Procedures
At Wentworth Dental, we perform a wide variety of services to help you get the smile you deserve.

By leveraging today's advanced techniques and technology, your dentist Dr. Wentworth 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 find out more.

Cosmetic Dentistry
Composite Fillings
Fillings are used to restore areas of your tooth affected by decay. Dentists use composite (tooth-colored) materials to "fill in" the surface of the tooth after all decay has been removed.

Reasons for Fillings
•  Restoring small to medium sized cavities
•  Restoring a chipped anterior (front) tooth

What Does a Filling Involve?
First, Dr. Wentworth will answer any questions you have and will apply anesthetic to the tooth requiring the filling.

Dr. Wentworth will thoroughly remove the decay that is present and prepare the tooth to successfully bond with the composite material.

What Are Composite Fillings?
Composite fillings are tooth-colored to blend in with the remaining natural part of the tooth. The term composite refers to the actual filling material, which is a mixture of glass or quartz filler in a resin medium. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure.

In addition, composites are "bonded" or attached with adhesive to the tooth often allowing a more conservative repair. Composite fillings require that the tooth be kept clean and dry during the entire filling process, and they are subject to stain and discoloration over time. The life expectancy of a white filling can depend greatly on where it is in your mouth and how heavily your teeth come together when you bite.

Composite filling material is also commonly used to repair front teeth that have chipped or worn. Where possible, aesthetic bonding of composite material to front teeth is generally much less expensive than veneers or crowns. However, bonding typically does not last as long as veneers or crowns.

If your tooth is sensitive for a week or more it is important to call our office so we can examine the tooth and determine if additional treatment is needed.

Veneers
Veneers are very thin pieces of durable, tooth shaped porcelain that are custom-made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile.

Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many cosmetic dental conditions for the front teeth.

As with most dental restorations, veneers may someday need replacement; however, they are still very durable and will last many years, giving you a long-lasting, beautiful smile.

Reasons for Porcelain Veneers
•  Crooked teeth
•  Misshapen teeth
•  Severely discolored or stained teeth
•  Teeth that are too small or large
•  Unwanted or uneven spaces
•  Worn or chipped teeth

What Do Porcelain Veneers Involve?
Receiving veneers usually requires two visits to complete the process. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of each tooth is taken and a shade (color) will then be chosen by you and Dr. Wentworth.

On the second visit the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between each tooth and veneer and a special light is used to harden and set the bond.

After your visit you will receive care instructions for your veneers. Proper brushing, flossing and regular dental visits will aid in the life of your beautiful veneers.

Whitening
Teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel, and is an ideal way to enhance the beauty of your smile.

Because having whiter teeth has now become the number one aesthetic concern of most patients, there are several ways to whiten teeth. The most popular method is using an at-home teeth whitening system. Since teeth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.

Teeth whitening is not permanent. A touch-up may be needed once a year or more, depending on how often you smoke and/or drink coffee, tea or wine.

Reasons for Teeth Whitening
•  Fluorosis (excessive fluoridation during tooth development)
•  Normal wear of outer tooth layer
•  Stained teeth due to medications (tetracycline, etc.)
•  Yellow or brown stained teeth

What Does Teeth Whitening Involve?
At-home teeth whitening usually requires two visits. At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear, plastic trays.

At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with whitening solution either twice a day or overnight for a couple of weeks, depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.

You will receive care instructions for your teeth and trays and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy, white smile.

Preventive Dentistry
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.

Exams
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

Regular examinations are very important for your health. Remember, "An ounce of prevention is worth a pound of cure." –Benjamin Franklin

Hygiene
The basics of good oral hygiene is proper brushing and flossing. The purpose of brushing and flossing is to remove plaque-causing bacteria from your teeth every day. Your toothbrush is the tool you use to remove plaque and you want the best tool for the job. Research has proven that an electric toothbrush is the best choice.

Brushing Your Teeth
The point of brushing is a clean, healthy mouth each and every time. Choose the best tool for the job and brushing will not only be easier, but more effective.

Benefits of an Electric Toothbrush
•  Electric toothbrushes calibrate the ideal brushing time (2 min) and may have pressure sensors that prevent damage to gum tissue.
•  Electric toothbrush bristles rotate in a circular motion (the most effective brushing technique for plaque removal).
•  Research has proven that when used properly electric toothbrushes remove plaque more effectively.
•  An electric toothbrush does the job for you.

Flossing Your Teeth
It might surprise you to learn that even people who regularly brush their teeth twice a day neglect the need to floss. Just because you don't have food stuck in your teeth or you brushed well doesn't mean you shouldn't floss; you need to know that it is an important part of your daily routine.

Reasons You Need to Floss
Here is what an extra few minutes of oral hygiene can do for you:
•  Reduce plaque between your teeth
•  Decrease the risk of cavities between your teeth
•  Lower your risk of gum disease
•  Help you retain your natural teeth into your senior years

Flossing the Right Way
Flossing is very simple and will only add a few extra minutes to your oral hygiene routine. Gently position the floss between your teeth and wrap it around the tooth like a C-shape. Work it up and down, taking care to get the entire tooth from top to bottom. It is important to pay careful attention to the teeth that are the furthest back in your mouth, as that is where food and particles tend to hide, which could potentially lead to cavities and gum disease.

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 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, they do not replace the need for regular brushing and flossing.

Restorative Dentistry
Bridges
A dental bridge is a fixed (non-removable) appliance and is one of the traditional dental methods for replacing missing teeth.

The type of bridge used most often is called a fixed bridge, and consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached on either side of the artificial teeth (pontics), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years with proper home care; however, they may need to be replaced or re-cemented due to normal wear.

Reasons for a Fixed Bridge
•  Fill the space left by missing teeth
•  Maintain facial shape
•  Prevent remaining teeth from drifting out of position
•  Restore chewing and speaking ability
•  Restore your smile
•  Upgrade from a removable partial denture to a permanent dental appliance

What Does a Fixed Bridge Involve?
Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for about two weeks until your next appointment.

At the second visit, your bridge will be carefully checked, adjusted, and cemented to achieve a proper fit and comfortable bite.

You will receive care instructions at the conclusion of your treatment. Proper brushing, flossing, and regular dental visits will aid in the life of your new bridge.

Crowns
A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens the tooth structure, giving the tooth a longer life than it would have if restored by fillings or other types of restorations.

There are three common types of crowns: all-porcelain (tooth colored), porcelain fused to metal, and gold.

All Porcelain
A very aesthetically pleasing crown usually recommended for front teeth only. There is a higher risk of this type of crown fracturing if placed on posterior teeth.

Porcelain Fused to Metal
A metal based crown with porcelain baked to the outside to make it more aesthetically appealing. This type of crown is great for someone who wants a tooth colored crown but still wants durability. There is still a risk of fracturing these types of crowns but usually it is just the outside porcelain that chips off.

Gold
This type of crown is very durable! They are recommended for back teeth where the crown cannot be seen, and they are often recommended for people who grind or clinch their teeth. Gold crowns are most like your natural teeth and your tissue adapts best to this material. Also, less actual tooth structure needs to be removed for this type of crown.

If a crown is needed, Dr. Wentworth will discuss what type of crown would be best for you.

Reasons for Crowns
•  Broken or fractured teeth
•  Cosmetic enhancement
•  Decayed teeth
•  Fractured fillings
•  Large fillings
•  Tooth has had a root canal

What Does Getting a Crown Involve?
A crown procedure usually requires two appointments. During your first appointment, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Then he or she will take impressions that will be sent to the lab to create your custom crown. You will wear a temporary crown for approximately two weeks while your custom crown is being fabricated.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

You will be given care instructions and encouraged to have regular dental visits to check your crown. As always, proper oral hygiene will help extend the life of your new crown.

Dentures
Dentures are a "replacement" option for missing teeth. There are two variations of dentures: partial dentures and full dentures. The difference between the two lies in how many natural teeth remain.

When the condition of the teeth has deteriorated so far that they can no longer be repaired, removal is the only option.

A complete denture is a removable prosthesis of white plastic teeth in a pink gum-colored plastic base; the denture rests on the remaining gum ridge once all of the teeth in the arch have been removed.

It is important to note that life with an upper and/or lower denture is a major lifestyle change when compared to natural teeth. Dentures impact the type of food you are able to eat, your self-confidence in social situations and even your self-esteem.

Reasons for a Full Denture
•  All teeth missing in the same arch
•  Restore chewing ability
•  Restore a natural looking smile
•  Economical alternative to other procedures

An upper full denture will almost always feel better than a lower full denture. In order to dramatically improve the fit of a lower full denture, we frequently suggest using dental implants as a retentive mechanism. Implants placed in the lower jaw can help anchor the denture and significantly improve comfort. Sometimes, the implants can even be placed in the jaw after a denture has been in use for several years.

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 office; however, more complicated procedures may be referred to one of our trusted oral surgeons.

Why Are Teeth 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 24 hours rinse with strong 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.

Periodontal Treatment
Scaling and Root Planing
Scaling and Root Planing is a special type of treatment that goes deeper BELOW the gum line to remove contaminated debris and bacteria, most often performed on patients with active periodontitis.

This seems to be a procedure that causes so much confusion for patients in trying to understand the difference between "just a cleaning" and Scaling and Root Planing, and the need/reason for this procedure.

Scaling and Root Planing is done to remove soft sticky plaque and hard crusty calculus that is loaded with bacteria, around and BELOW the gum line on root surfaces. A professional polishing or prophy removes only the soft, sticky plaque and hard, crusty calculus that is ABOVE the gum line on the crown of the tooth. It is a method of treating gum disease when pockets formed around the teeth have a measurement of greater than 3mm and there is evidence of bleeding and tissue attachment loss.

Scaling
Scaling is a procedure that meticulously removes contaminated biofilm, plaque, calculus, microorganisms and toxins from around the gum line down to the bottom of each periodontal pocket, in order to obtain a healing response.

Root Planing
Root planing involves smoothing the root surfaces of your teeth with thin instruments so gum tissue can more firmly reattach to roots that are clean and smooth, to prevent tooth loss and sensitivity problems. This procedure makes it more difficult for plaque, calculus and bacteria to accumulate along these root surfaces.

Because this procedure goes deeper than a regular cleaning, your mouth may be numbed. The cleaning may take one to six visits to complete. Depending on the extent of the disease, you may need one or more quadrants of the mouth to be treated with scaling and root planing.

Some Reasons Why Root Planning May Be Necessary
•  To control the growth of harmful bacteria
•  Help the pocket wall reattach firmly to the clean root surface
•  Prevent further bleeding of the gums from disease
•  Reduce inflammation
•  Reduce discomfort
•  Prevent bone loss
•  Prevent gum disease related tooth loss
•  Reduce systemic disease

Home Care After Root Planing and Scaling
Rinse with warm salt water every few hours (1/2 tsp. salt in 8 oz. water) for the remainder of the day to encourage healing and sooth discomfort. Be careful not to bite or chew your lip, cheek or tongue while they are numb. Avoid chewing for 2 hours after this procedure or until numbness has worn off. Keep your fingers and tongue away from the areas that have been treated. Take Tylenol or ibuprofen according to directions on the manufacturer label for a couple of days to help with the discomfort; do NOT take aspirin because it may prolong bleeding.

Rinse your mouth with Closys or Chlorohexidine, if prescribed by your dentist, to reduce oral bacteria. Do not smoke or chew tobacco for 72 hours after the procedure to allow for healing. Gently brush and floss your teeth after each meal. How you care for your teeth and gums at home after treatment is critical to reducing the risk of recurring periodontal disease.

Periodontal Maintenance
Prophy (Regular Cleanings)
A prophy includes a series of procedures where plaque, calculus and stain are removed from all surfaces of the teeth above the gum line. This is done with hand instruments, ultrasonic scalers, and coronal polishing. Only a licensed dental professional is qualified to determine the need for oral prophylaxis. Only a dentist, dental hygienist or a trained dental assistant can perform the procedure.

Periodontal Maintenance Procedure
A periodontal maintenance procedure (PMP) is defined as a procedure that is recommended following periodontal treatment (such as scaling and root planing) and continues at varying intervals, determined by the clinical evaluation of the dentist.

These intervals can be as frequent as every two months and they can be extended as long as six months, depending on the patient. Keeping up your PMP interval is important because periodontal disease can recur without adequate follow-up.

PMP includes removal of plaque and tartar above and below the gums, scaling and root planing of specific areas, and polishing. PMP is always completed following active periodontal treatment such as scaling and root planing or more extensive gum surgery.







OFFICE
Forest Office Park, Bldg. F
14655 Bel-Red Road #104
Bellevue, WA 9800798007

CONTACT
tel: (425) 746-9160
fax: (425) 746-9150

HOURS
Monday - Thursday
7a.m.-4p.m.











Rodney Wentworth, DDS | www.wentworthdental.com | (425) 746-9160
14655 Bel-Red #104, Bellevue, WA 98007



 

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