Dental Exams/Cleanings​

As you know, getting regular dental examinations and cleanings are important for maintaining oral health. We want you to be able to smile confidently and keep your teeth and gums at their optimal health. We will help you detect conditions before they become a major problem and assist you with maintaining your healthy, beautiful smile.


Cavities are caused by bacteria which release acid after consuming sugar or carbohydrates. The acid weakens the enamel in your teeth, causing it to break down. When this process reaches the dentin, which is the softer inner part of your teeth, the cavity needs to be fixed. Small to moderate size cavities can be restored with fillings. We offer both amalgam (made of metal) and composite (white resin) fillings. Which is better for you? Ask us to explain the pros and cons of each.

Root Canals

When cavities become too deep, they irritate the pulp, which is the innermost part of a tooth. The nerve of the tooth and blood vessels are found in the pulp. Usually, deep cavities that are close to the nerve cause irreversible pulpitis. At this point, root canal therapy is needed to clean out the infected tissue. If the carious lesion is severe, it can cause a dental abcess at the root of the tooth, called a periapical abcess. Sometimes trauma to a tooth, such as falling forcefully on the floor, can cause the nerve to die, requiring root canal treatment. We offer simple root canals to get you out of pain and to save your tooth.


Extractions are usually indicated when damage to the tooth is severe or the damage is at a location that makes the tooth non-restorable. We can also remove teeth in preparation for orthodontic treatment as directed by the orthodontist.

Cosmetic Bonding

Composite filling material can be used to restore chipped anterior teeth. We strive to match your teeth color and blend it with your natural tooth so that no one can tell it was ever chipped!

Porcelain Veneers

Do you have intrinsic stains or enamel defects that affect your smile? We offer porcelain veneers to help you feel more confident and happier about your smile!

Crowns and Bridges

For teeth that are severely undermined, have multiple areas of caries or have broken cusps, we offer crowns to restore its form and function. We can also replace missing teeth with bridges, which are fixed inside the mouth as opposed to removable partial dentures. A thorough examination can determine whether you are a candidate for bridges and whether they are the best option for you.


We hope to prevent you from getting to this point, but if you find yourself needing false teeth, we can help. Complete dentures replace a whole arch of missing teeth and partial dentures replace missing teeth in an arch that still has remaining teeth to clasps onto. Both of these options are removable and require several visits to fabricate. Each mouth is unique and there are several factors that influence the prognosis. A comprehensive exam will allow us to treatment plan your best options.

Implant Restorations

Missing teeth can also be replaced by implants. We work with excellent oral surgeons and periodontists to coordinate your care. They place the implants and we help restore them with crowns or a prothesis that goes on top of the implant. Find out if this is the right option for you!

Mouth Guards, Night Guards

Our mouth guards and night guards are custom made to help you protect your teeth from damage while playing high impact sports and grinding. We take an impression of your teeth, pour up the model and send it to a dental laboratory for fabrication. Once we receive it back from the lab, we try it in and make adjustments for proper fit.

Teeth Whitening

We offer custom bleaching trays, fabricated to perfectly fit your teeth. These trays are worn loaded with a whitening agent to help you achieve whiter teeth. They can be used at night time or during the day. The process takes about two to three weeks of daily wear.

(540) 345-4894

1618 Grandin Rd, SW 

Roanoke, VA 24015

Roanoke Valley Dental

Alice Pham Bower, D.D.S.