Tooth Pain

Experiencing tooth pain? Fear not – tooth pain is very common! Our team at Mid-Columbia Dental is ready and able to help.

What causes toothaches?

A toothache usually refers to pain around the teeth or jaws and is primarily a result of a dental condition. In most instances, toothaches are caused by tooth problems, such as a dental cavity, a cracked tooth, an exposed tooth root, or gum disease.

Disorders of the jaw joint can also cause pain that can be referred to as a toothache. The severity of a toothache can range from mild to sharp and excruciating. The pain may be aggravated by chewing, cold, or heat. A thorough oral examination, including dental X-rays, can help determine whether the toothache is coming from a tooth or jaw problem, and the cause.

DID YOU KNOW? Tooth pain can be caused by a wide range of issues, including a cracked tooth, decay, infection of the tooth, infection of the bone, recession, improper filling or restoration, and many other reasons.

Innovative Dental Technology in Tri-Cities, WA

Traditional panoramic x-rays are fantastic, however, they have limitations because they show a 3-dimensional object on a flat, 2-dimensional x-ray.

Mid-Columbia Dental uses 3-D x-ray machines. Cone beam technology allows us to see your dental anatomy as it actually exists! We use 3-D x-rays when we are placing dental implants, identifying potential cracked teeth, diagnosing infection, and many other instances where 3-D images are helpful.

Services We Offer

Dental Cleanings

Cleanings

Oral exam, x-rays, and cleaning.

Dental Procedures

Procedures

Implants, root canals, & more.

Surgical

Sedation, wisdom teeth, & more.

Emergencies

Oral pain, cracked tooth, & more.

Meet Our Dentists

Dr. Spencer Greer headshot

Dr. Spencer Greer

General Dentist and Owner of Mid-Columbia Dental

Dr. Greer is from Mesa, Arizona and attended Brigham Young University and Creighton University School of Dentistry.

“Initially, I was on a different career path when I felt a strong calling to do something with my hands in the sciences. Shortly thereafter, I had my yearly dental exam; that’s when I knew that being a dentist was what I was called to do. It’s been beyond rewarding to feel needed, challenged and successful. I couldn’t do what I do without my amazing team.”

When Dr. Greer isn’t being a Rockstar dentist or serenading his patients with song, he can be found alongside his wife and five kiddos. He enjoys mountain biking, surfing, playing pickleball with his wife and sons, and enjoying family performances where everyone takes a turn in the spotlight.

Dr Nick Howard headshot

Dr. Nick Howard

General Dentist

Dr. Howard is from Bellevue, Washington and studied dentistry at Roseman University of Health Sciences. His natural curiosity for science and being drawn to people made it easy for his wife to see that he would make a great dentist.

“I’m so grateful to her for opening this door because I love dentistry, every facet of it intrigues me.”

When Dr. Howard isn’t providing stellar care to his patients, he likes to spend his spare time with his beautiful wife and three kiddos.

“Family is most important to me, and I would be honored to help you and your family with all your dentistry needs!”

Dr. Garrett Stoker Headshot

Dr. Garrett Stoker

General Dentist

Dr. Stoker is from West Richland, Washington and graduated from the University of Washington. He began his journey into dentistry as a Dental Assistant, where he discovered the joy and satisfaction of being part of a patient’s oral health transformation. Having a big heart for serving others and helping with community outreach programs also made becoming a Dentist an easy choice.

“Dentistry allows me to balance family life while still helping the community, which lines up with my core values.”

In his free time, Dr. Stoker enjoys competitively playing board games with his wife, performing hip-hop dance parties with his kiddos, and enjoying the outdoors with his family.

Details, Info & More!

During your new patient exam our doctors will do a very thorough exam. Also, we will take photos and any necessary radiographs, and our doctors will review these with you. Afterwards, our doctors will customize a treatment plan for you. Often, insurance companies cover a portion of this visit.* *We do not know in advance what services (if any) YOUR insurance company will cover. We can only guess based on what other patients’ insurance companies have done in the past. All insurance companies (as well as the hundreds of different plans within each individual insurance company) vary on what they will or will not cover. We are happy to submit claims for our patients who are then reimbursed by their insurance companies. We are a fee for service office which means our patients pay for their services on the day the services are provided.

Our office will help you to receive maximum ‘out-of-network’ insurance benefits for any treatment. We are not listed providers on any insurance provider lists. Our team is happy to submit claims for our patients who are then reimbursed by their insurance companies. Mid-Columbia Dental is a fee for service office which means our patients pay for their services on the day the services are provided. We do not know in advance what services (if any) YOUR insurance company will cover and we can only guess based on what other patients’ insurance companies have done in the past. All insurance companies (as well as the hundreds of different plans within each individual insurance company) vary on what they will or will not cover. As with all medical providers, many times our fees will exceed what your insurance company will pay. We make sure our patients understand the cost of every procedure before we start.

Congratulations on your decision to get started with us! We welcome new patients for a consultation visit or you can skip ahead to the new patient exam. During a consultation visit, we will take photos of your smile/teeth. Our doctors will review these photos with you and discuss treatment options. During the new patient exam our doctors will do a very thorough exam. Also, we will take photos and any necessary x-rays, and you and your doctor will review these together. Afterwards, our doctors will customize a treatment plan for you.

We hope you have chosen our practice because you want to receive excellent dental care. Our goal is to provide excellent treatment for our patients. That includes thorough exams for the purpose of understanding your overall oral health. What if you had a small cavity that did not hurt, and your doctor did not do a thorough exam? So, your doctor did not ‘find’ your cavity. Later your tooth abscessed (which can be very painful) and you needed to have a root canal and possibly a crown. You would probably be upset that your doctor did not find this problem sooner. What if you had oral cancer, and by finding it in the early stages, your condition was treatable? Our doctors want to provide excellent treatment for you and, in order to do so, must do a thorough exam in order to know and understand your overall oral health.

Gaps between teeth, especially gaps that show in your smile, can take away from the beauty of your smile. Depending on the size of the gap, there are several options. For extremely large gaps, Invisalign is usually recommended. For small to moderate gaps, bonding or porcelain veneers may be the best solution for you. Our doctors will discuss your options with you and together we will customize an ideal treatment plan to give you the gorgeous smile you deserve.

Silver fillings can cause tooth decay to recur and can also make your teeth look less appealing. Fortunately, porcelain inlays and onlays are a viable alternative to silver fillings. These options offer both aesthetic benefits and improved oral health outcomes. Unlike silver fillings, porcelain inlays and onlays are less likely to leak and are less prone to causing tooth sensitivity. Additionally, their ability to blend in seamlessly with your natural teeth can make them an ideal choice for individuals looking to restore their smile. If you are considering replacing your silver fillings, porcelain inlays and onlays offer an excellent solution that can help improve the look and health of your teeth.

The black coloring likely indicates that there is metal underneath the white porcelain part of the crown. The black or gray line you see around the crown was probably not there when the crown was placed. Over time, chronic inflammation of the gum tissue causes it to bleed easily and perhaps recede from the metal, exposing it. No longer is it necessary to have metal in crowns or that unattractive dark line. Mid-Columbia Dental uses all-porcelain restorations.

Our doctors recommend whitening first to their patients. Once your teeth are as white as you like, then our doctors will match the bonding or veneers to that whiter shade. Our whitening procedures work quickly, so in no time you will have the beautiful smile you want and deserve.

Oftentimes, dental implants are the best restoration for a missing tooth. Our doctors will discuss your options with you in order to customize an ideal treatment plan. The implant process is relatively simple and requires two steps. First, the implant is placed into the tooth-socket where your tooth root used to be. Second, a restoration is created and placed on the implant to restore the crown of your tooth. For patients who are missing many or all of their teeth, implants may be the solution for restoring all of the missing teeth, offering great life-improvement. Sometimes, a few implants may be placed in order to stabilize floppy dentures, another terrific improvement in the lives of many denture-wearers.

If you’re considering various options to replace multiple teeth, your best bet is to schedule a consultation visit with us. Each option may have pros and cons based on your specific wants and needs, so we’d love to sit down and discuss your objectives before making a determination.

No one ever enjoyed going to the dentist, until now. We have revolutionized the dental experience, where going to the dentist is a pleasure! With comfort, music, nitrous oxide, HDTVs, noise-canceling headphones, and tempurpedic patient chairs, this is not your grandpa’s dental office. In fact, it seems more like a spa than a dental office. Our patients feel pampered each time they visit us. Come see for yourself.

You heard right. Studies implicate gum disease as a risk factor for developing heart disease. These studies show the bacterial infections of gum disease are associated with bacterial infection of the blood, inflammation, and a strong immune response, all of which are significant risk factors for the development of heart disease. Also, the most common strain of bacteria in dental plaque can cause blood clots that induces heart attacks when they escape into the bloodstream. Beyond heart disease, gum disease in pregnant women is considered a risk factor for low birth-weight babies. Proper brushing and yes, of course, flossing, combined with routine visits to your dentist help to reduce your risk of gum disease. Ask your dentist and hygienist if you are at risk for gum disease and what you can do to eliminate it.

You are not alone in feeling this way. Millions of Americans feel tremendous anxiety concerning dental treatment. Fear, coupled with embarrassment and shame, has kept nearly half of all Americans from seeking necessary treatment for years, even decades. Fortunately, dental phobia doesn’t have to keep you away from the dentist any longer. Amenities like noise-canceling headphones, laughing gas, ceiling TVs, and more conservative, gentle procedures will help take the edge off. For some fearful patients, an anti-anxiety pill is just what the doctor ordered. Most patients snooze through the appointment and feel no discomfort. Years of dental neglect are erased in just one appointment. Once-fearful and embarrassed patients chew without pain and smile with confidence for the first time in years! These benefits are often life-changing for people who have procrastinated getting their mouths healthy or enhancing their smiles.

Hear from Our Patients!

5-Star rated dentist with over 2,400 reviews on Google!

Schedule Your Next Dentist Visit!

Convenient Locations in Pasco and Kennewick

Kennewick Location

Mon: 8am – 5pm
Tues: 8am – 5pm
Wed: 8am – 5pm
Thurs: 7am – 3pm
Fri: Closed
Sat: Closed
Sun: Closed

Pasco Location

Mon: 8am – 5pm
Tues: 8am – 5pm
Wed: 8am – 5pm
Thurs: 8am – 5pm
Fri: 8am – 5pm
Sat: Closed
Sun: Closed