bone. The implant acts as an anchor for a crown or denture to fit over.  While dentures and removable partials are usually loose and unstable, implants provide dental replacements that are natural looking and very functional.

Implants look and feel better than their removable counterparts and offer the same force for biting as bridges that are fixed. Best of all, they will last a lifetime if properly maintained.

A dental implant requires no alterations to the adjacent teeth. Diligent daily oral hygiene is required for implants to stay clean and healthy. It’s also important to regularly visit Dr. Dick Hikade, Dr. Brooke Hikade-Wyatt and their staff at Sunnyside Dentistry for routine follow-up appointments and cleanings to keep your new smile healthy and bright!

Removable Dental Prosthesis

A removable partial denture attaches to your natural teeth with clasps that keep them in place, completing your smile by filling out the spaces created by missing teeth. Partial dentures are constructed of replacement teeth attached to pink or gum-colored plastic bases connected by a metal framework. Your natural teeth are used as stable supports for removable partial dentures.

Oral Surgery/Tooth Extractions

Dr. Hikade may determine with you that one of your teeth needs to be extracted, which can occur for a variety of reasons. Some teeth are extracted because they are poorly positioned in the mouth (such as impacted teeth), in preparation for orthodontic treatment, or have broken and cannot be repaired. A tooth may also be severely decayed or have advanced periodontal disease.

The removal of a single tooth can lead to problems involving your other teeth shifting, your ability to chew, and problems with your jaw joint. To avoid these complications, Dr. Hikade will discuss alternatives to extractions as well as replacement of the extracted tooth.

During a tooth extraction, Dr. Hikade will need to numb your tooth, jawbone and surrounding gums with a local anesthetic. During the extraction process, there will be a sensation of pressure but no pain, as the anesthetic has numbed the nerves. Detailed post-operative instructions will be given after the appointment along with any necessary pain prescriptions.

Periodontal Treatment

Periodontal disease progressively destroys the gums and jaw bone, which support your natural teeth. Periodontal disease and decay are both caused by bacterial plaque, the yellowish film that sticks to your teeth along your gum line.

Bacteria found in plaque irritate your gums, which may cause them to turn red, swell and bleed easily. Prolonged irritation causes the gums to separate from the teeth, leading to the formation of pockets (also known as “spaces”). As periodontal disease progresses, gum tissue and bone that hold teeth in place deteriorate, which leads to tooth loss if left untreated.

Plaque hardens into a rough, porous substance known as calculus (or tartar) if not consistently removed each day. Periodontal disease is best prevented by thorough daily brushing and flossing of your teeth, along with regular routine visits to see the hygienist.