From routine cleanings and fillings to bruxism devices, Dr. Garnes is equipped to handle all of your dental needs. An initial oral examination includes a visual examination that is supplemented by digital x-rays that will enable us to determine all treatment recommendations. Any services we don’t provide in the office are referred to amazing specialists.

Current Dental Procedures Include

Hygiene Appointments

Each patient has different periodontal needs. We will evaluate each patient individually to see what kind of cleaning they require and schedule appropriately.


Simple toothaches can often be relieved by rinsing the mouth clear of debris and other matter. Sometimes a toothache can be caused or aggravated by a piece of debris lodge between the tooth and another tooth. Avoid placing aspirin between your tooth and gum to relieve pain because the dissolving aspirin can actually harm your gum tissue.

Crowns and Bridges

Crowns are synthetic caps usually made of a material like porcelain placed on the top of a tooth. Crowns are typically used to restores a tooth’s function and appearance following a restorative procedure such as a root canal. When decay in a tooth have become so advanced that large portions of the tooth must be removed, crowns and bridges (to replace missing teeth) are often used.


Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases implants can be used to attach dentures.

Root Canal Therapy

Root canals are tiny passageways that branch of from beneath the top of the tooth coursing their way vertically downward until they reach the the tip of the root. We have a specialist available to treat patients in the comfort of our Lake Stevens location.

Dental Emergencies

Our goal is to help you to minimize the risk of emergency treatment. This is why we commit a generous amount of time designing a Lifetime Treatment Plan that will help you to offset the possibility of unforeseen pain or tooth pain or breakage.


The most popular cosmetic medical procedure is Botox. Botox is injected into the facial muscles but really doesn’t affect the muscle at all. Botulinum toxin affects and blocks the transmitters between the motor nerves that innervate the muscle. There is no loss of sensory feeling in the muscles. Once the motor nerve endings are interrupted, the muscle cannot contract. Botox is a muscle relaxer. When that muscle does not contract, the dynamic motion that causes wrinkles in the skin will stop. The skin then starts to smooth out, and in approximately three to ten days after treatment, the skin above those muscles becomes nice and smooth. The effects of Botox last for approximately three to four months, at which time the patient needs re-treatment.


is a soft but stable injectable gel made of hyaluronic acid. Hyaluronic acid is a natural substance found in the skin that assists in adding hydration and volume. The American Academy of Facial Esthetics trained professional clinicians carefully introduce Juvéderm into the mid to deep dermis to temporarily smooth wrinkles and fine lines; replenishing volume in the skin almost instantly. The dermis is part of the subsurface skin layer that includes nerve endings, blood vessels, sweat, oil glands, and connective tissue.


Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or are chipped, discolored, oddly shaped, unevenly spaced or crooked.