Restorative Dentistry

periodontal disease stages

Treatment for Periodontal Disease

Periodontal disease progressively destroys the gums and jaw bones that support your natural teeth. Periodontal disease and decay are both caused by bacterial plaque, a yellowish film that sticks to your teeth along the gum line. Dr. Matthew Vogel, your Gresham OR dentist of choice, provides restorative dentistry services, including dental implants, dentures, dental crowns, and bridges.

Bacteria found in plaque irritates your gums, which may cause them to swell, turn red, and easily bleed. Prolonged irritation causes the gums to recede away from the base of your teeth, leading to the formation of pockets (also known as “spaces”). As periodontal disease progresses, the bone and gum tissue that holds your teeth in place deteriorates, leading to tooth loss when left untreated.

A common treatment for periodontal disease, scaling and root planing allows Dr. Vogel and a registered dental hygienist to provide a deeper, more thorough cleaning between the compromised teeth and gums. This can help to prevent progression of gum disease.

Plaque hardens into a rough, porous substance known as calculus (or tartar) if not consistently removed each day. Periodontal disease is best prevented by thoroughly brushing and flossing your teeth daily, along with scheduling regular visits to see Dr. Vogel and the dental hygienists at Gresham Smile Designs.


periodontal disease stages

Dental Crowns

Crowns help support damaged teeth and fix functional chewing problems. Crowns are constructed from such materials as high-grade porcelain, ceramic, or gold bonded porcelain. Fitting a crown requires two visits to Gresham Smile Designs.

During your first appointment, Dr. Vogel will remove any decay, shape the tooth as needed, and then fit the tooth with a temporary crown. On your subsequent visit, Dr. Vogel will replace the temporary crown with a custom fitted one. Once any necessary adjustments are completed, the custom crown is cemented into place to provide you a new, beautiful looking tooth.


Dental Bridges

An increased risk of gum disease ranks as one of the worst side effects of missing teeth. To help patients minimize this risk, Dr. Vogel can fit a dental bridge to replace missing teeth. Made using porcelain, gold, or a combination of these materials, dental bridges attach artificial teeth to a patient's natural adjacent teeth.

Fitting a dental bridge usually takes two appointments to complete. To guarantee bite correctness and to match a patient's remaining natural teeth, the construction of a bridge must be precise. This requires Dr. Vogel to take impressions of a patient's teeth, which are then sent out to a lab for construction of the bridge. Between appointments, a temporary bridge will be provided to protect a patient's teeth.

A strict regimen of brushing and flossing will keep the bridge and surrounding teeth clean. Practicing quality oral hygiene on these teeth is critically important, as the bridge relies on the neighboring teeth for support.


Dental Implants

Dental implants, which are fixtures made from titanium that are surgically planted into the jaw bone, is a beautiful and convenient alternative for replacing missing teeth. Each implant acts as an anchor for a crown or denture to fit over. When a crown is placed on an implant, most people can’t tell an implant from a natural tooth.

While dentures and removable partials usually fit loose and can become unstable, implants provide you with dental replacements that offer great functionality and look and feel like your natural teeth. Implants look and feel better than their removable counterparts and offer the same force for biting as fixed bridges. Best of all, they can last a lifetime if properly maintained.

While dental implants require no alterations to the adjacent teeth, they do require diligent daily oral hygiene to stay clean and healthy. It's also important to regularly visit Dr. Vogel for routine follow-up appointments and cleanings to keep your new smile healthy and bright!


dentures at your Gresham OR dentist

Removable Dentures

Dentures can replace some or all of a patient's missing teeth. Depending on your personal needs, Gresham Smile Designs offers a variety of different dentures to choose from.

Traditional Complete Dentures – This type of denture replaces all of the upper and/or lower teeth, and are held in place by the natural anatomy of the mouth.

Overdentures – Giving dentures more stability and a better fit, an overdenture is a type of denture that is placed over dental implants, and typically “snaps” onto the implants.

Partial Dentures - A removable partial denture attaches to your natural teeth with clasps to keep them in place, thereby 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 instead of dental implants.

The alignment of your jaw will slowly change as the bone and gum ridges shrink due to teeth extraction. All types of dentures will experience wear over time, and will need to be replaced or relined in order to maintain proper fit and comfort.

Regular dental examinations are still important for the denture wearer so that the oral tissues can be checked for any changes or for potential signs of gum disease.

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