DENTAL OVERVIEW
Advanced Regenerative Dentistry
Smiling, talking, chewing, and singing—so much of life depends on a healthy, comfortable mouth. At CARE | Smiles + Skin, we use holistic, biologic, regenerative dentistry to support your natural mouth microbiome, speed healing, and restore strength and brightness to your bite. From gentle wisdom tooth removal and gum surgery to TMJ relief and full-arch dental implants, we work with you to bring your smile back to life—naturally and comfortably.
Fact: 178 million Americans are missing at least one tooth.
Over time this causes bite misalignment, bone loss and the potential for increased medical costs.
SOURCE: AMERICAN COLLEGE OF PROSTHODONTISTS, 2025
PERIODONTAL CARE
Heal inflamed or tender gums and address unresolved periodontal disease before it progresses. Target bone loss around teeth and implants, gum recession, and periodontal pocketing with precise, evidence-based therapy designed to stabilize your oral foundation. By restoring periodontal health, we reduce harmful bacteria, support natural tissue regeneration, protect remaining tooth structure, and create the stable environment necessary for the long-term success and longevity of your dental implants.
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If painful, tender gums are interfering with your daily life and other treatments haven’t helped, experience advanced periodontal laser therapy. Often, periodontal disease goes undiagnosed until it results in tooth loss and this can occur with or without any pain or noticeable bleeding from the gums, especially in smokers/vapers. Using twin-wavelength lasers from Fotona and Deka, our dentistry experts clean and heal infected gums and promote tissue and bone regeneration with unmatched precision and recovery time.
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The American Dental Association recommends getting teeth professionally cleaned a minimum of every 6 months, but the majority of people benefit from more frequent cleanings, especially those with dental implants. Allowing our dentistry team to regularly inspect your mouth and review radiographic images of teeth and bone, enables us to keep your mouth fresh and prevent dental issues before they start.
FULL ARCH IMPLANTS
If you've lost most or all of your teeth, full arch implants can give you back a fixed, natural-looking smile in one coordinated treatment. Using All-on-4 and All-on-X techniques, full digital planning, and biocompatible materials, we replace an entire arch of teeth on just a few implants—restoring your bite, your confidence, and your quality of life.
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All-on-4 and All-on-X replace a full arch of missing or failing teeth with a single fixed bridge anchored on just a few implants. Because the implants are angled to use your strongest available bone, most patients avoid extensive grafting, and many leave their first surgical visit with provisional teeth in place. The final restoration doesn't move, doesn't cover the roof of your mouth, and is removable only by your dentist.
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For patients who want the stability of implants with a more flexible or economical option, implant-retained dentures snap securely onto a few implants instead of resting on the gums. It's a dramatic upgrade from traditional dentures in comfort and confidence, while still being removable for easy cleaning.
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A full arch restoration is only as good as the plan behind it. We combine CBCT imaging, intraoral scanning, and virtual surgical planning to design your new smile before treatment begins, then place every implant with guided accuracy. The result is a process that's efficient, predictable, and built for the long haul.
ORAL SURGERY
From wisdom teeth and difficult extractions to bone and gum grafting, our surgical care is planned with 3D precision and built around a comfortable recovery. We use PRF drawn from your own blood, laser sterilization, IV sedation options, and a conservative approach to medication—so you heal faster, with fewer interventions and less reliance on unnecessary antibiotics.
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Sometimes the healthiest choice is to remove a tooth, whether it's an impacted wisdom tooth or one too damaged to save. We keep removal as gentle and uneventful as possible, preserve the surrounding bone, and use PRF drawn from your own blood to support faster, more comfortable healing—so the site is ready for whatever comes next.
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You shouldn't have to white-knuckle your way through treatment. For anxious patients or more involved procedures, we offer IV sedation and general anesthesia in a carefully monitored setting, so you can rest comfortably while we work. We'll help you choose the right level of sedation and walk you through exactly what to expect.
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Great surgical outcomes start long before the procedure itself. Using cone beam CT and 3D imaging, we map your bone, nerves, and sinuses in detail and plan each step virtually first. That means guided precision, fewer surprises, and a procedure tailored to your exact anatomy.
SMILE ESTHETICS
A beautiful smile should never come at the expense of a healthy one. Our esthetic services—professional whitening, custom veneers, CandidPro clear aligners, and PRF-enhanced filler—bring advanced dental and skin care together for results that look natural and support your long-term health.
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A refreshed smile can be simpler than you think. BIO Bright in-office whitening lifts years of stains in a single visit, custom veneers reshape and perfect, and CandidPro clear aligners straighten discreetly—so you can choose the path that best fits your goals.
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As a true Smiles + Skin practice, we bring facial esthetics into the same regenerative philosophy as our dental care. Soften fine lines and relieve clenching and TMJ tension, while filler restores volume—and pairing both with PRF from your own blood delivers results that look refreshed and natural, never overdone.
SMILE BOOST
A fresh bright smile radiates confidence when you're sharing a laugh or telling a story with friends and family.
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Lifting a few shades from your teeth color removes stains and signs of age from your teeth. Smile with more confidence.
A fresh bright smile radiates confidence when you're sharing a laugh or telling a story with friends and family. Whether you are preparing for a wedding, holiday gatherings, or a professional presentation, lifting a few shades from your teeth color removes stains and signs of age from your teeth. Smile brighter with more confidence.
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Simple procedure and low maintenance make veneers the ideal option for repairing healthy but chipped or irregular teeth. Custom-made, wafer-thin porcelain covers are adhered to the surface of your teeth. We use today’s most accurate digital workflows to create an individualized approach in combination with on time-tested esthetic ratios of ancient traditions.
SMILE REPAIR
Smiling, talking, biting, chewing, and even singing—these essential functions shape your quality of life. Our expert team uses innovative regenerative and esthetic dentistry supported by laser therapy and PRF-assisted healing to repair, strengthen, and enhance your bite with comfort and confidence.
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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
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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.
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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.
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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.
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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.
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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.
SMILE PACKAGES
Whether you’re looking to smile brighter or reduce jaw pain, our team has curated dental packages to ensure the most comfortable experience with the most effective treatments.
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Includes: BIO-TMJ Relief and Botox Injections
Package: $799| What it is |
A fusion of cutting-edge Fotona LightWalker laser therapy and precise injections, designed to nurture your jaw's natural balance. This two-part treatment addresses both the structural and muscular aspects of TMJ concerns, offering a comprehensive path to comfort and renewed function.
| Benefits |
Gentle, non-invasive relief from pain and inflammation
Renewed jaw mobility and freedom from tension
Potential easing of teeth grinding and related headaches
| Treatment |
Your journey begins with a conversation to understand your unique needs. The LightWalker laser encourages healing and reduces inflammation, while carefully placed injections invite overworked jaw muscles to relax. We may recommend a series of sessions to optimize your results, with effects that last for months.
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Package: $499
| What it is |
Reclaim your radiant smile with our transformative in-office LED light-assisted teeth whitening. Lift stains and embrace a more vibrant, self-assured you.
| Benefits |
Stunning results in a single visit
Lasting luminosity (up to a year or longer)
Gentle and impactful, harnessing trusted dental innovation
| Treatment |
We begin with a thoughtful oral wellness check, then apply our professional-grade whitening gel. Activating it with LED light, we'll elevate your smile several shades brighter. The process is soothing, rejuvenating, and personalized to your dream shade.
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| What it is |
More than just a cleaning, our professional teeth cleaning service is a profound act of self-care. Our compassionate team harnesses cutting-edge techniques to gently remove plaque and tartar, polish your pearly whites, and nourish your smile from the inside out.
| Benefits |A brighter, healthier smile that radiates confidence
Proactive prevention of gum disease and tooth decay
| Treatment |
Our caring approach combines deep cleaning, gentle polishing, and nourishing fluoride therapy to leave your smile feeling rejuvenated. We'll also take a holistic look at your oral health, celebrating your progress and compassionately guiding you forward.
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| What it is |
A gentle approach to wisdom teeth extraction that uses IV sedation to help you relax, minimizing anxiety and discomfort.
| Benefits |
Feel deeply relaxed during the procedure
Minimal memory of the extraction process
Quicker recovery than with general anesthesia
| Treatment |
We'll give you IV sedation to help you enter a twilight sleep, along with local anesthesia to control pain. The procedure will feel quick, and you likely won't remember much of it. You'll need a ride home afterwards as you may feel sleepy.
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Package: $1499 (Value: $2490)
Includes: BIO Smooth, Zoom Teeth Whitening, and BIO Préime DermaFacial
| What it is |
Discover a new you with our transformative BIO Confidence Package: a thoughtful blend of advanced treatments to help you look and feel your most radiant. We've combined our gentle laser hair removal, smile-brightening, and a deeply rejuvenating facial to unveil your inner glow.
| Benefits |
Plumper, glowing skin that lasts for months
Silky smooth skin that lasts, no matter your skin type
A brighter stain-free smile in just one visit
| Treatment |
We'll start with the Elysion Pro system for comfortable, effective laser hair removal. Then, we'll lighten stains and polish your smile with our LED whitening treatment. Finally, you'll unwind with our BIO-Preime facial—a soothing fusion of advanced technology and nourishing care.
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1. Schedule a consultation to share your concerns.
This is YOUR opportunity to share your dental and esthetic concerns, express what you’re hoping to achieve, and help us understand how your goals fit into your everyday life.
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2. Co-create a treatment plan to bring your smile to life.
We collaborate with the world’s leading researchers, innovators, practitioners—and with YOU—to reveal a smile and skin that reflect your inner fire.
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3. Begin your regenerative journey in expert hands.
Our mission is to bring you the highest level of science-backed dental and skin care in a space designed entirely around your comfort, goals, and well-being. We’re truly glad you’re here.
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With more than 20 years of experience in the dental field, Azu plays a key role in delivering the compassionate, patient-centered care that defines CARE | Smiles + Skin. As a highly skilled dental and surgical assistant, she supports advanced procedures while helping patients feel informed, comfortable, and confident throughout their treatment journey.
Azu has extensive experience assisting in complex surgical procedures, including dental implant surgery and sedation dentistry. She is certified in both phlebotomy and IV therapy, allowing her to support the clinical team during advanced procedures while maintaining a strong focus on patient safety and comfort.
One of Azu’s greatest strengths is patient education. She takes time to guide patients through each step of their care—explaining procedures, answering questions, and helping them understand their treatment plans. Her calm presence and clear communication help reduce anxiety and create a positive experience for patients undergoing everything from routine treatment to advanced surgical care.
Azu has also contributed to professional education, teaching alongside Dr. Andy Burton at courses across the United States. Through these programs, she has helped train dental teams in surgical assistance, patient coordination, and the clinical systems that support successful implant and surgical practices.
At CARE | Smiles + Skin, Azu helps coordinate treatment and guide patients through their care plans with empathy, precision, and attention to detail. Her dedication to teamwork, patient advocacy, and clinical excellence helps ensure that every patient receives thoughtful, well-organized care from their first visit through treatment completion.
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Born and raised in Hood River, Alondra brings more than a decade of experience in the healthcare field as a dental and surgical assistant, along with a deep passion for advanced esthetic care. Her clinical background gives her a unique perspective on skin health—combining medical precision with an artistic approach to rejuvenation.
Throughout her career, Alondra has developed strong skills in oral surgery assistance and sedation monitoring, working closely with doctors and clinical teams to ensure patient safety, comfort, and smooth surgical care. This experience provides her with a deep understanding of medical protocols, patient monitoring, and the importance of delivering care with both precision and compassion.
Alondra is continually expanding her knowledge and clinical scope. She has traveled across the United States teaching alongside Dr. Andy Burton, helping share advanced techniques and innovations in patient care. She further advanced her esthetic training at the acclaimed Aesthetics Institute in Portland, Oregon, where she refined her skills in modern regenerative and technology-based skin treatments.
In addition to her esthetic training, Alondra has completed phlebotomy training, allowing her to support regenerative and advanced clinical protocols within a physician-led clinical environment. Her healthcare experience and procedural training help ensure treatments are delivered with the highest standards of safety, precision, and patient comfort.
At CARE | Smiles + Skin, Alondra specializes in advanced aesthetic procedures designed to restore healthy, radiant skin. Her treatments include comfortable diode laser hair reduction, intense pulsed light (IPL) therapy for pigmentation and signs of aging, and microneedling to stimulate collagen and improve skin texture. She is known for delivering natural-looking results while prioritizing patient comfort and long-term skin health.
Recognized as one of Oregon’s highly trained advanced estheticians, Alondra combines clinical expertise with a warm, welcoming approach that reflects the CARE philosophy—where science, technology, and personalized care come together to help every patient look and feel their best. ✨
Your Smile Revitalization Team
Your smile is your story to tell. Our dentistry and esthetics team is just as passionate about staying connected to industry-leading techniques as they are about your health and recovery.
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A world-class dental implant surgeon—and also the kind of person you’d gladly kick back with in the shade by a river—Dr. Andy Burton brings a rare blend of mastery, humility, and heart to every patient he serves. His drive comes from growing up in a community where many went without the care they needed, where a healthy smile was a luxury rather than a given. Seeing that early shaped his calling. It instilled in him a commitment to alleviate suffering, restore confidence, and make advanced care accessible to real people with real stories.Guided by that purpose, Dr. Andy has become a leading innovator in the holistic care of facial structures, oral health, and tissue regeneration. His work spans the full landscape of smile restoration—from implant surgery to biologics-driven healing—and is grounded in the belief that a renewed smile has the power to awaken someone’s inner spark and reconnect them with the abundant, joyful parts of life.
Today, he is one of only eleven Board-Certified Dental Implant Specialists in Oregon and among just 650 worldwide, a distinction that represents dedication to the highest standards of competence, ethics, and continued learning. His professional credentials—DMD, DABOI/ID, FAAID, and FADII—reflect a career built not only on technical excellence but on compassion, curiosity, and an unwavering commitment to doing right by every patient who walks through the door.
Whether he’s restoring a full arch, treating long-standing pain, or helping someone finally smile without hesitation, Dr. Andy’s approach remains the same: advanced care, delivered with humanity.
Prepare for a Successful Dental Procedure
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