Diagnostic

• Dental Examination
  We walk you to your consultation and treatment room where your dentist or hygienist will walk you through your comprehensive exam, procedure, or hygiene wellness visit. Our team truly focuses on thorough, open communication so nothing is missed and your experience feels seamless.
• X-rays
• Oral Cancer Screening
  Development of oral cancer is on the rise. When detected in the early stages, most oral cancers respond very favorably to treatment. The risk of developing oral cancer increases five times with smoking, two and half times with excessive alcohol use and thirty-two times in the presence of a persistent HPV (Human Papilloma Virus) infection.

Preventive

• Teeth Cleaning
  All of our hygienists are well trained to perform a thorough teeth cleaning. Our team removes the plaque and tartar from your teeth and then polishes them to remove stains and smooth the tooth surface. In addition to hand-held hygiene techniques used by our skilled hygienists, ultrasonic devices deliver targeted treatments to hard to reach areas. These devices deliver ultrasonic vibrations to crush and move calcified deposits of calculus.
• Fluoride Treatment
  American Dental Association (ADA) recommends fluoride treatments based on your risk for developing cavities. Our team evaluates if your risk for cavities is low, moderate, or high, based on criteria outlined by the ADA.
• Dental Sealants

Restorative

• Fillings
• Veneers
• Crowns
  A crown, or “cap,” is generally required when a significant portion of a tooth has been destroyed by decay, trauma, or excessive wear. Crowns can also be used for cosmetic purposes to improve your tooth’s color, size, and shape.
• Bridges
  The process for removal is simple. Your caring dentist carefully numbs the area (we offer sedation for more nervous patients), the tooth is rocked in the socket so it is loosened, and then it is pulled out. The socket is then covered with a gauze to prevent bleeding and infection. After the procedure, we will discuss restorative options such as a dental implant or dental bridge, if necessary.
• Dental Bonding

Endodontics

• Root Canal Treatment
  Reflection Dentistry, we like to be different, so we use modern technology and advanced skill to make your root canal pain-free. Our restorative dentist makes sure you are comfortable at all times and can offer sedation options if required.

Periodontics

• Periodontal Surgery
  When gum disease or soft tissue problems have developed beyond the realms of oral hygiene maintenance, a gum surgeon can help restore your health. Through deep cleanings and gum contouring, common cosmetic and restorative complaints can be fixed. Very often laser dentistry is employed to produce more precise and effective results, with a faster recovery time.
• Deep Cleaning

Prosthodontics

• Dentures
  When you have a missing tooth, dental implants could be the ideal answer. An implant mimics your tooth’s natural root and is surgically placed into your jaw bone by a trained oral surgeon. The surgeon assesses the ideal placement and ensures a solid foundation for the implant. Afterward, our restorative dentist places a dental crown or denture on top of the implant to restore your smile.

Implants

• Dental Implants
  Dental implants have become the preferred standard of care when replacing missing, damaged, or deformed teeth. Reflection Dentistry is Tumwater’s top choice for dental implants. We utilize the latest in guided implant technology by using a Cone Beam CT scanner.

Oral and Maxillofacial Surgery

• Oral Surgery
  Along with his required courses, he took electives in oral radiology, pharmacology, and third molar impaction extraction with oral surgery. Dr. Cramer is dedicated to continued dental education as well as giving back to the community. Inspired by his eldest daughter who has special needs, he started and continues to lead a non-profit organization called Rainy Day Ranch Therapeutic Riding Center ( rainydayranchtherapeutic.org ) which is focused on providing therapeutic riding for children and adults with special needs.
• Gum Surgery
• Tooth Extractions
  An oral surgeon who has attended additional years of dental school performs most of these treatments. However, wisdom tooth and regular tooth extraction can be performed in our Reflection Dentistry office. Our knowledgeable dentist is able to gently and precisely remove teeth that are negatively impacting your oral health.

Orthodontics

• Orthodontics
• Invisalign Orthodontics
  Invisalign® treatment uses a series of virtually invisible, removable, and comfortable aligners that allow you to smile more during treatment as well as after. Invisalign® clear aligners are made with 3D computer imaging technology and have proven effective for thousands of patients. More than 70% of orthodontists in the US and Canada are certified to administer Invisalign® treatment.
• Braces
  Love it here! Friendliest bunch of people I have ever met! As Miss Yelm's Outstanding Teen, they didn't even hesitate to sponsor me so that I could participate in Miss Washigton's Outstanding Teen. Such lovely people and I'm so grateful for the care they provide. I know my teeth are going to be stunning when they take my braces off!!

General

• Teeth Whitening
  Our in-office whitening procedure involves the application of a peroxide-based product and utilizes a high-intensity light or laser to enhance the whitening. The solution strength can vary from 15-35% carbamide peroxide gel and is applied several times, rinsed off and reapplied, getting teeth up to eight shades lighter in less than an hour.
• General Dentistry
  Academy of General Dentistry recommends seeing the dentist for a check-up and cleaning at least twice a year. Your Tumwater dentist may recommend you visit more often depending on your specific situation and risk of disease. Some conditions such as diabetes, heart disease, or pregnancy may require more frequent cleanings to keep you and your mouth healthy.