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Call us at (503) 648-3212
Call us at (503) 648-3212

Our Services

At Dutro Family Dentistry, we perform a wide variety of services to help you get the smile you deserve. By leveraging today's advanced techniques and technology, your Hillsboro dentist Dr. Dutro can restore your beautiful smile to help you maintain your youthful appearance. Whether you need to get a tooth filled, have crooked teeth or need a complete smile makeover, we can offer a treatment plan that's right for you.

Click the Links Below to Learn More About Some of the Procedures We Offer:

All-On-4® Dental Implants

The All–On–4® treatment concept was developed to provide edentulous patients (patients with no teeth) with an efficient and effective restoration using only four implants to support an immediately loaded full-arch prosthesis. Clear Benefits with All–On–4® Stability Even In Minimum Bone Volume By tilting the two implants in the back, longer implants can be used in patients who have lost quite a bit of bone in their jaw, increasing bone-to-implant contact and reducing the need for bone grafting. The tilted posterior (back) implants can be anchored in better quality bone, reducing any rocking that may occur and thus improving support of the implant-supported denture. Planning With NobelGuide Treatment Concept The All–On–4® treatment concept can be planned and performed using NobelGuide to ensure accurate diagnostics, planning and implant placement. The NobelGuide Software allows Dr. Dutro to view detailed diagnostics such as identification of available bone, virtual implant placement according to the anatomical situation and prosthetic needs, and gives your dentist the ability to order an individualized surgical template. NobelGuide ensures guided and therefore exact implant placement. Prosthetic Flexibility With an All-On-4® treatment, our patients benefit from immediate implant-supported restoration, as a temporary tooth restoration is screwed onto the implants right after surgery. Final solutions for the All-On-4® treatment concept include both fixed prostheses, such as NobelProcera Implant Bridge Titanium with acrylic veneering, or individual NobelProcera crowns cemented to the bridge framework, and removable solutions, such as acrylic overdentures on a NobelProcera Implant Bar Overdenture. Increased Efficiency All-On-4® allows Dr. Dutro to streamline the time needed for dental implant treatment, giving you the smile you've always dreamed of in less time. To learn more, contact us today at (503) 648-3212!
Text Credit: Learn more about Nobel Biocare

Dental Implants

Dental Implants
A dental implant is a titanium post designed to replace missing teeth. The post is surgically placed into the jawbone where the tooth is missing, and provides a more permanent solution.

Crowns and conventional bridges or dentures may not be your only options when replacing missing teeth. For some people, dental implants offer a smile that looks and feels very natural. Implants are surgically placed below the gums over a series of appointments, and fuse to the jawbone. Implants offer stability because they fuse to your bone, a process called osseointegration. Integration of the implants into your jaw also helps your replacement teeth feel more natural, and some people also find the secure fit more comfortable than conventional substitutes. Candidates for dental implants must have healthy gums and adequate bone to support the implant.

Reasons for Dental Implants
•  Replace a missing tooth
•  Maintain healthy bone levels
•  Help support overdentures
•  Keep the look and feel of a real tooth where one is missing

What Does a Dental Implant Involve?
Implant Site Preparation
The gum tissue is opened to expose the bone area where the implant will be placed. In situations where there is insufficient bone structure, bone grafting may be a recommended procedure. Once healthy bone has been established, a special drill is used to prepare the bone to receive the implant.

Placing the Implant
After the bone has been prepared, the implant is placed and the tissue is sutured. After seven to ten days the sutures are removed. The healing process takes three to six months. This is the amount of time it usually takes the implant to become part of the bone of the jaw.

Attaching the Post
When the gum tissue is ready, a special post is attached to the implant as the support for the new porcelain crown. Today's technologies often include zirconium abutments attached to the implant post, to assure that the new porcelain tooth possesses translucency properties similar to a natural tooth.

Placing the Crown
After impressions are taken a crown is made and shaded to match your existing teeth. The crown is then slipped over the post and cemented. This final prosthetic crown appears as a natural tooth.

Is a Dental Implant Right for You?
There is a high rate of failure of implants in patients who smoke, so dental implants tend to not be an option for patients who are actively smoking. We will help you determine whether dental implants will be a good tooth replacement option for you. Proper brushing and flossing will maximize the longevity of your new dental implant.

Periodontics

Periodontics
Periodontic Treatments
•  Scaling and Root Planing (for cleaning of infected root surfaces)
•  Root Surface Debridement (for removal of damaged tissue)
•  Regenerative Procedures (for lost bone and tissue reversal)
•  Surgical Procedures (for periodontitis)
•  Dental Implants (for placement, maintenance and repair)

Periodontal Disease/Gum Disease
Gum disease is an infection of the tissues that surround and support your teeth. Because gum disease is usually painless, you may not know you have it. Also referred to as periodontal disease, gum disease is caused by the bacteria that is constantly forming on our teeth.

Here Are Some Warning Signs That Can Signal a Problem:
•  Gums that bleed easily
•  Red, swollen, tender gums
•  Gums that have pulled away from the teeth
•  Persistent bad breath or bad taste
•  Permanent teeth that are loose or separating
•  Any change in the way your teeth fit together when you bite
•  Any change in the fit of partial dentures

There are many factors that increase the risk of developing gum disease including smoking, pregnancy and diabetes. It is important to visit Dr. Dutro if you suspect you have gum disease, because the sooner you treat it the better.

The Early Stage of Gum Disease Is Called Gingivitis
If you have gingivitis, your gums may become red, swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by a professional cleaning at your dental office, followed by daily brushing and flossing.

The Advanced Stage of Gum Disease Is Called Periodontitis
Chronic periodontitis can lead to the loss of tissue and bone that support the teeth and it may become more severe over time. If it does, your teeth will feel loose and start moving around in your mouth. It usually gets worse slowly, but there can be periods of rapid progression.

Aggressive periodontitis is a highly destructive form of periodontal disease that occurs in patients who are otherwise healthy. Common features include rapid loss of tissue and bone, and may occur in localized areas or in the entire mouth. Periodontal disease cannot be cured, however, we have measures to help slow or stop the progression.

Research between systemic diseases and periodontal diseases is ongoing. While a link is not conclusive, some studies indicate that severe gum disease may be associated with several other health conditions such as diabetes or stroke.

Regular dental checkups and periodontal examinations are very important. The treatment methods that our dentist diagnoses will depend upon the type of disease and how far the condition has progressed. Good dental care at home is essential to help keep periodontal disease from becoming more serious.


Preventive Dentistry

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 can resist 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 placed directly onto the tooth where they seal the natural grooves to help prevent tooth decay. While sealants are durable, they are not permanent.

Sealants offer a cost-effective, preventative step to reduce the chances of tooth decay on the chewing surfaces of molars. However, they do not replace the need for regular brushing and flossing.

X-rays (Radiographs)
X-rays are a primary tool for early identification of dental problems. Detecting issues with x-rays before they become problems can save you money in the long run by preventing 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 Dutro Family Dentistry our dental team uses digital x-rays which have several advantages over traditional film based x-rays. They emit up to 90% less radiation, are ready for examination nearly instantly, can be viewed by the patient and dentist on a computer screen, and they are environmentally friendly; no chemicals are needed for processing.

Restorative Dentistry

Restorative Dentistry

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 esthetics. 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

Tooth Extractions
A tooth extraction is the procedure done to remove a tooth that is damaged beyond repair from its socket in the jawbone. Extractions are also done to remove wisdom teeth that may be impacted or create future problems.

Many extractions can be performed in our Hillsboro office; however, more complicated procedures may be referred to one of our trusted oral surgeons.

Why Teeth Are Extracted
•  Severely decayed teeth
•  Periodontal disease leading to bone loss
•  Fractured in such a way that it is impossible or impractical to repair
•  Badly positioned (impacted wisdom teeth)
•  Non-functional or poorly functional teeth that should be replaced with a bridge, denture or dental implant
Extractions are generally classified as either non-surgical (also known as "simple") or surgical (involving cutting through the gums and tooth). A simple procedure can quickly become a surgical procedure if the tooth fractures or refuses to loosen under pressure. We perform these procedures only after making the extraction site(s) profoundly numb.

Tooth Extraction Post-Operative Instructions
Following tooth extraction you may experience bleeding, oozing, soreness or moderate to severe pain.
•  Bleeding should stop by 8-12 hours following the extraction. If you experience significant bleeding past this time please call our office immediately. Oozing of pink fluid for 1-2 days is normal.
•  Discomfort following the tooth extraction is best managed with a mild analgesic like Tylenol, Advil or Aleve. If you experience severe pain that lasts more than 2-3 days after your extraction please call our office.
•  Healing should be as smooth as possible following tooth extraction. It is important to not disturb the extraction site. Remember to eat a soft diet and avoid vigorous rinsing for 24 hours following the extraction.
•  After 72 hours rinse with warm salt water for 1 minute a couple of times daily for 3-4 days. This will reduce the number of bacteria in your mouth and will promote better healing.

Root Canal
A root canal becomes needed when tooth decay is so badly neglected it reaches the tooth pulp. Once the pulp is infected it cannot heal on its own. Sometimes tooth trauma such as a fracture can lead to the need for a root canal as well. In addition to being painful, untreated infections can reach the root tip and compromise the entire immune system. Symptoms of pulp infections may be:
•  Sensitivity to hot/cold
•  Sensitivity to sweets
•  Pain, especially when biting
•  Swelling
•  Bad taste in the mouth

A root canal procedure includes cleaning out the infected pulp, disinfecting the canals and filling the void with a rubber like substance to prevent further infection. A crown is recommended to restore the tooth shape, look, and to strengthen the tooth structure.

Cosmetic Dentistry

Cosmetic Dentistry
Cosmetic dentistry will give you healthy, radiant teeth. It is one of the most a 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.

Composite Fillings
Composite fillings are used to restore tooth damage caused by tooth decay. After removing the decay and cleaning the area the dentist adds composite tooth-colored material. In addition to being more aesthetically pleasing, composite fillings bond directly to the tooth surface, strengthening the tooth, unlike traditional fillings.


Porcelain 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

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.

Call for an Appointment:
(503) 648-3212
5840 NE Cornell Road
Hillsboro, OR 97124-9000

Located on Cornell Rd. Next to Intel
and NW Regional ESD





Dutro Family Dentistry | www.dutrodental.com | (503) 648-3212
5840 NE Cornell Road, Hillsboro, OR 97124



 

 

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