Reconstructive Dentistry in Portland
Reconstructive Dentistry for Worn, Damaged or Failing Smiles
When one tooth breaks, it may need one restoration. When teeth across the mouth are worn, chipped, missing or repeatedly failing, the more important question is why the breakdown is occurring. Aesthetic Smiles approaches complex restorative dentistry by planning the teeth, bite, jaw function and aesthetic endpoint together.
Our Portland practice works with patients who have extensive previous dentistry, generalized tooth wear, bite collapse, missing teeth, repeated fractures, cosmetic concerns or a treatment plan that feels too complicated to approach one tooth at a time.
Who May Benefit From A Comprehensive Restorative Evaluation
- Generalized worn or shortened teeth
- Repeatedly chipped, cracked or broken teeth
- Crowns, veneers or fillings that frequently fail
- Multiple missing teeth or complex implant-restorative needs
- Loss of bite support or changes in facial/dental proportions
- TMJ symptoms or bite instability alongside restorative needs
- A combination of cosmetic, orthodontic and restorative problems
- A desire for a second opinion before committing to extensive dentistry
Why Planning Comes Before Porcelain
Extensive restorative dentistry should not begin with a material choice. It should begin with diagnosis and design. We evaluate the condition of the teeth and gums, existing restorations, tooth wear, bite relationships, jaw function and the patient’s aesthetic goals. Depending on the case, orthodontic movement, periodontal treatment or a reversible stabilization phase may be recommended before definitive restorations.
Treatment May Include
- Full-mouth rehabilitation
- Crowns, onlays or other restorative treatment
- Porcelain veneers when appropriate
- Implant restorations and bridges
- Orthodontics / clear aligners before restorative treatment
- Periodontal or gum treatment
- Provisional restorations or bite-stabilization phases
- Myoaligner® in selected cases where a reversible phase-one approach is clinically appropriate
If you are tired of repairing the same problems one tooth at a time, request a comprehensive restorative consultation at Aesthetic Smiles.
What Patients Say After Their First Diagnosis
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This is not your average dental office, this is Aesthetic Smiles. I won't go anywhere else. Recently had a much needed deep clean done at AS. I appreciated her attention to detail so much! She made sure I would walk away with a future for healthy gums and a better smile. I am so thankful for the work she did, and for all the work AS has done for me so far.Mindy
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Great staff and Dr. Tennant is knowledgeable, empathetic, approachable, and relatable.Craig Zanon
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My treatment here made a big difference in my overall quality of life.Ritika Saripalli
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The staff is so nice.Shari Young
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Very friendly and professional. They always do good work.John Blyler
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The inlays she created to take in and out so you can correct your bite are cutting-edge technology.Judy Masterson
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After a few years of work I can breathe better, I no longer get jaw pain and my teeth are straight.Samantha Alt
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Great staff and great services.Madison Maixner
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The knowledge and capabilities they possess, along with their eagerness to help, make for great treatment!ClDl SolshineGrowing
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Always the best and fun too, but still very professional.Matt Voegtle
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Always the best of professional service.Joe Glomboski
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Seriously, this is the best dentist ever! They are beyond thorough, competent, and friendly.Suzie Gannett
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They make going to the dentist a pleasure.Joanne Moutoux
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I can not say enough good things about Dr. Motlagh and her entire staff.Jackie Snook
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Very relaxing environment and quality job.Stephen Fenzi
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I had weekly headaches until I had an orthotic fitted. They went away!Evan Komp
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They do a great job.Laurie King
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The treatment is non-invasive, using the latest technology.Miriam M
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So passionate about their work and create a caring and comforting atmosphere!Rachel Arnold
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This is the best experience I have ever had with a dentist and dental practice!Emma Kintz
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Her and her staff do an amazing job and are very caring!wanda briggs
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Caring and professional group!Eric Kaczmarek
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The quality of work, atmosphere, amenities, and staff are as good as it gets.Dick Capello
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Their standards of care are extremely high and the final result always exceptional.Greg Pressler
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They regained my trust in dentistry and I look forward to my appointments now.Jamie Nadherny
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They are absolutely wonderful and make you feel very comfortable.Corie Parker
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They make you feel so comfortable and make your experience a pleasant one every time!Vanessa Benedetti
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Even after moving across town I come to Aesthetic Smiles, her work is impeccable.Kelly Rees
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When I left, I felt like I was much more informed and prepared for my dental future.Lyndsay Gomez
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They are helpful, thoughtful, attentive, and they listen to you!C Loescher
AND MORE CONFIDENT SMILE. Request Appointment
Professional Partnerships
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Myoaligner -
VIVOS -
Airway Health Solutions -
International College of Cranio-Mandibular Orthopedics (ICCMO) -
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