SMILE REPAIR
Rebuilding function, comfort, and confidence. Naturally.
Smiling, talking, biting, chewing, and even singing—these essential functions shape your quality of life. When teeth are damaged, missing, or causing pain, the effects reach far beyond the mouth. Smile Repair is our most comprehensive set of services, bringing together regenerative and esthetic dentistry, laser therapy, and PRF-assisted healing to repair, strengthen, and enhance your bite with comfort and confidence.
Every treatment here shares the same foundation: 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.
Align Teeth with Clear Aligner Therapy
Invisible, accelerated teeth straightening with CandidPro® Clear Aligners—transform your smile in as little as four months.
Clear aligner therapy gently guides your teeth into their proper position, in harmony with your jaw joints and chewing muscles. Straightening isn't only about appearance: proper alignment sets your entire chewing system—joints, muscles, teeth, gums, and jaw bones—up for lifelong health and protection. The result is a stunningly beautiful smile that also functions the way it was designed to.
Financing options available.
Remove Teeth | Extractions & Wisdom Teeth Removal
When a tooth is beyond repair or doesn't have room to function properly, 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 the surrounding bone and tissue, and speed your recovery.
Whether you're facing a severe tooth infection, an impacted wisdom tooth, or a dental injury, our team guides you through every step with clarity, comfort, and exceptional care—so the experience feels far less daunting than you might expect.
Replace Teeth with Dental Implants
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. Implants don't just fill a gap; they help preserve the bone and bite alignment that missing teeth put at risk.
Implant dentistry brings together three ADA-recognized specialties—Prosthodontics, Oral and 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.
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.
Regenerate Tissue | Bone & Gum Grafts
General Oral Surgery
rom 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 regenerate a strong, 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 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 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 regrow protective gum tissue. Our expert team employs today's most advanced soft-tissue grafting techniques that not only replace missing gum tissue but also stimulate the regrowth of your existing tissue.
Prevent Pain & Anxiety | IV Sedation Services
Dental care can feel overwhelming—and you are far from alone in that.
Our mouths contain thousands of sensory receptors, and the close, detailed nature of dental work—combined with past negative experiences—can heighten anxiety for many people. 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 treatment easier if you:
Feel nervous or anxious about dental care
Have a fear of needles
Experience a strong gag reflex
Are extra sensitive to local anesthetics (common in people with red hair)
Are having a procedure—such as implants, grafts, or tooth removal—that calls for complete relaxation
Create 3D Imaging & Digital Workflow
Repairing your unique smile starts with truly understanding the structure beneath it.
We use advanced three-dimensional imaging of your jaw, teeth, and face so that 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.
