General Treatment

Our practice can provide a wide range of dental services. We can typically provide every type of dental service without having to refer you to other specialties. This flexibility saves you time and keeps your total dental care within one practice. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular check-ups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in techniques, technologies and by maintaining their scheduled dental exams.

 


 

Hygiene

According to the Academy of General Dentistry, "it is strongly recommended that a dentist or hygienist perform a dental cleaning every three to six months."  Many times Dr. Hakes or one of her highly skilled hygienist will recommend a hygiene therapy appointment based upon the specific dental needs of you.  However, regardless if the appointment is every three months or every twelve months, Dr. Hakes and her team perform a thorough and comprehensive examination.  A hygiene therapy appointment will typically include but not be limited to:

  • Reviewing and updating your medical and dental history including asking about heart problems, changes in health, current medications, pregnancy or any other changes in your health history.
  • Blood pressure check,
  • Oral cancer screening and examination,
  • An evaluation of your gum tissue,
  • X-rays, bite wings and/or full mouth panoramic x-rays,
  • examination to detect decay, cracks or changes in tooth structure,
  • treatment planning,
  • and potential referral to a specialist.

Dr. Hakes and her team will also conduct preventative services that may include:

  • Removal of any stain on your teeth,
  • removal of plaque and tartar that may be present,
  • application of flouride based upon your specific oral health,
  • sealants if applicable,
  • and polishing of fillings or crowns if applicable.

We are always striving to keep you up to date on your dental education.  Therefore, at every appointment we may provide educational materials, information or discuss oral health issues of concern to you or us and that you want to be or should be informed about such as:

  • tooth brushing and flossing instructions,
  • nutritional counseling,
  • future treatment recommendations and appointments,
  • programs to assist you with quitting smoking or chewing tobacco,
  • evaluations for improved dental aesthetics,
  • requested information for aesthetic treatment or issues of concern,
  • and evaluation of home care effectiveness.

     

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    Sealants

    The grooves and depressions that form the chewing surfaces of the back teeth are extremely difficult (if not impossible) to clean of bacteria and food. As the bacteria reacts with the food, acids form and break down the tooth enamel, causing cavities. Recent studies indicate that 88 percent of total cavities in American school children are caused this way.

    Tooth sealants protect these susceptible areas by sealing the grooves and depressions, preventing bacteria and food particles from residing in these areas. Sealant material is a resin typically applied to the back teeth, molars and premolars and areas prone to cavities. It lasts for several years but needs to be checked during regular appointments.

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    Veneers

    Veneers are thin, semi-translucent "shells" typically attached to your front teeth. Veneers are customized from porcelain material and permanently bonded to your teeth. Veneers are a great alternative to otherwise painful dental procedures to improve the appearance of your smile.

    Common problems that veneers are used for:

    • Spaces between the teeth
    • Broken or chipped teeth
    • Unsightly, stained or discolored teeth
    • Permanently stained or discolored teeth
    • Crooked or misshapen teeth

    Veneers are a great aesthetic solution to your smile that may even help you avoid orthodontic treatment. Subtle changes to your smile can be achieved with veneers, and in most cases, veneer application is completed in only two office visits.

    Please contact our office if you have any further questions on veneers.

    Before Veneers After Veneers
    BEFORE AFTER

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    CEREC Crowns

    A crown is a permanent covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.

    We are proud to provide CEREC 3-D Technology to our patients in need of crowns. The CEREC system has revolutionized the dental field by meeting the needs of our patients in a more convenient manner. Gone are the days where the patient must return for multiple visits to complete a restoration. CEREC Technology can design, fabricate and place a ceramic restoration in just one visit! Also with this new system, the need for temporaries or impressions has been eliminated.

    Through the use of this new technology, we can save more of the healthy tooth structure in our patients while giving them beautiful, tooth-colored restorations that are metal-free and durable.

    Contact us for more information on this high-tech system.

    Before Crowns Aftern Crowns
    BEFORE AFTER

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    Bridges

    A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

    • Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
    • Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

    There are three main types of bridges, namely:

    • A fixed bridge is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.
    • The "Maryland" bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
    • The cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.
    Before Bridges After Bridges
    BEFORE AFTER

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    Implants

    Dental implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient's need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant's usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:

    • Single Tooth Replacement
    • Anterior Replacement
    • Posterior Replacement
    • Full Upper Replacement

    If the missing tooth space has no surrounding teeth, the dentist may decide an implant is the most appropriate treatment choice or option.

    Post Implant Care

    Although proper oral hygiene is always recommended for maintaining good dental health, it is especially important when a patient has received a dental implant. Bacteria can attack sensitive areas in the mouth when teeth and gums are not properly cleaned, thus causing gums to swell and jaw bones to gradually recede. Recession of the jawbone will weaken implants and eventually make it necessary for the implant to be removed. Patients are advised to visit their dentists at least twice a year to ensure the health of their teeth and implants. Dental implants can last for decades when given proper care.

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Katherine M. Hakes, DDS, FAGD, FICD, PLLC
5011 W. Lowell Avenue, Suite 130 | Spokane, WA 99208 | 509-464-3100 | 509-464-3200 (FAX)
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