Specialized Dental Services
Dentist in North Bend, Oregon and the Coos Bay region, Dr. Lori Lemire, provides high-quality and compassionate specialized dental services for patients of all ages. From pediatric dentistry to implants, we can help with all your oral health needs.
Periodontal disease, also known as gum disease or periodontitis, occurs when the bone and gums around teeth become infected. Gums can become irritated as a result of the bacteria found in plaque, at times turning red, swelling and bleeding easily.
If the condition remains untreated, the gums separate from the teeth, causing spaces (also known as “pockets”) to develop between the teeth and the gums. As periodontal disease progresses, gum tissue and bone that hold teeth in place deteriorate, which leads to tooth loss.
Periodontal disease and decay are both caused by bacterial plaque, the yellowish film that sticks to your teeth along your gum line. If not consistently removed each day, plaque hardens into a rough, porous substance known as calculus (or tartar) which can only be removed during a professional cleaning by a hygienist.
A certain percentage of patients will require a special type of cleaning called “scaling and root planning” or “deep scaling” when pocket depths exceed 4 mm (3mm or less is considered normal). A local anesthetic may be given to reduce any discomfort. The extent of your periodontal disease will determine the number of visits that you will require.
Periodontal disease has been linked to heart disease, diabetes, strokes, low-birth weight in babies, rheumatoid arthritis and increased risk of early mortality. This is why it is important to get treated at the first signs of gum disease.
Periodontal disease can be prevented by thoroughly brushing and flossing your teeth daily, along with regular routine visits to the dental hygienist.
Root Canal Treatment
Root Canal Treatment is necessary when a deep cavity reaches the nerve of a tooth. Multiple fillings on a tooth or trauma to a tooth may also cause the nerve to become damaged and infected. An infected nerve must be treated; it cannot heal on its own.
A root canal is the process to clean out the infected nerve tissue and disinfect the nerve canals of the tooth. The canals are then sealed and filled to prevent any further infection. Once the root canal is complete, a crown may be needed to re-build and strengthen the tooth.
Root canal procedures have the reputation of being painful. Actually, most people report that the procedure itself is no more painful than having a filling placed. The discomfort experienced in the period leading up to a seeking of dental care is really the painful period of time, not the root canal procedure itself.
Dr. Lemire does not do root canals; she refers this procedure to very competent root canal specialists (called endodontists) in our area.
Our oral surgery services mainly involve the extraction of teeth that cannot be restored, are in an unusable position, or do not have room to come into the mouth. Many of these extractions can be performed in our office. For more complex tooth conditions, wisdom teeth or the need for sedation during a procedure, we will refer you to one of the highly qualified surgeons that we work with.
A variety of dental problems are the result of teeth clenching or grinding, also known as bruxism. Symptoms can include sensitive teeth, jaw pain, headaches and ear, neck or shoulder pain.
Teeth grinding can have serious, long-term effects, such as broken, chipped or cracked teeth. Many people grind or clench their teeth at night and don’t even know it. You may wake up with sore jaws, a headache or a toothache. Often bruxism goes undetected until diagnosed by a dentist. If grinding is severe enough, it can cause significant damage.
Bruxism can cause:
- chipped teeth, worn enamel and broken restorations (fillings, crowns and veneers)
- erosion of the teeth causing abfractions (grooves on the side of the teeth)
- bone loss, loose teeth and receding gums
- temperature sensitivity
- TMJ dysfunction causing joint and muscle pain
Based on Dr. Lemire’s examination and diagnosis, one or more treatments may be recommended:
- A custom-made appliance called a night guard worn during sleep
- Reducing high spots on the teeth and adjusting the bite
- A custom fabricated occlusal guard for daytime use
Snoring is a Big Problem! 45% of adult men and 30% of adult women snore regularly – at least a few nights every week. 25% of adults are considered habitual snorers.
The problem isn’t going away. It has a tendency to get worse with age. Many people find that they snore more if they have nasal congestion from allergies or a cold, if they use any alcohol or sedating medications, or if they have put on a few extra pounds.
Snoring affects not only the snorer, but also others sleeping in the house. The snorer, as well as those forced to listen to it, may all experience headaches, fatigue, and concentration problems during the day as well as personal embarrassment. Snoring has widespread health implications including hypertension, depression and cardiac disease.
Many people really don’t know what causes their snoring and don’t believe there is any way to stop it. It can be a helpless feeling when you don’t want to interrupt others in the night but have no way of preventing it.
Snoring comes from the throat. It is caused when your airway becomes partially blocked. When you sleep, you relax. Your muscles and soft tissues in the back of your mouth and throat: the tongue, uvula, upper throat, and soft palate - rub together creating vibrations and noise.
For our patients who have not been diagnosed with OSA but would like to minimize snoring, we can provide a snore guard without a diagnosis from a physician. Custom made snore guards are far superior to the ones you can purchase over-the counter because they are fabricated from impressions of your own teeth and not a “one-size fits all”. Even though our snore guards are highly effective and most of our patients have greatly benefited, we cannot guarantee results.
470 Highland Avenue
Coos Bay, OR 97420
Our office is closed for lunch every day from noon-1:00pm