(360) 831-0831
8700 NE Hazel Dell Ave
Vancouver, WA 98665-8067
We're open and doing our best to reach out to all patients. If you haven't heard from us, please reach out by contacting our office.

Our Dental Services
Vancouver, WA

Our staff has extensive training in the dental arts. This makes us uniquely qualified to offer a large number of dental services to our patients. Though we are best defined as a general dentistry, we offer much more than you might expect. Click below to learn more about some of our available services:

▶ Oral Hygiene

Oral Hygiene
Vancouver, WA

At Alder Dental, we stress the importance of good dental oral hygiene. There are multiple important facets to taking care of your teeth. First and foremost, brush and floss your teeth daily. This is the most important step to maintaining a reasonable amount of oral health. The next and equally important step is scheduling professional cleanings by a licensed dentist or hygienist at least twice a year.

What can I expect at my dental cleaning?

At Alder Dental, we are happy to clean and educate our patients on the best techniques to care for their teeth. With specialized tools, education and training, our hygienist will:
•  Clear away any plaque that has built up on the surface of your teeth. Plaque forms naturally from saliva and food debris, it is filled with bacteria and if left on your teeth will cause decay and gum disease.
•  Clear away tartar from the surfaces of your teeth. Tartar, also known as calculus, is the same bacteria filled plaque that has hardened on the teeth. Its removal requires special tools and procedures. You do want this removed, tartar below the gum line will lead to gum disease.
•  Clean the surface stains that develop from normal use by brushing with a rotary brush and a gritty toothpaste. This is known as polishing.

Deep Cleanings

Many of our adult patients may receive the recommendation of having a deep cleaning done due to gum disease being present or past periodontal treatments. Dr. Alder will review your past dental history and identify any issues you may need treatment for.

If you would like more information on dental cleanings, contact Brian Alder, DDS, at our Vancouver, WA office. (360) 831-0831

▶ Exams

Dental Examinations
Vancouver, WA

Woman smiling after her dental examination at Alder Dental in Vancouver, WA
Creating a relationship with Dr. Alder by scheduling regular dental examinations will help you retain a healthy smile. At these appointments we will both detect and prevent health issues before they become serious, the sooner we catch them, the better. Seeing our patients frequently allows our team at Alder Dental to compare x-rays and note changes as they occur. Ignoring problems only allows small treatable problems to become worse. Worse problems require larger and more expensive procedures to repair.

What can I expect at my dental exam?

Dental examinations generally include screening for the following:
•  Gum disease, gingivitis, or any signs indicating infection
•  Oral cancer screening, we check for signs of lumps or lesions
•  Indications of tooth decay
•  Measure the gum pockets and track their changes
•  X-rays are used to look for any hidden problems

Dental exams should be thought of as part of your annual medical checkup, your oral health is an important part of your medical health, and your mouth says a lot. For more information on a dental exam with Brian Alder, DDS, contact our Vancouver, WA office at: (360) 831-0831

▶ X-rays

Digital x-rays, also known as radiographs, are an extremely important dental tool at Alder Dental. X-rays help Dr. Alder spot problems that are hidden or invisible to the naked eye. With this tool, he can find decay in cracks and crevices, cavities, signs of infection indicating gum disease, lumps or masses—both malignant or benign, and any bone loss.

At Alder Dental, we can help you maintain a healthy mouth. By detecting problems before they grow into larger problems you are protecting your teeth and saving yourself both pain and money.

Digital Versus Traditional X-rays

Dr. Alder knows that digital x-rays offer many advantages from traditional x-rays. Though both types offer the sources that we need, the advantages are clear.

Digital x-rays:
•  use image capturing software, allowing us images with immediate access
•  allow images to be seen on a large screen in the room with the patient
•  allow images to be enlarged
•  offer images that are incredibly clear with a very high resolution
•  allow us to save the images in a file under your name on our computer system, so it is never lost
•  allow us to email these images to another dentist or oral surgeon at your request
•  use significantly less radiation than traditional x-rays, around 75% less

At Alder Dental, we have found digital x-rays to be a huge advancement in the world of dentistry. We are excited by how digital x-rays have changed our relationship with our patients. Our office is available to answer any questions you have about them. For more information about digital x-rays, contact Brian Alder, DDS, at our Vancouver, WA office. (360) 831-0831

▶ Crowns

Dental Crowns
Vancouver, WA

Rendered image of a dental crown at Alder Dental in Vancouver, WAWe all want healthy, strong teeth but if your teeth have been broken, fractured, decayed or you have had a root canal, Alder Dental can provide you with a new set of crowns to create a brighter, whiter smile. Crowns completely cover your tooth so the surface of your smile is returned to its natural, beautiful shape and size. With a crown (or a cap) you can protect your smile from fillings or other more expensive, painful restorations. Crowns promote a tooth's longevity, structure strength and your overall comfort.

New Technology Equals Better Crowns

At Alder Dental, we have a variety of crowns to meet your needs and match your smile seamlessly. We have all porcelain crowns, which are easily the most aesthetically pleasing option but are best used towards the front of the mouth. We also offer porcelain crowns that have been fused to metal. These crowns are based in metal but baked in porcelain so that your teeth appear appealing and natural while being provided with the strength that they need. Porcelain fused to metal crowns can be used in any part of your mouth without the stress of how it will look if they are seen. Finally, we offer gold crowns for your back teeth, where they are less likely to be seen. Gold crowns tend to be the most comfortable crowns available because they match the shape and size of your teeth naturally. In addition, your gums and tissues accept gold crowns easily, which means your recovery time is minimized.

The Ins and Outs of Dental Crown Treatment

When you come in for a dental crown procedure, we will break up the process into two, quick and painless appointments. In your first appointment we will take impressions of your teeth. These impressions will be used to mold a custom, temporary crown to fit your smile perfectly. We will leave this temporary crown on for about two weeks while we design your permanent crown in our dental laboratory. Once the permanent crown comes in, we will remove the temporary crown and replace it with the permanent crown.

During both procedures, we will numb your tooth, ensuring your ultimate comfort and ability to stay pain free throughout the appointment. While the tooth is numb, we will get the tooth ready for a crown by gently removing decay that may have set in. We will also reshape the surface of your tooth so the crown will fit on smoothly. Your temporary crown will be applied with temporary cement. We may ask you to bite down so we can see whether or not you are biting naturally and are comfortable while doing so.

Two weeks later you will arrive for your second appointment. During this appointment your temporary crown will be removed. We will smoothly wash away any residue off of your tooth before we move on to the final, exciting step of adding your new crown. The custom crown will be added to your tooth with care and accuracy so you can enjoy a comfortable, natural bite.

If you have any questions regarding dental crowns and how they can benefit you, call our office at (360) 831-0831.

Crowns are used to:

•  Restore a fractured tooth
•  Restore a tooth severely damaged by decay
•  Protect a tooth from fracture (particularly if tooth has cracks or has had a root canal)
•  Cover a discolored or unattractive tooth
•  Cover a dental implant
•  Anchor dental bridges

▶ Bridges

Dental Bridges
Vancouver, WA

When you have a couple of missing teeth it can cause a lot of embarrassment as well as discomfort. Instead of living with those issues, one of the options you have to restore a tooth is a dental bridge. It can help to restore your smile, plus it can help to keep your teeth from shifting out of place. If you want to have a smile that you can be proud of because it looks and feels great, then a dental bridge may be the ideal solution for you.

Basics of Getting a Dental Bridge

A dental bridge is a simple dental appliance. It is a series of teeth replicas meant to cover a gap of missing teeth. On either end, you will find a dental crown. These crowns go over your existing teeth that surround the gap we are trying to fill. Where the gap exists, you will have a false tooth where the original tooth once was. If you have a couple missing teeth in that gap, we are able to replace them all at once. When we place the bridge, you can immediately see and feel the benefits to having a dental bridge.

Perks of a Dental Bridge

The biggest perk of having a dental bridge is its ability to fill in that gap. The restoration of your smile gives an instant confidence boost. You will also notice your ability to chew foods normally is restored. This means you can go back to eating the foods you love, instead of settling for the foods you could manage with teeth missing.

A dental bridge will hold your teeth in their original places instead of allowing them to shift out of place due because of the gap. This means you won’t have to go through the experience of your teeth painfully shifting into an uncomfortable location, causing pain when you bite and chew, and even when you simply close your mouth to rest your jaw.

Finally, when you get a dental bridge, you will also have the perk of not causing extra harm to your teeth. Biting down around a gap puts uneven pressure on the remaining teeth. Instead of hurting those teeth more, your bridge will even out the pressure between your teeth. This will help you chew like normal, and take the extra pressure off of the surrounding teeth.

If you want to get a dental bridge, come in and speak with us. We here at Alder Dental are committed to helping restore your mouth to full functionality. Plus, we will look over your mouth and do what we can to help prevent future issues. Don’t live with the pain and embarrassment that a missing tooth can cause. Find out how to alleviate that pain by getting yourself a dental bridge by contacting us today at (360) 831-0831!

▶ Sealants

Dental sealants will make a significant difference in the health of your, and your children's teeth. This is a wonderful product that we use at Alder Dental. They protect your teeth from decay and could extend the life of your teeth because you are protecting them. Working as a shield, sealants seal your teeth, protecting them from food particles, debris and bacteria. Dr. Alder can protect your molars with dental sealants.

Our youth patients often have a more difficult time keeping their teeth clean. They are still learning good habits and the best way to care for their teeth. Dr. Alder can help protect their teeth while they are learning with dental sealants. Dental sealants will protect teeth from plaque and bacteria, and you will have a significant reduction in decay and dental problems.

What is a dental sealant?

A dental sealant is an application of a plastic material that is safe for your teeth. Dr. Alder applies it using a small brush. This is a painless procedure that does not require pain reliever. Dr. Alder uses the brush to literally paint the sealant product onto the teeth. The sealant will dry hard and should last several years. Dr. Alder will check the status of your sealants during your regular dental exams.

Are sealants just for children?

No, at Alder Dental, we recommend sealants for:
•  Our patients under the age of 18
•  Our adult patients who have continuous problems with decay
•  Our patients who request treatment

By taking care of your teeth, with daily home care, regular dental checkups, and dental sealants, you can help your children maintain healthy teeth during their growing years, and this puts them on a good oral care path for their future.

If you have questions about dental sealants and would like more information, contact Brian Alder, DDS, at our Vancouver, WA office. (360) 831-0831

▶ Gum Disease

Gum Disease (Periodontal Disease)
Vancouver, WA

Gum disease is an infection of the periodontal tissues that surround and support your teeth. This is a common disorder in the United States right now, that about 50% of Americans are dealing with. Though common, it is an issue, and something that needs to be combated for optimum dental health. Dr. Alder, along with his dental team, including a highly skilled dental hygienist, can remove the bacteria that is causing the infection and help promote healing.

Do I have gum disease?

It is easy to have the early symptoms of gum disease and be unaware of it. Gum disease is frequently painless. Some symptoms you may see include:
•  Your gums bleed easily when brushing or flossing
•  Your gums are swollen, red or tender
•  You have noticed that your teeth appear longer because your gums have pulled away from the teeth
•  Notably having a persistent bad taste or bad breath issues
•  A feeling of permanent teeth seeming loose or shifting
•  A noted change in your bite or the way your teeth fit together
•  Changes in how your dental appliances, dentures or bridges fit

How did I get gum disease?

Gum disease is caused by plaque. Plaque is a naturally created film that is made up of saliva mixed with food debris, including sugar, and this mixture creates a haven for bacteria. As plaque rests on the bottom rim of your teeth, this bacteria rages. Brushing twice a day removes plaque and helps protect your teeth. If left, with time, plaque hardens and becomes what is known as calculus. Calculus is difficult to remove and should be done by a hygienist. Bacteria left on the teeth will dip between the teeth and gums and cause your gums to become infected.

There are many known factors that can increase your risk of developing gum disease, this includes smoking, pregnancy, and diabetes. It is important to visit Alder Dental if you suspect you have gum disease because the sooner you treat it the better

What are the stages of gum disease?

The early stage of gum disease is called gingivitis.

With gingivitis, your gums may seem irritated, they will be red, swollen and bleed easily. Many of our patients think that it is normal to bleed when flossing or brushing, this is not true. At this stage, the disease is reversible and can usually be eliminated by a professional cleaning at your dental office, followed by daily brushing and flossing.

As gum disease advances, this is called periodontitis.

Your body will not heal periodonititis by itself. It is not in your best interest to ignore this issue. Chronic periodontitis will evolve to damaging effects, including the loss of the tissues and bone that support your teeth. Left untreated, periodontitis will continue to become more severe with time. Patients with advanced periodonititis will begin to feel their teeth become loose and shift around in your mouth.

Having aggressive periodontitis is highly destructive to your dental health, and it can occur in patients who may be otherwise healthy. Common features include tooth loss, the rapid loss of tissue and bone resulting in the need of partial or full dentures.

How do I recover from gum disease?

The best care for gum disease starts at home. Brushing and flossing twice a day is the most important way you can slow down the progress of gum disease. It is also necessary to schedule regular dental cleaning and exams. Our dental hygienist will perform a dental cleaning to remove plaque from the surface of your teeth and any calculus that has formed. If necessary, she may recommend a deep cleaning, which is a more involved cleaning that goes below the gum line through a process called scaling and root planing. If Dr. Alder finds it necessary, an anti-bacterial rinse may be prescribed.

For more information on gum disease and how we can help strengthen the tissues that support your teeth, contact Brian Alder, DDS, at our Vancouver, WA office. (360) 831-0831

▶ Oral Cancer Screening

Your screening will consist of careful examination all areas of your mouth including:
•  Lips
•  Tongue
•  Palate
•  Gum tissues
•  Cheek lining

But I don't smoke, do I need to worry?

Smoking does increase your chance of developing oral related cancers, but there are other factors. Studies show that 25% of oral cancer patients are not related to smoking. Oral cancer can be a serious situation. Your health matters to us. Dr. Alder knows that catching signs early could save your life.

How can I spot signs of oral cancers?

Frequently, we find that our patients are aware of what is normal for their body. The best way to spot irregularities is to keep an eye out for changes, they might be early warning signals. The general rule we follow is that if you see anything that is new, painful, or irritated, and doesn't go away after a month of careful watching, come see Dr. Alder, who can refer you to an oral and maxillofacial doctor.

What are you looking for during the screening?

Oral cancer screenings are fast and painless. With a simple tongue depressor and scope, Dr. Alder will look for:
•  Open sores that have not healed with time any lumps in your neck
•  Changes in the color or texture of soft tissues
•  Experiencing difficulty in swallowing
•  tenderness or pain, anywhere in your mouth, ears or throat

We are happy to answer your questions about oral cancer. For more information, contact Brian Alder, DDS, at our Vancouver, WA office.
(360) 831-0831
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At Alder Dental, we have incorporated an orofacial cancer screening as part of every routine dental exam. Mouth related cancer is not a highly common form of cancer but it is as common as cervical cancer. This is a visual inspection in which Dr. Alder will look for anything unusual or abnormalities that appear questionable. Lumps, lesions, or sores could be a sign of a cancerous or precancerous condition. In this event, Dr. Alder would simply recommend seeing your physician for further examination.

▶ Children's Dentistry

At Alder Dental, we offer services for the entire family. We are proud to serve our young patients and want to work with parents to set children on the right path toward caring for their dental health. We hope to establish a feeling of comfort with your child; studies have shown that when children are comfortable with their dentists, they are likely to maintain oral care throughout their lives. We also hope to educate children and adults alike on proper home techniques and discuss creating healthy habits.

Cleanings for Kids

Three kids smiling after getting dental treatment at Alder Dental in Vancouver, WAScheduling regular professional dental cleanings are important to your child's dental health as well as daily brushing and flossing. We will show your child the specialized tools using kid-friendly language to show them each step, working to reduce fears and pique curiosity. Their dental cleanings will include:
•  Removing plaque
•  Removing tartar
•  Remove stains with polishing
•  Discuss brushing and flossing tips
•  Encourage healthy food habits

Kids Dental Exams With Dr. Alder

Meeting with Dr. Alder for regular examinations will help us detect and prevent health issues in your child's mouth before they become serious. We ask to see your child at least twice a year. Dr Alder wants to help your children catch problems when they are small and easier to treat. If problems are missed or ignored by parents, the problems will only continue to grow.

Examinations for your child generally include:
•  Digital x-rays
•  Visual inspection of entire oral cavity for anything unusual
•  Examination of head, neck, cheeks, and lips for anything unusual

Dental Sealants

At Alder Dental, we encourage our young patients to receive dental sealants. Dental sealants protect teeth from cavities, serving as a barrier between bacteria and your child's teeth. With sealants, we are seeing more and more children reach adulthood having never experienced a cavity.

For more information on caring for your children's teeth and how we can help, contact Brian Alder, DDS, at our Vancouver office. (360) 831-0831

▶ Mouth Guards

Dentist handing a patient a sports mouth guard at Alder Dental in Vancouver, WAWhen playing sports we frequently wear protective gear. Most parents couldn't imagine their children not wearing helmets, knee pads or shin guards when engaging in sports related activities. We all know that proper protective gear is very important for safety. At Alder Dental, we agree.

The most most missed piece of protective gear is the dental mouthguard. Almost half of all injuries associated with sports and outside activities involve the face. At Alder Dental, we can customize a mouthguard to fit your mouth, it will be comfortable because it is made to fit your mouth and it will significantly decrease the possibility of injury to the teeth, lips, cheeks, and can even reduce the severity of concussion by taking some of the impact when hit.

Does my sport require a mouthguard?

Some sports obviously require mouthguards, coaches for sports like football, hockey or boxing know the obvious benefit of mouthguards. Additional sports, including baseball, lacrosse, bicycling, and skateboarding would also benefit from mouthguards, but is not generally discussed by their leagues or coaches.

How can Dr. Alder help?

Dr. Alder knows that your face is an important part of your aesthetics and that protecting your natural teeth is always best. It's better to be safe than toothless! Dr. Alder, along with the American Dental Association recommend mouthguards for any adult or child who participates in any recreational activity that could pose the risk of injury to the mouth.

Why should I get a customized mouthguard?

The most simple answer of why you should have a customized mouthguard is so you will actually wear it. Store bought mouthguards come in a one size fits all style. They are cheaper, but the type of plastic can range in comfort, and the sizing is often bulky. Dr. Alder can help ensure that the comfort and fit is right for you.

How do I take care of my mouthguard?

To get the full benefit of protection, we recommend wearing your mouthguard every time you play sports or engage in rambunctious activities. We recommend keeping it in your bag or in your car, anyplace that would go with you to play. Your mouthguard does require some care.

We recommend the following:
•  Never chew or bite on your guard
•  Contact us if there are any holes or tears
•  Contact us if the plastic has thin spots
•  Keep your mouthguard clean with rinsing
•  On occasion, brush your mouthguard with a toothbrush
•  Keep your mouthguard in the container provided
•  Avoid placing it in direct sunlight

We are happy to answer your questions about Sports related oral injuries and mouthguards. Contact Brian Alder, DDS, at our Vancouver, WA office for more information. (360) 831-0831

▶ Bruxism

Dentist handing a patient a mouth guard to help treat their bruxism at Alder Dental in Vanvouver, WAAt Alder Dental, we can help our patients reduce the effects of bruxism with the use of a nightguard.

What is bruxism?

Bruxism is a condition associated with subconsciously clenching or grinding your teeth, most commonly while sleeping. This condition will damage your teeth with moderate to severe effects. These effects include:

•  Flattening of the surface of your teeth
•  Cracks or fractures in your teeth
•  Exposing the inner layer of your teeth known as dentin
•  Wearing the enamel of your teeth away
•  Making your teeth susceptible to bacteria finding passage to the pulp of your teeth

How can Dr. Alder help?

Dr. Alder can help repair the damage done from clenching or grinding and fit you with a customized nightguard.


To protect your teeth, we can custom make a dental device that will fit in your mouth and shield your teeth while you sleep. This device is made from plastic, and by having Dr. Alder customize it, you can ensure a comfortable fit.

For more information on bruxism, clenching or grinding your teeth and nightguards, contact Brian Alder, DDS, at our Vancouver, WA office. (360) 831-0831

▶ Sleep Apnea

Man snoring in need of sleep apnea treatment at Alder Dental in Vancouver, WAWaking up in the morning feeling rested and refreshed is a great feeling. However, for many Americans, this feeling seems elusive. No matter what time you go to bed, you wake up feeling exhausted, like you never went to sleep at all. Sleep apnea is a common condition that causes poor sleep night after night. This condition not only affects the quality of your sleep, but it can also affect your mental, emotional, and physical wellbeing. If your life is being impacted by sleep apnea, Alder Dental can help.

What is Sleep Apnea?

Sleep apnea is a condition that affects your breathing while you sleep. Normal sleep consists of several cycles. For sleep to restore your body, it needs to go through all of these cycles. When you have sleep apnea, your normal sleep cycles are interrupted. Sleep apnea causes you to stop breathing for several seconds, several times a night. Every time you stop breathing, you wake up, even if you are completely unaware, and your body needs to restart its sleep cycles all over again. Sleep apnea ranges in severity from mild, breathing stops 5 to 14 times per sleeping hour, to severe, where you stop breathing 30 or more times per sleeping hour. Because of this, you find yourself waking up in the morning often feeling more tired than when you went to bed.

There are a few different types of sleep apnea. Obstructive sleep apnea occurs when the airway becomes blocked. Central sleep apnea occurs when there is a miscommunication between the brain and the muscles that control breathing. Complex sleep apnea is a mixture of the two. Over time, sleep apnea can have serious consequences on your mental, emotional, and even your physical health. Eventually, you could be faced with issues such as hypertension, heart disease, diabetes, weight gain, and more.

Sleep Apnea Symptoms

Even if you don’t know that you are continually waking up while you sleep, there are several symptoms that can point to sleep apnea. One of the most common symptoms is snoring. Unless you have been told you snore, however, you may be completely unaware that it happens. There are also several other symptoms that can present themselves. These symptoms include such things as excessive daytime sleepiness, falling asleep during the day, trouble concentrating, forgetfulness, irritability, trouble controlling emotions, and difficulty making decisions.

Sleep Apnea Treatments

Before receiving treatment for sleep apnea, it is important that the condition be diagnosed. We can help to identify and diagnose the issue and can determine the best treatment options for your specific situation. Treatments for sleep apnea often vary based on the severity of your condition. Mild sleep apnea treatments may consist of changes in sleep position, elevating your head, opening your nasal passageways (using nasal strips, saline, or a nasal dilator), or exercise and weight loss.
For moderate to severe sleep apnea, other interventions may be required. A sleep expert may need to be consulted. A CPAP (continuous positive airway pressure) machine may be recommended. This machine uses a nasal mask to deliver positive air pressure while you sleep. Supplemental oxygen may be needed. We can also help with an oral appliance. This device is similar in appearance to a mouth guard. It is a custom fit device that sits over your top teeth and is designed to hold your jaw in proper alignment. In doing so, it prevents your lower jaw, and your oral tissues, from sliding backward, keeping your airway open.

With proper treatment, your sleep apnea can be managed, and you can finally get the restful sleep you need to restore your mind and your body. For more information, call Alder Dental at (360) 831-0831 today!

▶ Extractions

Comic of a tooth being extracted at Alder Dental in Vancouver, WAThe extraction of a tooth is the procedure of removing a tooth from its socket, generally due to being badly damaged from decay or fracture. Dr. Alder is able to improve the health of your mouth by removing teeth that are beyond repair and helping to restore function and promote the retention of bone.

Why are teeth extracted?

•  When a tooth is severely decayed
•  Due to advanced periodontal disease
•  A tooth is fractured in such a way that repair is impractical
•  The tooth is positioned in such a way that it impacts other teeth, including your wisdom teeth
•  The tooth is non-functional

How are teeth extracted?

Dr. Alder removes teeth within two categories, either non-surgically or surgically.

•  Non-surgical is the pulling of a tooth in one clean piece. This means that Dr. Alder was able to grasp the tooth with his dental tools and cleanly pull the tooth from the socket. This is generally a quick removal.
•  Surgical is the pulling of a tooth piece by piece, sometimes requiring the cutting of gums to get each piece out. This is a more complicated removal procedure, requiring more time, and may be more uncomfortable for the patient. This is due to a tooth being fractured or decayed and breaking apart with the pressure of pulling.

What can I expect after my extraction?

Following your tooth extraction you may experience several of the following symptoms including:
•  Bleeding
•  Moderate to severe discomfort or pain
•  Oozing and soreness in the jaw

We will send our patients home with care instructions following their extraction.

For more information on dental extractions, contact Brian Alder, DDS, at our Vancouver, WA office.
(360) 831-0831

▶ Root Canals

Model of a healthy tooth at Alder Dental in Vancouver, WASometimes patients come to us with pain or after noting a bubble that has formed on their gum. These symptoms may be signs of infection requiring endodontic treatment, also known as a root canal. Dr. Alder can help. Using digital x-rays, he is able to see what cannot be seen with the naked eye. If repair is needed, Dr. Alder can remove the infection and, in most cases, save your tooth from extraction.

When is a root canal needed?

Root canals are needed when the pulp of the tooth has become infected.

Our teeth are comprised of layers. The hard layer you can see is the enamel, below that layer is another hard layer called dentin. Below the dentin is the soft portion of your tooth known as the pulp. The pulp is a blend of various materials including blood vessels, nerves, and connective tissue. The pulp creates your surrounding hard tissues during development, but is no longer needed once the tooth is fully developed.

The removal of the pulp and the bacteria that is causing the infection is known as endodontic treatment.

What is endodontic treatment?

Endodontic refers to the inside portion of our teeth. Endodontic treatment is the treating, or repair of the inside portion of our teeth.

Why would I need an endodontic procedure?

Dr. Alder recommends Endodontic treatment when the pulp has become infected. Infection inside your tooth will not heal on its own, treatment is needed to save the tooth from extraction.

Model of a tooth needing a root canal at Alder Dental in Vancouver, WA

How did the pulp of my tooth get infected?

Infection can arise from a variety of causes. All that is needed for infection is for passage of bacteria to the inside of your tooth. This could occur from a deep cavity or decay, repeated dental procedures on the same tooth, or a crack or chip in the tooth. Additionally, an impact injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks.

What will Dr. Alder do to remove the infection?

To remove the infection, Dr. Alder will use a drill to gain access to the pulp. He will then remove the pulp, and the bacteria along with it. He will fill the now empty space with a medicated rubber material, and then cover the space with a filling material. Depending on the placement of the tooth, and the extent of damage, Dr. Alder may recommend a dental crown to protect the remaining portion of the tooth.

Are root canals painful?

What our patients may not understand is that endodontic treatment does not cause pain, but relieves it. Dr. Alder relieves the pain of infection that is already brewing. At Alder Dental, we will help make you comfortable with one of several pain relieving options.

For the first few days following treatment, many patients report feeling tooth sensitivity, especially if there was pain or infection before the procedure. Over the counter pain relievers should be able to alleviate any discomfort.

For more information on root canals and endodontic treatment, contact Brian Alder, DDS, at our Vancouver, WA office. (360) 831-0831

▶ Dentures

Vancouver, WA

At Alder Dental, we are able to replace many or all of your teeth with dentures. Dr. Alder is happy to discuss the many options available to you when you have few or no remaining healthy teeth. Dentures are a big deal, a life changing decision. We can make it easier.

To improve the fit and feel, you will want a base to attach the dentures to. Without it dentures can be an uncomfortable change. Dentures will never feel like your own teeth, but we can help you be comfortable and provide the function needed. Ask about the options available, including All-on-4 and implant anchored dentures.

What exactly are dentures?

Dentures are a prosthesis consisting of false plastic teeth set in a pink base made to mimic your gums. Traditionally, they were designed to be held in place with an over the counter adhesive. This type of denture is removable. Dentures allow the patient to regain ability to eat and speak, though it will take some practice and patience. Full dentures provide more benefits than having no teeth, but they will never feel like natural teeth. You will have to use a certain amount of caution with the variety of foods that you are able to eat. Learning how to navigate your new dentures is a difficult transition.

Ask Dr. Alder about implant anchored dentures. By attaching your dentures to a strong post, it will offer you significantly more freedom and comfort.

What are implant anchored dentures?

By anchoring your dentures to dental implants, we are able to provide you much more comfort. Implants are posts that are attached to your jaw, providing a very strong base. For you, this means that your dentures are placed permanently, no adhesives, no worries. You may even find yourself forgetting that you have dentures.

We are happy to discuss dentures and the options available to you. Contact Brian Alder, DDS, at our Vancouver, WA office for more information. (360) 831-0831

▶ Cosmetic Dentistry

Woman smiling after getting cosmetic dental treatment at Alder Dental in Vancouver, WAAt Alder Dental, our dental team can transform your smile, make it more functional, and give you a look that will make you want to smile. There are procedures that are easier than you think. Advancements in cosmetic dentistry are fast and furious, they have opened windows that may surprise you.

Dr. Alder has treatments in various amounts of cost, including some very cost effective treatments that will improve your confidence and give you that radiant and healthy smile you want. Let Dr. Alder show you how he can make a significant difference in your smile.

Our cosmetic services include:

•  Teeth Whitening, both in office and at home treatments available
•  Cosmetic Bonding to repair chips, gaps and cracks
•  Dental Veneers to give your teeth an even, straighter, whiter appearance
•  Crowns to provide strength to weakened teeth
•  Bridges to fill the gaps of missing teeth
•  Dentures to replace many or all of your teeth

We are happy to sit with you and discuss our cosmetic dental procedures and how we can help. Contact Brian Alder, DDS at our Vancouver, WA office. (360) 831-0831

▶ Dental Implants

Dental Implants
Vancouver, WA

At Alder Dental, we are able to replace missing teeth using a metal device called a dental implant. An implant is a strong, permanent substitute for a tooth root which we then place a dental crown on top of. There are many advantages to this replacement tooth structure that Dr. Alder would love to discuss with you.

What is a dental implant?

A dental implant is a metal device made from titanium. We like titanium because it is a biocompatible metal, meaning it is safe to be used in surgical procedures. Our tissues are able to integrate with titanium making a strong bond and creating a strong base.

Dental Implants resemble what we think of as a screw. This surgical screw is placed directly into the jawbone by Dr. Alder. To do this, he first needs to locate strong bone. If it is unavailable, he is able to discuss a bone graft. With sufficient bone, Dr. Alder continues to prepare the site by opening the tissue and creating the space necessary to place the implant. The implant is placed and the area is sutured closed. After the area has had time to heal, a dental crown is placed and you are able to use it with full normal function.

Do dental implants replace just one tooth at a time?

You may be surprised what we can do with dental implants. You can have one or multiple teeth replaced. We can place one or two and then create a bridge of false teeth between them. We can even place an entire arch of false teeth with four dental implants. There are many ways dental implants can create a much healthier, and full set of teeth for you.

Typical reasons for dental implants:

•  To replace one of multiple missing teeth
•  To create a permanent, strong root base for a false tooth
•  To maintain a healthy bone density
•  To support a dental prosthesis

Dental Implants have improved significantly over the years. The success rate of implants today exceed 95% and are known for having a smaller failure rate than any other dental procedure. Dr. Alder will help you determine if dental implants are a good tooth replacement option for you. As always, caring for your mouth with proper brushing and flossing will maximize the longevity of your new dental implant.

Contact Brian Alder, DDS, at our Vancouver, WA office for more information. (360) 831-0831

▶ Whitening

Teeth Whitening
Vancouver, WA

Two young women drinking coffee and smiling after having their teeth whitened at Alder Dental in Vancouver, WAAt Alder Dental, we can whiten and brighten your teeth using a simple, easy and non-invasive dental treatment. This treatment will enhance the color of your natural tooth enamel, lighten stains, and give your smile a whiter and brighter look.

Whitening your teeth is a cosmetic dental treatment that can greatly improve your aesthetics. There are several ways to whiten teeth. What are the differences? All whitening products contain varying amounts of peroxide. Below is what you can expect from the application of different products:
•  Store bought products generally contain 3% peroxide
•  At-home whitening kits prescribed by Dr. Alder, contains from 3% to 20% peroxide, based on your need

Tooth whitening is not permanent. A touch-up may be needed once a year or more often if you smoke and/or drink coffee, tea, or wine.

Why do patients come to us for teeth whitening?

•  To remove streaks from flourosis
•  Stains from daily use
•  Stains due to specific medications
•  Yellowed teeth or brown stains from coffee or smoking

What does tooth whitening involve?

At Home Teeth Whitening with the assistance of Dr. Alder usually requires two office visits. At your first appointment we will create customized trays that will fit comfortably, then together, we will determine the starting shade of your teeth so we can monitor your progress. Dr. Alder will prescribe the peroxide solution he feels is best for you. With your whitening tools in hand, you will wear the trays daily for the prescribed amount of time and number of days.

For more information on teeth whitening, contact Brian Alder, DDS, at our Vancouver, WA office. (360) 831-0831

▶ Veneers

Dental Veneers
Vancouver, WA

A Dental Veneer is a thin piece of durable porcelain. It is shaped to fit your tooth, or the shape you want your tooth to have. Dr. Alder bonds the veneer onto the face of the tooth providing you a look of perfection. Our patients love veneers because they can completely change the look of your teeth and your smile. We can use veneers as an alternative to dental crowns or caps, making them the ideal solution in treating many cosmetic dental conditions for your front teeth. As with most dental restorations, veneers will need replacement but should last many years, they are very durable.

As with most dental restorations, veneers may someday need replacement; however, they are still very durable and will last many years, giving you a long-lasting, beautiful smile.

Our patients come to us for veneers because:

•  They want a clean, uniform look
•  There are gaps
•  A tooth is chipped
•  A tooth is crooked
•  A tooth is longer or shorter then the others
•  A tooth is badly stained

What is the process for getting porcelain veneers?

Dental veneers require at least two office visits to complete. Your teeth are prepared to allow for the thickness of the veneer. Dr. Alder will need to permanently alter the natural tooth for this process. He will shape the natural structure in an irreversible way. Next, a mold of your teeth will be taken and together, you and Dr. Alder will select a color to match your other teeth.

Custom Veneer Placement

At your second office visit your teeth will be cleansed with a specialized cleaner helping your tooth and veneer achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a blue light beam is used to harden and set the bond.

You will receive care instructions for your veneers. Proper brushing, flossing and regular dental visits will aid in the life of your new and beautiful veneers.

We would love to help you dramatically change the look of your teeth with this simple procedure. For more information on dental veneers, contact Brian Alder, DDS, at our Vancouver, WA office for more information. (360) 831-0831

▶ Composite Bonding

Composite Bonding
Vancouver, WA

At Alder Dental we are able to significantly improve the look of your teeth. Composite bonding is used to make simple repairs on your teeth. Known by other terms including aesthetic bonding, or adhesive bonding, Dr. Alder can make small repairs using composite filling for a strong, durable fix.

What is composite filling?

Composite filling is the same material that is used to repair cavities because of its ability to adhere to enamel and dentin. Made using a mixture of quartz and a resin material, this composite is shaded to match the color of your teeth, and provides a strong hold.

What can you repair with bonding?

Composite fillings can be used to:
•  Repair chipped teeth
•  Fix gaps
•  Fill cracks
•  Repair discoloration
•  Add length to even out teeth
•  Change the shape of your teeth

At Alder Dental we frequently use composite filling to repair front teeth. This process is much more cost effective than other repair methods including dental veneers or crowns. We find aesthetic bonding to be a great solution which is a cost efficient and fast, though temporary, fix. Composite bonding does not have the same life span veneers or crowns and it will not offer the same strength, but is a wonderful alternative when needed.

We are excited to show you how we can make a difference with composite. Contact Brian Alder, DDS, at our Vancouver, WA office for more information. (360) 831-0831

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Call for an Appointment:
(360) 831-0831
8700 NE Hazel Dell Ave,
Vancouver, WA 98665-8067