Dental Services

Mukilteo Teeth Whitening, Dental Implants, Veneers

Jennifer Voke, DDS Total Facial Esthetics, offers a full array of cosmetic dentistry services to help you create a satisfying smile. You can read more on this page about specific services.

Facial Esthetic Services include:


Advanced Procedures

A dental implant is the ideal treatment option to replace a missing tooth. A well placed implant will last a lifetime. Natural bone tends to rapidly deterioate when a tooth is lost and attached roots are removed from the bone. Implants are capable of slowing and halting this destructive process while restoring lost function. An implant is a small titanium screw which is surgically implanted into the bone and allowed to integrate in the bone. The bone grows around it forming a tight connection. Once the implant is firmly set in the mouth, and anchored into stable bone (could take up to 6 months) the patient can then have a custom crown fabricating that fits perfectly over the titanium abutment/shaft.  Implants are a permanent, esthetic, and functional solution to replace lost and missing teeth. Bridge work pales in comparision when comparing durability and maintainability. Implants closely mimick natural teeth in their ability to preserve surrounding bone from resorbing and they do not rely on adjacent and  surrounding teeth for support. When one factors in the difficulty in maintaining and properly cleaning a fixed bridge it further proves that implants are the most reliable and healthy way to permanently replace missing teeth and preserve existing bone levels.

Root canal treatment (also referred to as root canal therapy or endodontic therapy) is necessary when a cavity is deep enough to invade/contaminate the pulp and subsequently infect the blood supply and nerve of the tooth. Deep cavities and deep fillings &/or or trauma to a tooth may cause the nerve to be damaged to the point it needs root canal therapy. Once the pulp becomes infected it can progress through the root tips and cause an abscess deep in the surrounding bone. Infections involving the nerve and pulp of the tooth must undergo root canal treatment as the infection cannot heal on its own. The tooth must have enough healthy supporting tooth structure remaining for the root canal treatment to be successful. If the infection is left untreated and continues to spread it can lead to a systemic infection and weaken the entire immune system. This is dangerous, not to mention very painful. Symptoms of a dental infection may include sensitivity to hot/cold or sweets, pain, swelling, pain to biting or pressure, and a bad taste in the mouth. Ironically, it is possible to have an advanced dental infection yet never experience any symptoms.

Root canals sound scary and get a bad rap but are truly amazing and remarkable procedures that can get a patient out of excruciating pain as well as save a tooth from needing to be extracted. Root canal treatment can be thought of as a very deep filling which extends deep inside the tooth and into the roots. Once the infection is resolved, the canal(s) are filled and sealed with a  soft rubber-like material called gutta-percha. Usually a crown and build-up (large filling) is necessary to protect and increase stability of this compromised tooth. Once the blood supply and nerve are removed from a tooth through root canal therapy the tooth tends to become brittle and prone to fracture. A build-up and crown are the only way to ensure the tooth can resume full function in the mouth.

A fixed bridge is a way to replace a missing teeth by utilizing crowns on existing adjacent teeth and permanently attaching them to a false tooth (crown portion) which sits just above the gums at the sight of the missing tooth. The missing tooth on the bridge is called a pontic and looks similar to a tooth colored marble. The porcelain crowns which attach on either side of the pontic and anchor onto the existing natural teeth are called abutments. For example, if one desires replacement of a single missing tooth by means of a fixed bridge it would be referred to as a 3 unit bridge with 2 abutment teeth and 1 pontic. Multiple missing teeth can potentially be replaced by means of a bridge if the existing teeth are healthy enough to act as stable abutments. Bridge work is as much an art as it is an exact science. The materials used may be gold alloys, porcelain bonded to metal alloy, or all ceramic material. The choice of material depends on requirements for strength, wear, and/or esthetics.

It is important to have a game plan in place to replace missing teeth as soon as possible to prevent excess bone loss and bone resorption. It is my professional opinion that replacing missing teeth with implants is far superior to fixed bridge work due to the fact that an implant can be cleaned and maintained in a way very similar to a natural tooth. There is nothing natural about a fixed bridge especially when it comes down to keeping it clean. It takes a lot of patience, time, and dedication to maintain a bridge for a long period of time. The bacteria have too many places to hide and fester over time ultimately leading to the failure of the prosthesis. An implant tends to be more predictable and can last a lifetime while preventing bone loss abd resorption which occurs naturally when any tooth is lost. Unfortunately if the missing tooth is not expediently replaced with some sort of space holding prosthesis, i.e. bridge, implant, removeable partial denture, etc. you will start to see the adjacent existing teeth begin to shift toward the space where the missing tooth used to reside. This kind of movement can negatively change the bite, wreak havoc on the TMJ joints, contribute to the progression of gum disease, and quickly sabotage a beautiful smile. Teeth are dependent on their neighbors for support, and the loss of just one tooth can have a domino effect setting off a chain reaction of unwanted movement and unnecessary problems. . 


Multiple factors contribute to the overall health of your teeth and beauty of your smile. The 3 components I focus on during a new patient evaluation is the health of the teeth, health of the gums and surrounding tissues, and health of the bite. A healthy bite is one where the biting forces are straight up and down parallel to the long axis of the roots of the teeth. A very small portion of the population has an "ideal bite". Most of us have a tooth or two that come together in a non ideal fashion creating excess stress and strain on opposing teeth. A good analogy relating to bite dynamics can be drawn if you think of your teeth as being the tires on your car and your bite being the alignment of those car tires. A car performs ideally when the alignment is checked and adjusted if necessary to prevent abnormal wear and tear on the rest of the vehicle. Your bite is no different. Occasionally the alignment of your bite needs to be checked and possibly adjusted to prevent abnormal wear on opposing teeth, bone, and surrounding tissues. Many people benefit from the simple and superficial recontouring of very specific areas on the chewing surfaces of their teeth. It is possible to identify, diagnose, and redistribute these excessive abnormal and potentially destructive biting forces. Again it is very similar to checking the alignment on your car tires to maximize the life of your car.

TMJ stands for temporal-mandibular joint. Temporal, as in temple area of skull; mandibular as in mandible, or lower jaw; joint as in it's where the head and jaw meet. Problems in this joint may be caused by a misalignment of the teeth, trauma to the jaw, or excess muscle tension. TMJ joint problems and pain can present with the following symptoms:

  • Headaches
  • Earaches
  • Trouble/soreness in opening and closing the mouth
  • Clicking or popping of the jaw
  • Pain in the jaw muscles
  • Soreness in the area, sometimes extending to the face

Dental treatments for the condition can include replacing missing teeth, moving teeth, adjusting the bite, filling gaps between teeth, etc. There is no one solution that is right for all cases. A custom appliance worn at night (nightguard) can be used to help prevent clenching or grinding which could be contributing to the problem. Extreme cases of TMJ pain could require surgery to repair a badly damaged joint.

Facial Esthetic Services

Dr. Voke is proud to offer Botox treatment to her patients who are looking to turn back the clock and reduce the signs of aging on their face. Forehead wrinkles can be softened and virtually eliminated over time with regular treatment. Crows feet can be minimized to reveal a younger, well rested, and refreshed look.

Aging, sunlight, and environmental factors contribute to the reduction in hyaluronic acid in skin and is the cause of unwanted creases and folds in areas around the nose, mouth, and chin. Dermal fillers like Juvederm are used to add volume to the skin to instantly smooth away wrinkles and folds on your face by replacing the lost hyaluronic acid. Dermal fillers can also be used to erase vertical lip lines and subsequently add volume and youth to the lips. Cosmetic dentistry can be utilized in conjunction with dermal fillers to enhance, transform, or simply just brighten the smile.

Our Licensed Medical Esthetician, Lindsey Pierce is highly trained in customized facial esthetic services and skin treatments. She has spent the past 8 years working side-by-side with a well respected plastic surgeon in Kirkland, WA. She is truly a master of her craft and is gifted in maximizing and enhancing the natural beauty of the face. All skin care and treatment is customized to best serve her clients. The following is a small list of her most common esthetic services:

  • Chemical Peels
  • Microneedling
  • Microdermabrasion
  • Facial Waxing
  • Dermal Planing
  • Wrinkle Correction
  • European Facials
  • Customized Skin Care and Instruction
  • Obagi products and peels

Call today and schedule a complimentary esthetics consultation with Lindsey. You will be amazed at how much you did not know about your very own skin. Lindsey will show you how to best care for, protect, preserve, maximize, and even enhance the youth and beauty of your skin. She will help you put your very best face forward for the world to see.