Preventive Dentistry

Preventive Dentistry - Bothell, WA

The most effective way to ensure optimal oral health is to prevent oral disease before it starts.  Preventive dentistry includes many different types of dental procedures, including routine cleanings, dental sealants, fluoride applications, and patient education.  Minimizing the prevalence of oral disease can help patients to maintain their natural teeth for as long as possible.  The health of the oral cavity can directly impact the health of the entire body.  Our main focus in dentistry is always on the prevention of decay and periodontal disease.

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Cosmetic Dentistry

Cosmetic Dentistry - Bothell, WA

Cosmetic dentistry can refer to anything done to correct imperfections in the appearance of the mouth.  Anyone who is unhappy with their smile has many options for changing the look of their teeth.  The upper teeth usually show only when smiling, while the lower teeth remain hidden.  This is reversed when talking, with the upper teeth remaining hidden while the lower teeth show.  The color, alignment, spacing, as well as symmetry of the teeth are the characteristics that attribute to the overall appearance of your smile.  Any of these can be repaired to give a stunning look to the mouth.  We offer a wide variety of cosmetic options.  Some of these options are whitening, smile design, recontouring of the shape of the teeth, veneers, bonding, and ceramic/porcelain crowns.


Restorative Dentistry

Restorative Dentistry

When your smile needs a little pick-me-up, you can count on Dr. Goldwire. We take great care of our patients smiles and a big part of that means restoring their teeth and oral tissues when they have seen some hardships. When we talk about “restorative dentistry” we are referring to any procedure wherein we restore a damaged part of your mouth to a healthy state.


Conscious Sedation

conscious sedation - Bothell, WA

We can sedate you before beginning any dental treatment.  For many, having even routine dental cleanings can provoke anxiety and fear.  Conscious sedation is a process to help the patient relax during a dental procedure through the use of an oral sedative medication or laughing gas.  Conscious sedation is an ideal solution for fearful patients or when extensive treatment is needed.  It is not to be confused with IV sedation or general anesthesia, as you do not go to sleep.  Your reflexes are active and you can respond to physical stimuli and verbal instructions.  Many people feel like they were unconscious during the procedures or may have a foggy memory of the appointment.



Crowns and Bridges - Bothell, WA

Crowns are full coverage restorations that are used to cover a tooth that is likely to break, or is too broken down to be restored with a filling.  They are most commonly done after root canal treatment, or when a large filling wears out.  The larger the hole made by a cavity that has to be treated, the more likely a crown will be needed.  Even after a filling is put in place of a large cavity, a tooth is more likely to break due to the lack of integrity from the remaining natural tooth structure.  Keep in mind that the jaw muscles are the strongest in the human body.  The teeth are subjected to tremendous daily pressures.  Crowns encase the weakened tooth, providing strength and protecting the tooth against breakage.  A broken or cracked tooth is a far more serious matter and much more difficult to treat.

It takes two appointments to restore a tooth with a crown.  In the first, any decay is removed from the tooth and it is shaped to accept the crown.  Then an impression is made of the tooth for use in fabricating a crown.  Between the two visits the crown is fabricated by a dental laboratory; crowns are usually made of high-strength porcelain fused to metal, all ceramic material, or gold.  During this time, a temporary crown is worn.  In the second visit the temporary is removed.  Then the permanent crown is adjusted as needed and cemented in place.



Invisalign - Bothell, WA

Invisalign is a clear removable alternative to metal braces.  Invisalign straightens your teeth with a series of clear, virtually invisible custom-molded aligners.  By using a series of aligners, Invisalign straightens your teeth with results you will quickly notice.  The course of treatment involves changing aligners approximately every two weeks, moving your teeth into a straighter position step-by-step, until you achieve your desired smile.  Unlike traditional braces, the clear aligners can be removed while you eat and brush your teeth as usual.  We are a certified Invisalign provider.  Schedule your free Invisalign consultation today!



Veneers - Bothell, WA

Veneers are a dental procedure in which a covering is placed over the outside (visible area) of the tooth.  Veneers are usually only done to the portion of the tooth that is visible when smiling or talking.  The procedure can be direct or indirect.  The direct technique usually involves placing composite resin on the outside of the tooth using bonding.  This method is also referred to as bonding and usually only requires one appointment.  The indirect technique usually involves two appointments because the veneers will be fabricated at a dental laboratory.  At the first appointment the teeth are prepared, impressions taken, and the teeth are given a temporary covering.  In two to three weeks, the veneers are back from the laboratory, the temporaries are removed, and the permanent veneers are bonded to the teeth.  The laboratory fabricated veneers are usually made using porcelain or pressed ceramic and are very aesthetic.


Zoom! Teeth Whitening

Zoom! Whitening Bothell, WA

To enhance your smile we offer in-office Zoom! Teeth Whitening.  We are happy to provide a quick and easy professional whitening treatment.  These services and products are well researched, and will be provided under the care of one of our trained dental staff members to achieve the smile you always wanted.  The process of Zoom! whitening includes barriering off the gum tissue from the teeth, applying a UV activated whitening gel and having the patient lay underneath a UV light at an interval of 15 minutes at a time.  The process is repeated to attain the level of whitening desired.  Call us to schedule a consultation to discuss your teeth and whitening options.

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Root Canal

Root Canal - Bothell, WA

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthened filler.  Root canal treatment (also referred to as root canal therapy or endodontic therapy) is made necessary when a cavity is allowed to reach all the way to the pulp of the tooth (Regular cleaning and check-ups can prevent and detect problems early).  Deep restorations or trauma to a tooth may cause the nerve to be damaged to the point of needing a root canal as well.  Once this occurs, the pulp becomes infected and can even extend through the root tip and begin to eat away at the surrounding bone (this is an abscess).  By the time the pulp is infected it must be treated, and cannot heal on its own.  Leaving the infection can even weaken the entire immune system.  This is dangerous, not to mention also usually very painful.  Symptoms that the pulp has become infected may include sensitivity to hot/cold or sweets, pain, swelling, and/or pain to biting.


Tooth Extraction

Tooth Extraction - Bothell, WA

While our permanent teeth are meant to last an entire lifetime, sometimes extractions are necessary if the tooth has suffered extensive tooth decay, gum disease or trauma that cannot be repaired.  The good news is that we take every step possible to make the extraction as pain free and low stress as possible for you.  We will take every precaution to make the process comfortable.

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