Invisible, accelerated teeth straightening with CandidPro® Clear Aligners. Transform your smile in as little as 4 months. Clear aligner therapy allows for the gentle movement of teeth to properly position them in harmony with the joints and chewing muscles. This sets the entire chewing system (joints, muscle, teeth, gums, jaw bones) up for lifelong health and protection, plus it results in a stunningly beautiful smile. Financing Options Available

Align Your Smile Now

When a tooth is beyond repair or doesn’t have room to function, expert removal is often the healthiest choice. At CARE | Smiles + Skin, you benefit from advanced training, modern technology, and biologic techniques that meet the highest standards typically found in major medical centers and large metropolitan clinics—right here in the Gorge.

We provide gentle, biologic-focused extractions supported by laser sterilization and PRF-assisted healing to reduce inflammation, protect surrounding bone and tissue, and speed recovery. Whether you’re facing a severe tooth infection, impacted wisdom tooth, or dental injury, our team guides you through every step with clarity, comfort, and exceptional care.

Help Starts Now

Restore function to your bite and the light in your smile with our skilled, compassionate team. Using advanced imaging, biologic techniques, and precise surgical planning, CARE provides everything from single-tooth implants to full-arch solutions and overdentures—while strengthening the long-term health of your bone and gum tissue.

Implant dentistry is the combination of three ADA-recognized specialties (Prosthodontics, Oral Maxillofacial Surgery, and Periodontics). Dr. Andy is a board certified Implant Specialist through the American Board of Oral Implantology (ABOI), a distinction held by only about 650 clinicians worldwide. His expertise brings major-medical-center–level training and precision directly to the Gorge, ensuring your care is both advanced and deeply personal.

Restore Your Smile

Your regenerative oral surgery experts in Hood River. The muscles, bone, and gum tissues around your bite do far more than help you talk and eat—they shape your face, support your smile, and influence your long-term oral health. When these structures are lost to infection, injury, periodontal disease, or long-standing tooth loss, rebuilding them becomes one of the most complex challenges in dentistry.

At CARE | Smiles + Skin, Dr. Andy’s deep understanding of the tissues and structures that create your unique smile—combined with his advanced training in biologic and regenerative techniques—allows us to restore bone and gum tissue that many believe is impossible to repair. Using platelet-rich biologics, laser-assisted healing, and precise 3D-guided surgery, we help regenerate the foundation your smile depends on.

These procedures require exceptional skill and experience, which is why patients across the Gorge choose CARE for their most delicate and advanced oral surgery needs. With a focus on natural healing, facial support, and faster recovery, we bring the highest standards of regenerative care directly to our community.

| General Oral Surgery |

From traditional tooth extractions to complex sinus lifts, our team has the tools and expertise to help your mouth feel healthy and bright. When bone loss in the jaw occurs, bone grafting procedures are used to regenerate a strong and healthy jaw before implants or tooth replacement with bridges or dentures.

| Laser Surgery |

The future is now. Benefit from the unmatched precision and regenerative healing benefits of advanced laser dentistry using both the Fotona Lightwalker and DEKA CO2 lasers. With this technology our team is often able to perform soft tissue oral surgeries, such as frenectomies, without using a scalpel or sutures. When combined with traditional methods, laser therapy is the most effective approach for halting and reversing periodontal disease in a regenerative manner.

| Soft Tissue Grafting (Gum Grafting) |

When gums recede due to genetics, misaligned teeth, or destructive bite forces grafting procedures are used to regrow protective gum tissue. Our expert team employs today’s most advanced soft tissue grafting techniques that not only replace missing gums but also stimulate existing tissue regrowth.

Book Now

Dental care can feel overwhelming for many people. Our mouths contain thousands of sensory receptors, and the close proximity of dental procedures—combined with past negative experiences—can heighten anxiety. To ensure your comfort, our team exceeds ADA requirements and is certified to provide the safest form of moderate IV sedation, creating a calm, pleasant “twilight” state throughout your procedure.

For those who need deeper support, we also collaborate with top anesthesia groups to offer in-office general anesthesia, bringing hospital-level care directly into our practice when needed. Sedation can make dental treatment easier if you feel nervous, have a fear of needles, experience a strong gag reflex, are extra sensitive to local anesthetics (common in redheads), or if your procedure—such as implants, grafts, or tooth removal—requires complete relaxation.

Book Now

Repairing your unique smile starts with truly understanding the structure beneath it. We use advanced three-dimensional imaging of your jaw, teeth, and face to ensure every diagnosis and treatment plan is precise, safe, and long-lasting. Our team combines CBCT imaging (Cone Beam Computed Tomography) to assess bone density and critical anatomy with 3D intraoral scans and 3D facial scans to evaluate alignment and overall harmony.

To elevate this even further, we integrate powerful AI technology that helps analyze these images for faster, more accurate diagnosis and personalized smile design options. This blend of 3D imaging and intelligent software allows us to create care that fits your biology, your facial structure, and your long-term oral health. 

Start Creating Now