Dental Services


The providers at Northwest Implants and Sleep Dentistry have over a 100 years of dental experience and are considered experts in their fields. It is through our commitment to excellence and dedication that we maintain the highest level of integrity and care for all of our patients, and address each one's unique and special needs.

Learn more about our services and treatments





Dental Implants


Are missing teeth making your life miserable? Has it become difficult to eat your favorite foods, or are you embarrassed in social situations due to gaps in your smile? If so, dental implants may be able to help you and improve your quality of life. These restorations provide a permanent foundation to support new crowns, and even your existing dentures can be anchored to them to eliminate the need for messy adhesives. Dental implants can dramatically improve your health and confidence by allowing you to regain your beautiful and functional smile.

Understanding Dental Implants

Dental implants are small titanium posts that will be surgically placed into your jaw bone where you are missing teeth. These implants serve as anchors that act like the root for an artificial tooth. After the implants are placed and the bone has had time to heal, the jaw bone will actually fuse to the implants, making them even stronger than a normal tooth. Once the implants have been allowed to heal, replacement teeth can be secured to your implants.

While it is clear that dental implants can be beneficial in improving the function of your mouth, they have also been shown to benefit the existing bone of the jaw. Dental implants can actually prevent further bone loss.

Types of Artificial Teeth Available

When it comes to dental implants, crowns are usually chosen to replace a single tooth, and each prosthetic will attach to a singular implant. In other cases, a bridge may be used to replace multiple teeth, and it may require several implants to provide adequate support.

Full arch prosthetics could be used to replace all teeth in the lower or upper jaw. With this type of restoration, the total number of the implants used will depend on how much bone is available and other factors. An overdenture may be able to attach to a bar, while a fixed prosthetic will be permanent and can only be removed by your dentist.

Dental Implant Candidates

If you are interested in dental implants, it is important to first see if you are a candidate. An evaluation with a qualified oral and maxillofacial surgeon is essential, and you may need to have a special radiograph taken to further examine your condition. We'll help evaluate your unique, individual situation and explain your options.

The Surgical Procedure

Your dental needs are unique to you, so we offer individualized treatment plans for each patient. In some cases, bone grafting may be needed prior to placement of the implants, especially if there isn't enough bone available to properly support the restoration. If you have enough bone or your bone is reconstructed, the implants will be surgically put into place.

After the titanium posts have been implanted, you'll need to wait at least four months so that the bone can fuse to them. In some cases, the gum tissue may grow over the implants, so a procedure may be needed to uncover them before tooth replacement. Temporary dentures may be available during this time, and after your permanent restorations are put into place, the implant itself will be entirely invisible. In total, the procedure will take 6–8 months, but most patients report minimal disruptions to their daily lives.

Surgical Benefits

In some cases, the implants won't need to be placed under the gum line. If this is your situation, a tiny healing cap can be secured over the top of the implant. These implants won't require another procedure to uncover them, but they will still need the entire four months of healing time prior to placing the artificial teeth. In certain situations, a non-restorable tooth may be removed, and an implant placed right away.

Dental implants are complicated procedures, and they will require the skills and expertise of both your general dentist and an oral and maxillofacial surgeon. Our doctors will perform the actual implantation surgery along with extractions and bone grafting, if needed. Your dentist will be responsible for creating and fitting the permanent teeth as well as making any temporary teeth you might need to wear throughout the healing process.

Type of Anesthesia

Both the surgical implant placement and bone grafting can be performed in the office, and general or local anesthesia will be used to keep you comfortable.

Choosing Dental Implants

The more you learn about dental implants, the more you may realize that these restorations can completely change your life. When you lose multiple teeth, whether this is something you've dealt with for years or it is an entirely new situation, it can be difficult to come to terms with the change. Dental implants can open the door to improved self-confidence, allowing you to restore your old eating and socialization habits without feeling self-conscious or worrying about your traditional dentures slipping out of place.

Caring for Your Implants

After your smile has been restored with dental implants, it is important that you keep up a good oral hygiene routine so that your mouth stays healthy. You'll need to floss and brush daily, and you should also follow up with your dentist for regular examinations and cleaning. With proper care, your implants could possibly last a lifetime, making it especially important that you follow your dentist's orders in order to protect your investment.


Teeth in a Day


If dental implants have been recommended for you, but you would rather avoid an extended treatment time, Teeth in a Day are possible.

The unique Teeth in a Day system provides structure and stabilization with the placement of the dental implants, making it possible for you to go home that same day with a new set of teeth. The entire process, including any extractions that may be needed, can be completed in a single day. You'll go home with a fully functional set of teeth that look and feel natural, with minimal recovery time.

Restore Your Smile, Without the Wait
Northwest Implants and Sleep Dentistry will begin with a 3D scan, allowing your provider to view a three-dimensional virtual model of your mouth. This allows your dentist to customize your implant procedure by identifying the exact positions where the implants should be placed in your mouth, while also understanding how the factors of bone quality, implant spacing, and other anatomical structures in your jaw will affect the final set of replacement teeth and their associated implants.

Are Teeth in a Day right for me?

Patients who have the right amount of bone available in their jaw, and who do not need any other adjunctive dental procedures for the success of their dental implant may qualify for Teeth in a Day. After a 3D scan of your head and neck, Northwest Implants and Sleep Dentistry will consult with you to determine whether this course of treatment is right for you.

3D Imaging & Cone Beam Technology

At Northwest Implants and Sleep Dentistry, 3D imaging allows us to better understand the anatomy of your mouth, which is essential before we perform any type of corrective procedure.

By using this state-of-the-art technology, our surgeons will be better prepared to accurately diagnose potential issues and develop the best possible treatment program for you.


Sleep Dentistry/Sedation


Many patients have had traumatic experiences in dentistry or have other anxieties about their treatment. At Northwest Implants and Sleep Dentistry, Dr. Mark Paxton strives to meet your individual comfort needs. For our patients with anxiety, sedation dentistry may be the answer. We offer both nitrous oxide and oral (conscious) sedation as options for our patients.

General Anesthesia Sedation

Some procedures that involve surgery require the patient to be placed under general anesthesia. For some, a trip to the dentist can be a large undertaking filled with anxiety. We understand that not everyone has had great experiences at the dentist and to those individuals we offer general anesthesia. Whatever the reason, general anesthesia is an extremely useful tool to have at our disposal.

How it Works
General anesthesia refers to any form of sedation where a patient is kept in a state of controlled unconsciousness. When put into such a state the brain doesn’t respond to any pain signals that are sent to it. Further, because the patient is unconscious, they do not feel pain. General anesthesia is usually administered through an intravenous (IV) system.

Is it safe?
At Northwest Implants and Sleep Dentistry, we only use sedation forms and techniques that have been approved by the American Dental Association. We have a great deal of expertise in the area of general anesthesia and want your experience with us to be as pleasant as possible.

Receiving General Anesthesia
Before we begin your procedure we will need to gather some information from you on your medical history along with a list of any medications you might be taking. This is a safety precaution that we take very seriously. Administration of the anesthetic comes next, through an IV system. Once the anesthetic is administered it won’t take long at all before you are in a deep sleep.

In this sleep you won’t be able to feel anything and you will be totally unconscious. Upon waking you may be disoriented or slightly nauseous but we will be there to ensure you are as comfortable as possible. Because the effects of general anesthesia can take a few hours to wear off, it is wise to bring someone to your appointment who can bring you home and make sure you are comfortable. We require all GA patients to have an escort present at the time of surgery and to drive them home.

IV Sedation

Intravenous conscious sedation (AKA IV Sedation) is a very popular method of sedation that we at Northwest Implants and Sleep Dentistry offer our patients. IV sedation is extremely popular among patients who have a strong dislike of dental work, because it allows them to avoid anxiety and feel completely at ease while having work done.

What does it do?
IV sedation puts you in a relaxed state of mind but does not put you to sleep. You will remain awake and be able to respond to any requests the doctor may have while you are sedated. Patients often experience partial or total amnesia for the full period of sedation. That is to say, you will not remember most of (or sometimes all of) the procedure. Meanwhile the drugs we use will give you a very pleasant feeling of euphoria.

You will be aware of what is happening while it is happening. You will feel at ease with what is happening. You will be able to respond to our requests during the procedure—all this and you won’t remember a thing!

How does it work?
We do not use narcotics in our IV sedation. Instead we use drugs from the benzodiazepine family. Benzodiazepines work by suppressing anxiety inducing effects in the brain. They do nothing to prevent pain which is why we will always use a local anesthetic during any procedure which might be uncomfortable.

Is it safe?
We at Northwest Implants and Sleep Dentistry only use sedation techniques that have been approved by the American Dental Association. To ensure your safety we will go over your medical history and request a list of medications that you are taking.

The application of the IV is the easiest part, just a small prick around the wrist and in no time the effects of the drug will kick in. You will feel calm and before you know it the procedure will be over. You may remember snippets of the procedure but probably not much. We require all IV Sedation patients to have an escort present at the time of surgery and to drive them home.

Oral (Conscious) Sedation

Oral sedation dentistry allows Dr. Mark Paxton to create a safe and comfortable dental experience for patients who avoid the dentist out of fear.

With sedation, your dentist can work more effectively by helping you become as comfortable as possible using well established and proven methods. There are a variety of sedation medications that are taken orally or "sublingually" (under the tongue). All sedation medicines are administered at our offices, under the care of an assistant.

This type of dental care does require that you have a driver to bring you home from your appointment, as it takes several hours for the medication to completely wear off. For more information about oral sedation at Northwest Implants and Sleep Dentistry, please contact our office today!

Nitrous Oxide

Nitrous oxide is a safe and effective sedative agent that will help you relax. It is mixed with oxygen and inhaled through a small mask that fits over your nose.

Nitrous oxide, sometimes called "laughing gas," is one option we may offer to help make you more comfortable during certain procedures. It is not intended to put you to sleep. You will be able to hear and respond to any requests or directions we may have. Dr. Mark Paxton will ask you to breathe normally through your nose, and within a few short minutes you should start to feel the effects of the nitrous oxide. You may feel light-headed or a tingling in your arms and legs. Some people say their arms and legs feel heavy. Ultimately, you should feel calm and comfortable. The effects of nitrous oxide wear off soon after the mask is removed. Talk to us about whether nitrous oxide would be a good option for you at your next appointment.

For more information, visit www.mouthhealthy.org


Wisdom Tooth Extractions


The wisdom teeth are the third molars, and they are the last teeth in the mouth that will erupt. The first molars tend to erupt at around six years of age, while the second molars will erupt at around age 12. The wisdom teeth typically erupt at around the age of 18, but for many people, the teeth become impacted and don’t actually move out through the gums at all.

The main problem with the wisdom teeth is that most people simply don't have enough room in the back of their mouths for them to fit. When they try to push through the gums, they could cause infection and pain, and they may also cause the rest of your teeth to shift in position. In severe cases, the wisdom teeth could even damage the nearby teeth or result in permanent nerve damage.

Deciding to Remove the Wisdom Teeth

Not everyone will need to have their wisdom teeth removed. In fact, some people have the teeth erupt and align properly, and when the gum tissue is healthy, they can stay in the mouth with no problem. Unfortunately, this is a rare occurrence, and extraction will be needed when the teeth become impacted, meaning they aren't able to properly erupt through the gums. In other cases, they might grow in sideways or only partially penetrate the gums. When teeth are impacted, they can be oriented sideways, at odd angles, or even backwards.

If your wisdom teeth have erupted partially, you can experience some significant problems. A pocket can develop in which food and bacteria are caught, and this can cause infection and severe pain. Symptoms of a problem include pain, stiffness, fever, nausea, vomiting and swelling.

When your wisdom teeth erupt, this pressure can cause the other teeth to move. This can disrupt the natural alignment of the teeth, and if you've had orthodontic work in the past, this movement can reverse any progress that you enjoyed.

Severe problems can arise when the wisdom teeth develop tumors or cysts around them. These conditions are critical and can be extremely destructive, and some patients will need bone grafting or jaw surgery. Fortunately, many of the complications associated with wisdom teeth impaction can be prevented as long as the teeth are removed early.

Examining the Wisdom Teeth

We meet with patients in order to examine and evaluate the state of the wisdom teeth, and we can provide recommendations on whether or not we think your wisdom teeth might become a problem in the future. To do this, we'll need to take a panoramic radiograph and will review the results of your oral evaluation. Research has shown that early intervention will allow for fewer complications following surgery, so we will start evaluating you during your mid-teen years to see how your wisdom teeth are progressing.

When your wisdom teeth are removed, you will typically be sedated so that you can be as comfortable as possible throughout the procedure. All of our surgeons have the specialized licenses, education, training and experience needed to sedate patients, and we’ll use your medical history and unique needs to choose the best method of sedation. As always, we will use your consultation to discuss the procedure and any surgical risks so that you know exactly what to expect when you go to have your wisdom teeth removed.

If your dentist has advised that you get your wisdom teeth removed in the near future, please contact our office to set up your consultation. We will thoroughly explain the surgery so you can fully explore your options for successful removal of your wisdom teeth.


General Dentistry


At Northwest Implants and Sleep Dentistry, we perform a wide variety of services to help you get the smile you deserve. By leveraging today's advanced techniques and technology, your Spokane dentist Dr. Mark Paxton can restore your beautiful smile to help you maintain your youthful appearance. Whether you need to get a tooth filled, have crooked teeth, or need a complete smile makeover, we can offer a treatment plan that's right for you. Click the links below to learn more about some of the procedures we offer.



Restorative & Cosmetic Dentistry

•  Composite Fillings
•  Dental Bridges
•  Dental Crowns
•  Dental Implants
•  Teeth in a Day
•  Dental Inlays and Onlays
•  Tooth Extractions
•  Teeth Whitening
•  Dental Veneers

Preventive & General Dentistry

•  Dental Cleanings
•  Dental Exams
•  Dentures
•  Gum Disease
•  Root Canal Therapy
•  Sealants
•  Technology




Mark C. Paxton, DDS
9911 N Nevada, Ste 120
Spokane, WA 99218


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