Paradigm Dental has been caring for Lake Oswego families for over 40 years. New patients welcome. Same-day appointments often available.
Searched for a dentist in Lake Oswego? You found the right place. At Paradigm Dental, every visit ends the same way: you know exactly what was found, what it means, and what to do next. Finding a family dentist your whole household can rely on for years feels simple when the care is this consistent.
Perfect for patients who:
same-day availability often open!
Paradigm Dental has been part of the Lake Oswego community for over 40 years, not because of convenience, but because of consistency. When Dr. Douglas Rust founded the practice, his approach was straightforward: honest assessments, careful treatment, and a focus on long-term health over unnecessary procedures.
Dr. Brian Rust joined his father at the practice in 2008, and today they see the same families across generations. Patients who came in years ago for a first teeth cleaning now bring their own children. That kind of trust gets built one visit at a time, through clear communication and treatment that never goes further than it needs to.
Patients who search for a dentist lake oswego and choose this practice tend to stay for years. What they find is a dental office in Lake Oswego that is honest, consistent, and never recommends care you do not need. That is the standard Dr. Rust set from day one, and it has not changed.


Routine dental care keeps things simple: catch small issues early, avoid expensive work later, and leave every visit with a clear picture of where your oral health stands.
(the difference between a $150 filling today and a $1,500 crown later is catching it at a routine cleaning while it is still small)
(gum disease caught early is a cleaning visit; left alone, it becomes a procedure with a much longer recovery)
(a professional dental cleaning removes buildup that home brushing cannot reach; patients notice the difference from the very first visit)
(patients who stay current with cleanings spend a fraction of what patients who fall behind eventually pay to get back on track)
As your Lake Oswego family dentist, we provide routine teeth cleanings, dental cleanings, cavity fillings, dental crowns, and restorative care all under one roof. Pricing is transparent before you sit down, so there are no surprises when you check out.
Stay ahead of problems, keep your dental costs predictable, and leave every visit with a clear picture of where your smile stands.
Patients across Lake Oswego, West Linn, and Tualatin searching for a dentist near me, a teeth cleaning near me, or a dental exam they can trust choose Paradigm Dental for consistent, comfortable care.
A visit to Paradigm Dental is clear, comfortable, and straightforward from the moment you walk in.
We start by taking time to understand your dental history, your concerns, and what you want to get out of this visit. Nothing gets assumed or rushed through.
Your teeth and gums are carefully evaluated using modern digital imaging, giving us a clear and accurate view of your overall oral health before we do anything else.
We remove the plaque and tartar buildup that home brushing cannot reach, leaving your teeth feeling smooth, clean, and refreshed.
Straightforward feedback and only the recommendations you actually need. If follow-up is required, we explain it clearly and build a plan before anything is scheduled.
No rushed visits, no pressure – just clear guidance so you can move forward with confidence.
Common signs include bleeding gums, persistent bad breath, visible plaque buildup, or teeth that feel rough or sensitive. Even without obvious symptoms, a routine dental cleaning and exam every six months helps catch problems you may not feel yet and prevents small issues from turning into costly ones.
If Dr. Rust identifies a concern during your exam, whether that is a cavity, a tooth that needs a crown, or early gum disease, he will walk you through the finding clearly and explain your options before anything is scheduled. You will receive a full cost estimate upfront, and there is no pressure to proceed until you are ready.
Yes — we can usually tell. Plaque and tartar buildup develop over time, and brushing or flossing right before your appointment doesn’t erase that history. The good news is we’re here to help you get back on track, not judge.
The biggest contributors are plaque buildup, sugary or acidic foods, infrequent cleanings, and untreated gum disease. Over time, these factors quietly weaken enamel and damage gums if left unaddressed.
We accept most major dental insurance plans. Oregon Health Plan (OHP/Medicaid) is not accepted at this time. We also offer flexible payment plans through CareCredit for patients who prefer to finance their care. Call us before your appointment and we can verify your coverage in advance.
Most general dental visits are completed in a single appointment. We value efficiency and aim to respect your time while providing thorough care. (about an hour give or take).
Yes. Alongside routine teeth cleanings and exams, we provide tooth-colored cavity fillings, dental crowns, and restorative care as part of our general dentistry services in Lake Oswego. If your exam reveals a cavity or a tooth that needs a crown, we can typically schedule that treatment at a follow-up visit with a clear timeline and upfront cost estimate.
Stop putting your dental health on hold. Schedule your dental checkup now and get the clarity, care, and honest feedback you need to move forward.
Call today or request an appointment online — same-day availability often open.
We Accept Most Dental Insurances (Not Oregon Health Plan)