Services

Below you will find detailed descriptions of some—but not all—of the services we provide at Horacek Dental.

Preventive Dentistry

Preventive dentistry is the modern way of reducing the amount of dental treatment necessary to maintain a healthy mouth. It helps you to keep your teeth healthy. The two major causes of tooth loss are decay and gum disease. The better we prevent or deal with these two problems, the more chance you have of keeping your teeth for life.

At Horacek Dental, the joint efforts of our dentist, the hygienist and the patient, can help to prevent the need for treatment, and so avoid the traditional pattern of fillings and extractions.

A course of treatment may be recommended to get your mouth into good condition, and a maintenance plan will be worked out to help you keep it that way.

Everyone can benefit from a preventative maintenance plan. Our dentists will first assess your teeth and gums, and discuss with you any treatment that you need. The main aim is to help you get your mouth really healthy, to try and prevent any dental problems returning. In a healthy mouth, it is unlikely that decay or gum disease will continue to be a problem.

  • The dentist or hygienist will show you the best methods of brushing and flossing to remove the bacterial ‘plaque’ which forms constantly on your teeth and gums. When you eat or drink something sugary, the plaque turns the sugar into acid, which will cause tooth decay.
  • Plaque will also cause gum inflammation if it is not regularly and thoroughly removed. The hard tartar (calculus) which builds up on the teeth also starts off as plaque.
  • The dentist will recommend oral care products that are the best ones for you to use.
  • The hygienist will discuss diet and any habits such as smoking and drinking with you, and how they can impact the health of your teeth.

The dentist will also make sure that all your fillings are in good repair and there are no rough edges to make cleaning difficult.

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Restorative Dentistry

At Horacek Dental our restorative dentistry encompasses a wide variety of clinical treatments that restore broken down diseased teeth back to their proper form, function and esthetic qualities, replace missing teeth and restore proper occlusion (bite). Restorative dentistry can range from restoring a single tooth to full mouth reconstruction and rehabilitation involving most or all of the patient´s teeth, opening the patient’s bite and reestablishing the patient´s entire chewing motion to proper function.

Restorative dentistry can achieve this through simple tooth re-contouring or small direct restorations (fillings), in less severe cases. In more advanced cases, restorative dentistry may involve indirect restorations that are fabricated in a dental laboratory. These restorations include inlays, on-lays, crowns, fixed bridges, implant crowns, implant bridges and porcelain laminate veneers. Since a laboratory fabricates these restorations, they require multiple visits before they are completed, as well as temporization between visits. These restorations are cemented or bonded into place and the final bite adjustments are done directly in the patient’s mouth to ensure the maximum comfort possible. Restorative dentistry may also utilize full dentures and removable partial dentures to replace missing teeth and restore proper form, function, esthetics and bite.

In the most severely debilitated cases, restorative dentistry employs a multifaceted interdisciplinary approach to accomplish full mouth reconstruction and rehabilitation. The restorative dentistry needed for these patients is complex and extensive in scope, time and cost, but can achieve miraculous life changing outcomes.

Final restorations are first represented in wax models that are used as a blue print or guide the doctor and laboratory to the final restorative product. Provisional (temporary) restorations are a must in these cases and often times several sets of provisional restorations will be needed especially when opening a patient´s bite. This ensures the patient is able to accommodate to the new bite relationship before the final restorations are placed.

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Crowns

If you want a smile that’s your crowning glory, you may need a crown to cover a tooth and restore it to its normal shape and size. A crown can make your tooth stronger and improve its appearance.

It can cover and support a tooth with a large filling when there isn’t enough tooth left. It can be used to attach a bridge, protect a weak tooth from breaking or restore one that’s already broken. A crown is a good way to cover teeth that are discolored or badly shaped. It’s also used to cover a dental implant.

At Horacek Dental, if your dentist recommends a crown, it’s probably to correct one of these conditions. Your dentist’s primary concern, like yours, is helping you keep your teeth healthy and your smile bright—literally, your crowning glory.

Reasons to consider a crown:

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

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Dentures & Partials

At Horacek Dental our dentures are made to closely resemble your natural teeth and may even enhance your smile. A denture is a removable dental appliance replacement for missing teeth and surrounding tissue.

There are two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. Partial dentures not only fill in the spaces created by missing teeth, it prevents other teeth from shifting.

A Complete denture may be either "conventional" or "immediate." A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.

Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.

Reasons to consider dentures and partials:

  • Complete Denture – Loss of all teeth in an arch
  • Partial Denture – Loss of several teeth in an arch
  • Enhancing smile and facial tissues
  • Improving chewing, speech, and digestion

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Bridges

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

There are several types of bridges. You and your dentist will discuss the best options for your particular case. The "traditional bridge" is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a bridge:

  • Fill space of 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

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Dental Implants

Dental implants are an alternative to missing teeth. If you are missing a permanent tooth or have gaps in your smile, or wear dentures and experience some of the following problems:

  • Slipping and clicking while talking?
  • Irritation and pain when you chew?
  • Fear of eating in public?
  • Feeling or looking older than your age?

You may be a candidate for dental implants. Dental implants use your jaw to hold a tooth replacement or bridge, rather than anchoring it to a healthy, neighboring tooth. The results are natural-looking teeth implants that look, feel and function as your own.

Implant Maintenance
If you have just had your implant prosthesis inserted or are considering implant prosthesis, you may be wondering what procedures are necessary for proper maintenance. The home care needed for dental implants is just as important as that required for your natural teeth. There are many areas around the implants and the prosthesis that needs special attention to make sure that dental plaque does not accumulate. As with your own teeth, plaque, a sticky substance that adheres to teeth and is a breeding area for bacteria, must be removed at least every 12 hours to avoid potential periodontal (peri-implant) disease.

The care of your Implant Prosthesis consists of three steps:

  • Educating and training you about proper oral hygiene techniques.
  • Removal of plaque and calculus (tartar) on a regularly scheduled basis by your hygienist.
  • Maintaining meticulous oral hygiene between your recall visits.

Home plaque control is a critical component of your implant care. The following devices have proved to be extremely helpful in plaque removal:

  • Soft Toothbrush
  • Dental Floss (i.e. Post Care Dental Implant -Superfloss)
  • Electric Toothbrushes
  • Oral Irrigation Devices (i.e. Water Pik)
  • Mouthwash

The proper maintenance of your dental implant prosthesis must be a good blend of proper hygiene technique and using appropriate instrumentation. We will suggest a suitable recall schedule for you based upon the complexity of your dental restoration. We will also demonstrate each and every technique so that you can become familiar with the devices that are required for implant care.

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Oral Surgery

Horacek Dental is a multispecialty practice. Our goal is to keep our patients comfortable and to be able to meet the majority of their dental needs at our office.

Oral surgery is one of our specialties. Each case is different and when we meet you in our offices our dentists will evaluate your specific case and will offer you the information you need to help you make the best choice when deciding on oral surgery options.

Surgical Staff
It is our goal to provide our patients with the most sophisticated and qualified surgical support staff possible. We emphasize and promote continuing education amongst our staff and actively provide opportunities for all staff members to further their training in providing quality health care.

Our surgical staff are all experienced, well trained, certified oral and maxillofacial surgical assistants. They are qualified to assist in the administration of I.V. anesthesia as well as all aspects of Oral and Maxillofacial surgery. It is required that all staff members be certified through the American Heart Association in cardiopulmonary resuscitation (CPR). I.V. anesthesia is routinely performed within our state of the art multiple office setting and is administered solely by Board Certified Oral & Maxillofacial Surgeons.

Our administrative personnel are skilled in handling surgical patients both pre and post operatively. For your convenience the staff is well versed in analyzing and processing most medical and dental health insurance policies. As a full scope oral surgery practice, insurance coverage for our services may fall under major medical insurance policies and/or dental insurance plans. For this reason we ask that you arrive with all of your insurance information (both medical and dental) on hand so that we may effectively optimize your insurance benefits.

Wisdom Teeth Extraction

Wisdom teeth are the last teeth to erupt within the mouth, generally making their appearance between the ages of 17 to 25. When they align properly, and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not always happen.

The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum, and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully. The term "wisdom" stems from the idea that the molars surface at a time typically associated with increased maturity or "wisdom".

In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain and illness. The pressure from the erupting wisdom tooth may move other teeth and disrupt the orthodontic or natural alignment of the teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom tooth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted tooth or teeth usually resolves the problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with that procedure.

There are three types, or degrees, of impaction based on the actual depth of the teeth within the jaw:

  • Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingival (gum) is covering part or the tooth’s entire crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain and swelling.
  • Partial Bony Impaction: The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it is difficult to keep the area clean, infection will commonly occur.
  • Complete Bony Impaction: The tooth is completely encased by jawbone. This will require more complex removal techniques.

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Tooth Extractions

When you are scheduled for a tooth extraction at Horacek Dental you can expect your procedure to start off by the dentist numbing the area to lessen any discomfort. After the extraction, your dentist will advise you of what post extraction regimen to follow, in most cases a small amount of bleeding is normal.

Avoid anything that might prevent normal healing. It is usually best not to smoke or rinse your mouth vigorously, or drink through a straw for 24 hours. These activities could dislodge the clot and delay healing.

For the first few days, if you must rinse, rinse your mouth gently afterward, for pain or swelling, apply a cold cloth or an ice bag. Ask your dentist about pain medication. You can brush and floss the other teeth as usual. But don’t clean the teeth next to the tooth socket.

When having an extraction, today’s modern procedures and follow up care as recommended by Dr. Horacek. He is there to provide you the patient, great benefit and comfort.

Oral Pathology / Oral Cancer

An oral exam is routinely performed by the dentist during the course of an initial comprehensive exam and regular check-ups. An oral cancer exam refers to the identification and management of diseases pertaining to the maxillofacial and oral regions.

The soft tissue of the mouth is normally lined with mucosa, which is special type of skin that should appear smooth in texture and pink in color. Any alteration of the color or texture of the mucosa may signal the beginning of a pathologic process. These changes may occur on the face, neck, and areas of the mouth (e.g., gums, tongue, lips, etc.). The most serious of these pathologic changes (which may or may not be painful) is oral cancer, but there are also many other common pathologic problems.

  • Geographic Tongue – Also known as Benign Migratory Glossitis or Erythema Migrans, is a condition where the tongue is missing papillae (small bumps) in different areas, and a map-like appearance can develop. This condition is usually seen as red well defined areas on or around the sides of the tongue. The red patches (which can look like an unsightly rash) may come and go from hours to months at a time and cause increased sensitivity to certain substances.
  • Median Palatal Cyst – This cyst is of developmental origin and is essentially a fluid filled skin sac. It usually appears in the middle of the palate and may cause substantial discomfort.
  • Hairy Tongue – An overgrowth of bacteria or a yeast infection in the mouth which can cause the tongue to appear hairy and black. This condition is usually a result of poor oral hygiene, chronic or extensive use of antibiotics, or radiation treatments to the head or neck. It is often also seen in HIV positive patients and those who are intravenous drug users. Hairy Tongue may or may not require treatment.

Treatment of Pathological Diseases:
In the majority of cases, the pathological changes experienced in the oral region are uncomfortable and disfiguring, but not life threatening. However, oral cancer is on the rise (especially among men) and the chances of survival are around 80% if an immediate diagnosis is made.

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Root Canals

At Horacek Dental, we do root canals in our offices. Years ago, if you had a tooth with a diseased nerve, you’d probably lose that tooth. Today, with a special dental procedure called a root canal therapy you may save that tooth. Inside each tooth is the pulp which provides nutrients and nerves to the tooth, it runs like a thread down through the root. When the pulp is diseased or injured, the pulp tissue dies. If you don’t remove it, your tooth gets infected and you could lose it. After the dentist removes the pulp, the root canal is cleaned and sealed off to protect it. Then your dentist places a crown over the tooth to help make it stronger.

Most of the time, a root canal is a relatively simple procedure with little or no discomfort involving one to three visits. Best of all, it can save your tooth and your smile!

What does Root Canal treatment involve?
Treatment often involves from one to three visits. During treatment, your general dentist removes the diseased pulp. The pulp chamber and root canal(s) of the tooth are then cleaned and sealed.

Here’s how your tooth is saved through treatment:

  • First, an opening is made through the crown of the tooth.
  • An opening is made through the crown of the tooth into the pulp chamber.
  • The pulp is then removed. The root canal(s) is cleaned and shaped to a form that can be filled.
  • The pulp is removed, and the root canals are cleaned, enlarged and shaped.
  • Medications may be put in the pulp chamber and root canal(s) to help get rid of germs and prevent infection.
  • A temporary filling will be placed in the crown opening to protect the tooth between dental visits. Your dentist may leave the tooth open for a few days to drain. You might also be given medicine to help control infection that may have spread beyond the tooth.
  • The pulp chamber and root canals are filled and sealed.
  • The temporary filling is removed and the pulp chamber and root canal(s) are cleaned and filled.
  • In the final step, a gold or porcelain crown is usually placed over the tooth.
  • The crown of the tooth is then restored.

How long will the restored tooth last?
Your restored tooth could last a lifetime, if you continue to care for your teeth and gums. However, regular checkups are necessary. As long as the root(s) of a treated tooth are nourished by the tissues around it, your tooth will remain healthy.

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Orthodontics

At Horacek Dental, orthodontic treatment is used to correct a "bad bite." This condition, known as a malocclusion, involves teeth that are crowded or crooked. In some cases, the upper and lower jaws may not meet properly and although the teeth may appear straight, the individual may have an uneven bite.

Protruding, crowded or irregularly spaced teeth and jaw problems may be inherited. Thumb-sucking, losing teeth prematurely and accidents also can lead to these conditions.

Correcting the problem can create a nice-looking smile, but more important, orthodontic treatment results in a healthier mouth. That’s because crooked and crowded teeth make cleaning the mouth difficult, which can lead to tooth decay, gum disease and possibly tooth loss. An improper bite can interfere with chewing and speaking, can cause abnormal wear to tooth enamel, and can lead to problems with the jaws.

When should Orthodontic treatment begin?
Malocclusions often become noticeable between the ages of 6 and 12, as the child’s permanent (adult) teeth erupt. Orthodontic treatment often begins between ages 8 and 14. Treatment that begins while a child is growing helps produce optimal results. As a result, children should have an orthodontic evaluation no later than age 7. By then, they have a mix of primary (baby) teeth and their permanent (adult) teeth. Your child’s dentist can spot problems with emerging teeth and jaw growth early on, while the primary teeth are present. That’s why regular dental examinations are important.

How about adults wearing braces?
Children aren’t the only ones who can benefit from orthodontics. If you’re an adult, it’s not too late to correct problems such as crooked or crowded teeth, overbites, under bites, incorrect jaw position, or jaw-joint disorders. The biological process involved in moving teeth is the same at any age. Usually, adult treatment takes a little longer than a child’s treatment. Because an adult’s facial bones are no longer growing, certain corrections may not be accomplished with braces alone. No matter your age, it’s never too late to improve your dental health and beautify your smile.

Can I play sports with while wearing braces?
A protective mouth guard is recommended for sports and other activities that may result in injury to the mouth or jaw. Your dentist can suggest an appropriate mouth guard when the braces are in place. Braces typically do not interfere with playing wind or brass instruments although more practice may be needed to adapt.

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Cosmetic

A smile can be the most eye-catching feature of a face. With dentistry’s many advances, you no longer have to settle for stained, chipped, or misshapen teeth. You now have choices that can help you smile with confidence.

Even the most subtle change in your smile can make a dramatic difference in the way you look and feel about yourself. Talk to Dr. Horacek about the options most suitable for you, what your expectations are and the dental fees involved.

Some options are:

  • Tooth whitening (bleaching) brightens teeth that are discolored or stained. Bleaching may be done completely in the dental office or the dentist may dispense a system for you to use at home.
  • Bonding can improve the appearance of teeth that are chipped, broken, cracked, stained, or have spaces between them. With bonding, tooth-colored materials are applied, or bonded, to the tooth surface.
  • Enamel shaping involves modifying teeth to improve their appearance by removing or contouring enamel. The process, which often is combined with bonding, usually is quick and comfortable and the results can be seen immediately.
  • Veneers are thin custom-made shells designed to cover the front side of teeth. Made of tooth-colored materials, veneers are used to treat spaces between teeth and teeth that are chipped or worn, permanently stained, poorly shaped or slightly crooked.
  • Braces are not just for kids. Orthodontics may be needed if teeth are crooked, crowded or do not meet properly. If your dentist thinks you should see a specialist for treatment, he or she will refer you to an orthodontist.

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Comfort Technology – Nitrous Oxide Sedation

At Horacek Dental, our nitrous oxide sedation is a safe and well-established way to deal with dental anxiety and discomfort. It can be used with patients of all ages. It is a sweet-smelling gas made up of nitrous oxide and oxygen gasses. Though it has a calming and comforting effect, it enables you to be in control and awake through the procedure. This allows you to communicate with us, as needed, throughout the procedure. It raises the pain threshold, usually makes time feel as if it passes more quickly, and can help you if you are anxious or have an overactive gag reflex.

Nitrous Oxide cannot be used if you are pregnant, too young to understand the procedure or if you are uncomfortable with something around your nose. You will be monitored continuously throughout its use and it is best to have an empty stomach or no heavy meals for at least two hours before use. Nitrous oxide is administered through a nasal hood that fits snugly over your nose and is disposable, to reduce the likelihood of cross contamination. These individualized masks are latex free and come in a variety sizes, scents and colors. If you have any questions about this very useful procedure, please ask.

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Contact Info

Horacek Dental
9211 SE Division St
Portland, OR 97266

Phone: 503.254.2068

Office Hours
Monday: 9am - 5pm
Tuesday: 8am - 5pm
Wednesday: 7am - 4pm
Thursday: 8am - 5pm
Friday: 8am - 12pm

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