Smile bigger and brighter after a visit to our dental office in Tacoma, Washington. We provide comprehensive teeth cleaning services, root canals, oral surgery and more! We offer competitive pricing and same-day emergency appointments. Some of the services we provide are:
Keep your pearly whites shining bright no matter what your age! Most people are familiar with the typical dental checkup visit. Our dental hygienist will clean your teeth, do an examination and sometimes take x-rays. Then Dr. Oliveira will check the x-rays and your teeth for signs of decay; check your gums for changes; and check for signs of oral cancer or other diseases. From time to time, however, a more thorough exam will be performed. This is called a comprehensive examination. It includes a thorough look at your entire mouth, head and neck area. Dr. Oliveira will also ask about your medical history, and you will get x-rays if indicated. A comprehensive examination likely will be done the first time you visit our dental office so Dr. Oliveira can become familiar with your health. This will allow him to notice changes or problems more easily during future visits. Our cleanings also provide periodontal involvement, if needed. We recommend that you have your teeth cleaned twice a year. However, if you have periodontal issues, you might need to have your teeth cleaned every three to four months.
To treat a cavity, Dr. Oliveira will remove the decayed portion of the tooth and then "fill" the area on the tooth where the decay was removed. Fillings are also used to repair cracked or broken teeth that have been worn down by misuse (such as from nail biting or tooth grinding). Today, several dental filling materials are available and Dr. Oliveira provides many fillings of choice. Teeth can be filled with porcelain; silver amalgam; or tooth-colored composite resin fillings. The location and extent of the decay, cost of filling material, patients' insurance coverage, and Dr. Oliveira's recommen- dation assist in determining the type of filling best for you. The majority of people choose composite or amalgam fillings. Composites are used for cosmetic improvements of the smile. They can be used for chipped, broken or worn teeth; and are also used for re-shaping disfigured teeth. Composites are particularly well-suited for use in front teeth or visible parts of teeth as shade/color can be closely matched to the existing teeth. We also offer traditional silver-colored fillings (amalgams), which are safe and more affordable. Dental amalgam fillings are strong, which can withstand chewing forces. They typically last 10 to 15 years and usually outlast composites.
Whether you need simple or complex procedures, we provide all types of surgery. One common type of oral surgery is an extraction. An extraction is a procedure in which a diseased, redundant, or problematic tooth is removed, either by pulling or cutting it out. Although permanent teeth were meant to last a lifetime, there are a number of reasons why a tooth extraction would be needed. A very common reason involves a tooth that is too badly damaged, from trauma or decay, to be repaired. Other reasons for pulling teeth are having a crowded mouth, infection or risk of infection. Some dentists shy away from extractions but Dr. Oliveira enjoys this type of oral surgery. In fact, he also removes wisdom teeth! When your child needs a baby tooth removed, Dr. Oliveira can do it while keeping him or her as comfortable as possible. If there appears to be possible complications, we provide referrals.
Going below the gum line might seem like a difficult procedure, but it is commonplace for us. A root canal is a treatment used to repair and save a tooth that is badly decayed or becomes infected. During a root canal procedure, the nerve and pulp are removed and the inside of the tooth is cleaned and sealed. Because a tooth that needs a root canal is often one that has a large filling or extensive decay or other weakness, a crown, crown and post, or other restoration often needs to be placed on the tooth to protect it, prevent it from breaking, and restore it to full function. Without treatment, the tissue surrounding the tooth will become infected and abscesses may form. While some may fear the root canal, it really is no more painful than getting a cavity filled. Signs you may need a root canal include severe toothache pain upon chewing or application of pressure; prolonged sensitivity/pain to heat or cold temperatures (after the hot and cold have been removed); discoloration (a darkening) of the tooth; swelling and tenderness in the nearby gums; a persistent or recurring pimple on the gums; or, sometimes no symptoms are present.
Crowns & Bridges
When teeth are heavily decayed, they may be too weak to survive with just a filling. By placing a crown, a tooth may be given a new lease on life. A crown is used to entirely cover or "cap" a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic, and ceramic. A bridge may be recommended if you are missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders. Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a pontic, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Dr. Oliveira can help you decide which material to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Just like crowns, porcelain or ceramic bridges can be matched to the color of your natural teeth. We use the best dental labs to create our crowns and bridges.
In dentistry, a veneer is a thin layer of restorative tooth-colored material placed over a tooth surface, either to improve the aesthetics of a tooth, or to protect a damaged tooth surface. The veneers are bonded with adhesive to the front of the tooth to fix the look of teeth that are chipped, discolored, misaligned, uneven, worn down or abnormally spaced. Veneers are a cosmetic dentistry procedure that creates a bright, white smile with beautifully aligned, shapely teeth. There are two main types of material used to fabricate a veneer, composite, and dental porcelain. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental laboratory, and later bonded to the tooth, typically using a resin cement. In contrast, a porcelain veneer may only be indirectly fabricated. Porcelain veneers are thought to be more natural looking as they better mimic the light reflecting properties of natural teeth and are known for their abilities to resist stains.
Recontouring or reshaping the teeth is a procedure in which small amounts of tooth enamel are removed to change a tooth's length, shape or surface. The procedure is usually done to improve appearance by creating more harmony or balance in the look of the smile. Recontouring is the most conservative cosmetic treatment. It is a quick and painless procedure whose results can be seen immediately. Recontouring is an effective method to correct minor imperfections, such as fixing small chips; smoothing out bulges or pits in a tooth's enamel; adjusting slight irregular tooth shapes caused by too many or uneven teeth; or adjusting the length of the canines (the pointed teeth on the sides of your mouth).