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Cosmetic Dentistry

Cosmetic Dentistry

Power Bleaching, Lightening Teeth

Porcelain Crowns, Bridges, Inlays & Veneers

Lava All-Ceramic Crowns & Bridges

Zirconia Crowns, Bridges, and Implant Posts

Digital Color Matching

Personalized Dentures, Hidden Anchors

Silver vs. Composite, Porcelain and Gold for fillings

Invisalign Orthodontics

Implant Dentistry

What is a Dental Implant?

Dental Implant Placement is easier thank you might think

Dental Implants,

Affordable Mini-Implants

Implants to Anchor Dentures

Implants to Replace Teeth

Mini Implants

What if you have your Teeth Extracted?

Healing Dentures Placed After Extractions

Advances in 3D Implant Design

General Dental FAQs
Dental Emergencies, Toothache, Swelling, Broken Teeth, Injury

Occlusal Guards for clenching and grinding

Economics of Oral Health

Oral Surgery

Sensitive Teeth, Sensitive Fillings

Acid in Food and Beverages Can Harm Your Teeth

How Often Do I Need a Cleaning?

Gum Disease & Heart Disease

Occlusal Guards for Clenching & Grinding

Information for New Patients

New Patient Information Forms (PDF)

Free Sonic Toothbrushes or Power Bleaching for New Patients

Floss to Live Longer - Really!




8615 NE Hazel Dell Avenue, Vancouver, WA  98665

(360) 574-7477


Oral Surgery

Wisdom Teeth - We like to leave wisdom teeth in place if they are not going to erupt, or if they are cleansable and functional enough to aid chewing.  However, wisdom teeth that cause discomfort, swelling, or infection should be considered for removal.  Pericoronitis is a common inflammatory condition of wisdom teeth.  We remove most wisdom teeth at our office.  Most wisdom teeth can be removed with local anesthetic alone.  Some patients prefer nitrous oxide sedation or oral sedation with Valium.  Some phobic patients desire intravenous sedation or general anesthesia, and we can refer to appropriate clinics for these services.  Please be aware that intravenous sedation and general anesthesia present certain risks, and you should study these carefully as you make your decisions.

Extractions - We value every tooth, because every root that carries chewing function deep in the jaw helps to spread the stress of chewing around.  Extraction of a single functional tooth causes a greater burden for remaining teeth, and when enough teeth are missing, stresses can cause fractures in remaining teeth or break down of supporting bone and gums.  Nonetheless, there are teeth that should be removed, because they are not restorable, or they are very loose from gum disease or trauma.  We use very conservative methods for gentle removal of teeth, and work hard to insure your comfort during and after the procedure.  We also make sure you understand all of your choices before removing a tooth.  Last but not least, we make sure you have something to smile with during transitional periods of care.

Immediate Dentures - Patients usually require immediate placement of complete or partial dentures at the time of extraction of multiple teeth.  We like to make interim dentures in advance, so the patient can smile and chew later in the day after extractions.  The gums and jaw bone begin remodeling and shrinking right after extraction, so we invite patients to return for soft linings inside the dentures to make up for such changes.  It usually takes three to four months to for the body to complete remodeling of the jaw after extractions, and that is a good time to start dentures, bridges, or implants that are intended to last for a long time.

Implants We place and restore implants in our office. Patients are surprised at how good they feel after implant surgery, which is usually less traumatic than extractions.


Appointments & Hours


Office Directions

Reviews from Patients

Portrait of Keith W. Collins, DMD

Keith Collins,  DMD

Dr. Collins graduated from Oregon Health Sciences University in 1978.  In addition to caring for patients in private practice, he has enjoyed lecturing and contributing to dental journals.  In 1995 he co-directed the AAID Implant Maxi-Course at OHSU. 


Click here for more info on Dr. Collins.


Click here to "Meet Dr. Collins" on YouTube.


Click here to see Dr. Collins work with the American Dental Association and the Partnership for a Drug Free America on YouTube. 


Click here to see the meth mouth story Dr. Collins produced with Inside Edition.


The information provided on this site is to help educate patients, and is not intended as a guide for self-diagnosis or treatment.  Please rely on your dentist for diagnosis and treatment of oral conditions.


Dental Humor & Anecdotes


Send mail to with questions or comments about this web site.
Copyright 1995-2013, Keith W. Collins, DMD    Last modified: October 31, 2014.