Checkout Dr. Tigran Khachatryan, DDS Watch Video

Dr. Tigran to healthcare is that he enjoys interacting with people. His goal has always been to be able to know his patients personally instead of running from one mouth to another. His purpose is to provide the best possible care for his patients’ physical needs, while making “your heart smile”, which is as important, if not more, than the physical smile. In this age of ever evolving science, Dr. Tigran strives to provide the benefit of the latest scientific advances, while preventing his patients from becoming victims of the newest inventions.

As a person who strongly believes that we are amazingly created, Dr. Tigran does his best to be as conservative as possible with the ‘sacred’ enamel and dentin. At the same time, Dr. Tigran is excited that science has provided the opportunity to try to ‘simulate’ natural teeth through implants. Dr. Tigran personally believes that the dental field, through the means of replacing a single tooth, stabilizing dentures, or recreating full ‘dentition’ has the ability to change a person’s life dramatically.

Dental Implants

A dental implant is a titanium post that our dentists, Dr. Khachatryan, Dr. Tam, and Dr. Furca, implant to serve as a root for a missing tooth. Implants are a great option for replacing single, multiple, or even a whole mouth of missing teeth. Many options exist but only one, dental implants, provides the function and appearance of your natural teeth. The post is surgically placed into the jawbone where the tooth is missing, providing a permanent solution. The implant process consists of three pieces, the titanium post, an abutment that is screwed into the post, and then a crown which is placed on top. If you are having an All on Four procedure done, we are able to replace a full arch of teeth with four titanium devices.

Reasons for Dental Implants

There are other benefits to implants besides replacing a missing tooth. These benefits include:

prevent your teeth from shifting by filling that gap.
correct any bite issues due to missing teeth.
correct any jaw alignment issues from teeth shifting.
improve your appearance by filling the gap and preventing bone atrophy.
help in the placement of a denture or partial by providing an anchor.
Implants do not depend on neighboring teeth for structural support and cannot get cavities.
Implants are the closest dental structure in durability to natural teeth.

What A Dental Implant Involves

Site Preparation

Once healthy bone has been established, a special drill is used to prepare the bone to receive the implant. Sometimes we may recommend bone grafting.

Placing the Dental Implant

The implant is placed into the prepared bone and the tissue is sutured.

Attaching the Post

When the gum tissue has healed, a special post is attached to the implant, and is the support for the new porcelain crown.

Placing the Dental Crown

We have a crown made and shaded to match your existing teeth. The crown is then slipped over the post and cemented.

Preventive Dentistry

Preventive care is the most important work we do, it’s about stopping problems before they happen. We want to teach you and show you how to do this. Your oral health is important to your overall health. With proper knowledge, and biannual checkups, we can save you time, money and pain. Let us prevent problems from growing and show you how your oral health is doing. At Smiling Heart Dentistry our dentists, Dr. KhachatryanDr. Tam, and Dr. Furca, will provide comprehensive care for your oral health. We offer many services for Preventative Care, click on a heading below to learn more:

Professional Dental Cleanings

Professional cleanings performed by our Smiling Heart Dentistry team are just as important to your dental health as daily brushing and flossing.

Regular exams with our dentists help us detect and prevent health issues before they become serious. We check for problems including:

Gum Disease

Gum disease, sometimes referred to as Periodontal Disease, kills teeth, and it accounts for about 70% of all tooth loss in adults. Do you have early signs of gum disease? Are your gums bleeding when flossing or brushing? Are they red or inflamed?

Dental Sealants

Sealants are something you will love. We prevent cavities with sealants in areas that are more susceptible to them by painting a plastic coating onto the teeth.

Dental X-rays

Radiographs, or X-rays, are a very important tool that we have to see what can not be seen with the naked eye. At A Smiling Heart Dentistry our dental team uses digital x-rays which have several advantages over traditional film based x-rays.

Cosmetic Dentistry

Cosmetic dentistry will give you healthy and radiant teeth. It is one of the most cost-effective ways to improve confidence and to make you want to share your smile.

With state-of-the-art materials, and tested, trusted dental techniques, cosmetic dentistry improves appearance and enhances self-esteem. Composite fillings have replaced traditional silver colored amalgams, while gold has given way to porcelain in the creation of bridges. Other techniques like teeth whitening and veneers can improve the color and/or shape of your natural smile.

Dental Bonding

Dental bonding is composed of a ceramic resin that is brushed onto the tooth and hardened with intense light. Prior to bonding application the tooth surface must be prepared to accept the bonding. This is accomplished by roughening the tooth surface and applying a gel to micro-etch the surface. A primer agent is then applied so the bond will adhere properly. Dental bonding is used for:

Repairing tooth decay damage
Improving tooth alignment
Filling gaps between teeth
Cosmetic reasons (improving tooth appearance)

Additionally, dental bonding is cost effective, looks natural and improves tooth shape. Cosmetic dentistry bonding may require replacement due to wear and gradual discoloration over time. For this reason some patients prefer more permanent solutions such as dental crowns, bridges, and porcelain veneers. All these options should be discussed with your dentist.

Porcelain Veneers

Dental veneers are custom crafted porcelain laminates fitted by a dentist over the front of an existing tooth. They bond directly to the front of the tooth, dramatically enhancing its shape, color, and appearance. Porcelain veneers are:

Virtually undetectable
Very durable
An effective way to improve smile appearance

Teeth Whitening

Teeth whitening, as the name implies, is a process for making your smile brighter and more attractive. The many methods of teeth whitening vary widely in application time, effectiveness, cost, and probability of tooth sensitivity.

Restorative Dentistry

Restorative Dentistry is to bring back your teeth to their functional use after the damage of tooth decay. By replacing or restoring your teeth, we help bring your mouth back to health. Tooth decay is a form of infection in your mouth, just as you would treat an infection in any other part of your body, your teeth are just as important. We want them to last you a lifetime.

At Smiling Heart Dentistry, we offer dental treatments for our patients by determining the extent of decay, where it is located, and whether nearby teeth are also effected. We offer small treatments like fillings and porcelain crowns to larger treatments like root canals, bridges or even implants. Our dentists, Dr. Khachatryan, Dr. Im, and Dr. Furca, will help you from beginning to end, giving you a strong and healthy mouth.

Read more about some of the services we offer in our Bellevue, WA office by clicking on the headings below:


Dental Fillings are a common Restoration. The Center for Disease Control stated in 2002 that by age 17, 78% of people will have had at least one cavity. Come see us before the problem gets worse.


Dental Crowns help strengthen a weakened tooth. To save the natural structure that has been severely damaged, we place a crown, which serves as a cap for the tooth.

Root Canal Therapy

When bacteria reaches the pulp of your tooth, we need to clear out the infection. If infection is allowed to continue, it will destroy the tooth. This is done with a root canal.


Partial and Full dentures are replacement multiple teeth which can dramatically improve your daily life if multiple teeth are missing.

Dental Bridges

Bridges are made to replace a missing tooth with a false tooth that is anchored in place by the two surrounding teeth. Missing teeth can cause teeth shifting, which effects your bite, and bone atrophy, which can give you an older appearance.

Dental Implants

Implants permanently replace a missing tooth or multiple teeth with a device that is implanted directly into the bone. This option offers a solid, strong, dental base for a permanent fix.

Q How often should I brush and floss my teeth?

You should brush at least twice a day, once in the morning and once before going to bed. You should floss once a day as well.

Q What is the proper way to brush my teeth?

The following guidelines are important to brushing correctly:

• Make sure to use a soft bristled brush. Hard bristled brushes can wear down the enamel of your teeth
• Place your brush at a 45 degree angle to your gum line. Bristles should contact both the tooth surface and the gum line
• Use short back and forth strokes or tiny circular movements to brush your teeth. Each movement should be no bigger than the size of each tooth
• Make sure to use gentle strokes while brushing. Gentle strokes are effective in removing plaque, while too much pressure can wear down the enamel of your teeth
• Brush all surfaces of each tooth, including the outer, inner, and the chewing surfaces of the teeth
• Don't cut your brushing short! Make sure to brush for at least 2 minutes

Q What is the proper way to floss?

The following guidelines are important to flossing correctly:

• Take 18 inches of floss and wind it around the middle finger of each hand. You can use these fingers to take up floss as it becomes dirty. Using your thumb and forefinger, pinch the floss leaving 1-2 inches in between for cleaning
• Gently move the floss up and down the spaces around your teeth. Never snap the floss down onto your gums, as it can cause damage
• As you move the floss down into the space between two teeth, slide it up and down against the surface of one tooth. Gently clean at the gum line as well. Repeat this for the other tooth
• Repeat this process for all of your teeth

Q What is periodontal (gum) disease?

Periodontal (gum) disease is an infection of the gums and bone that hold your teeth in place. Typically, periodontal disease occurs when plaque builds up on the teeth and hardens, often due to poor brushing habits. The gums can become swollen and red in the early stage of the disease, called gingivitis. As the disease advances, periodontal disease can lead to sore and bleeding gums, pain while chewing, and tooth loss.

Q What are the signs of periodontal disease?

The following are signs of periodontal (gum) disease, and you should contact your dentist if you experience any of these:

• Gums that bleed while brushing
• Red, swollen, or tender gums
• Gums that have pulled away from the teeth
• Bad breath that doesn't go away
• Pus between your teeth and gums
• Loose teeth
• A change in the way your teeth fit together when you bite
• A change in the fit of partial dentures

Q How long does teeth whitening last?

Teeth whitening usually lasts from one to three years, before darkening of the teeth is noticed. Additionally, once your teeth have been initially whitened, typically only "touch ups" are required to maintain the whiteness.

Q Are implants the right decision for me?

Implants are made of titanium, a biocompatible material. They are used to replace one or more teeth, and can be a more attractive option for most people. Some benefits to implants include:

• They are integrated into bone and act like a tooth root to support new teeth
• They do not decay or have the same gum disease risk as natural teeth
• Implants look, feel, and act like natural teeth, unlike other options

Q When an implant is surgically placed, how long until I get my new tooth?

For front teeth we strive to place teeth the same day in a temporary form. Posterior teeth are often left to rest 6-8 weeks prior to placing a functional chewing force on them. In cases where there is uncertainty about the strength of the bone, more time may be required to ensure longevity (7-10 months). In every case, clinical experience along with the prevailing research guides our decision to finalize the implant restoration. We always plan for long-term success and we do not rush.

Q What are Dental veneers?

Porcelain veneers are a thin shell of porcelain that covers the front, edge, and small portion of the back of anterior teeth. Veneers are used for cosmetic as well as reconstructive purposes; to cover up stained and worn down teeth, as a means to straighten slightly crooked teeth, to change the shape and color of your teeth or to restore teeth with failing older, unsightly white or mercury fillings.

Q What is cosmetic dentistry?

Are you unhappy with your smile? There are several possible ways to improve your smile with cosmetic dentistry. Options can range from whitening to veneers to crowns, with or without Invisalign® preceding your care. Essentially, anything to improve your smile could be considered in this field, however Dr. Tigran and Dr. Furca have studied extensively and committed a large part of their practice to offering exceptional smile transformations, from the most subtle nuanced changes to extreme makeovers televised on the networks and in magazines.

Q What is the easiest way to improve my smile?

The least invasive route is whitening your teeth. This can be done in the office or at home. Keep in mind, whitening does not work well for tetracycline stained teeth, and does not whiten tooth colored fillings or porcelain very much

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