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West End Dental Inc Reopening
West End Dental is excited to begin seeing patients safely. These are unprecedented times, and we want to reassure you that we have taken every precaution to ensure your safety and wellbeing during your visit.

We are limiting the number of patients in the office in order to maintain appropriate social distance. We ask that you provide your own face mask when in the office, use provided hand sanitizer, and that you come to your appointment alone unless accompaniment is required.

All patients will be screened with a contactless temperature check, pulse oximeter reading, and verbal questionnaire.

We ask that you understand that our provider's time is more crucial than ever and request that you be prompt to your appointment, arriving no sooner or later than your appointment time. Understand that if you cancel your appointment less than 48 hours in advance or are more than 15 minutes late to your visit, we will charge your account a $75.00 non-refundable fee.

Thank you for your understanding and patience during these unprecedented times. Please watch the video below for more information.

Osseous Surgery

Dr. James Krippaehne checking the patient at West End Dental If you are suffering from advanced periodontal or gum disease, Dr. James Krippaehne or Dr. Ida Malmquist might suggest osseous surgery. Osseous surgery, also referred to as pocket depth reduction, is usually recommended when non-surgical treatments such as scaling and root planing have failed to recondition the impacted tissue around your teeth.

Of course, we want to do everything we can to help you avoid surgery, but the best way to do that is to schedule an appointment today so that together we can identify any potential issues that pose a threat to your healthy smile.

Periodontal Disease

According to a 2009 study, 64.7 million American adults over the age of thirty have some form of periodontitis! Both gum disease and periodontitis are defined at their core as the spread of bacteria throughout the gums, causing inflammation and infection. If periodontal disease is not treated, then pathogens can spread, eating away at your enamel, gums, and even the alveolar bone below the teeth pockets.

Osseous surgery becomes necessary when bacteria enlarges the pockets around your teeth by eating away at the soft and hard tissues in your mouth. The alveolar bone, teeth, and gums should fit together tightly. If they do not, then bacteria will spread unchecked throughout the gums.

The Surgical Process

The goal of osseous surgery is to reduce pockets, recontour compromised bone, and remove damaged tissue. Ideally, Dr. James Krippaehne will eliminate infection, remove decay, and prevent potential future damage that would occur if left untreated.


1.  Dr. James Krippaehne or Dr. Ida Malmquist will begin the procedure by applying a local anesthetic.
2.  After the anesthetic has taken effect, Dr. James Krippaehne or Dr. Ida Malmquist will make a small incision into the gum.
3.  The bone and the roots of the tooth will be exposed.
4.  Then, Dr. James Krippaehne or Dr. Ida Malmquist will use manual and powered instruments to gently scrape deposits off of the surface of the roots.
5.  He will also re-contour and trim jagged bone that has been damaged by bacteria.
6.  The tissue will then be sutured to reduce pocket depth.
7.  If damage from periodontitis is extensive, a bone graft or guided tissue regeneration may be necessary before the gums are stitched back together.
8.  We will cover the impacted area with gauze, and send you home to recover.

What Is Bone Grafting?

Sometimes bone grafting is necessary. If it is, do not worry, the process is relatively easy. Bone grafts are made from either synthetic, bovine, or human bone particles to help you. The bone has a powder-like consistency and is mixed with antibiotics. We will gently apply this mixture to the exposed alveolar bone, and then carefully suture the gums back together. Because the graft fools the body into thinking that the bone is broken, it facilitates growth and regeneration. A healthy jaw bone is a foundation for a healthy smile.

After the Surgery

Dr. James Krippaehne or Dr. Ida Malmquist will provide you with post-operative instructions that are specific to you that you will need to make sure to read thoroughly and follow closely.

If you are recovering from osseous surgery, you will typically be asked to do the following:
•  Change gauze pads as needed.
•  Manage swelling with ice-packs.
•  Rinse mouth with salt water.
•  Obtain over-the-counter analgesics to manage discomfort.
•  Follow up after a week.
•  Make sure to follow a well-structured oral hygiene routine.
We believe in educating patients about their treatment options and listening to their questions and concerns.
We focus on prevention so that you keep your smile healthy. We provide excellent comfortable care for all procedures.
Schedule your visit today for cleaning, treatment, or consultation.
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(503) 446-2957

Our address
West End Dental
833 SW 11th Ave Suite 300
Portland, OR 97205

Where to park
Smart park 10th Ave.

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Get off at SW 11th & Taylor
Stop ID 9633

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