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Dr. J. Blake Perkins

Dentistry
Vancouver, WA
22 years experience male

About

Bio

I am passionate about helping people smile and have the confidence to do the things in life they dream of! I have a beautiful wife and 5 children, and enjoy anything in the outdoors from hiking to running to snowboarding. I feel that life is a gift and every day should be lived to its fullest!

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Dentistry

Internal Medicine - Sleep Medicine

Doctor Q&A

155 Answers
117 Agrees
The number of answers this doctor has agreed with.
A 29-year-old member asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Yes: You begin to lose your baby teeth between 6 or 7 years old. Usually the front 4 teeth on top and bottom, and you start to see your first set of perma... Read More
A 26-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Maybe: Undiscovered/untreated g6pd can be associated with an increased incidence of gum disease. After reading your question more closely, it seems you are ... Read More
A 27-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Not needed: If your doctor did a biopsy and the result was a vascular malformation, then there is really no need to get a second opinion. However, there is no ha... Read More
A 58-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Recent filling?: You could also have an allergy to a dental material that was used in your mouth. Have you had any recent dental work done? If so, what was used may ... Read More
A 62-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Not really: After a root canal procedure and a crown, your tooth may feel different when you chew, but it should not hurt. If it does, there may be a chance that... Read More
A 19-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Depends: It really depends on what the black lines are from. If they are organic stains, any whitening agent can remove them, or a hygienist with some mild pu... Read More
A 17-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Depends: If you have been on steroids recently for flare ups of sle, it could lead to post operative complications. Also, there is always a chance that there ... Read More
A 22-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Patience!: Tthe metallic taste dissipates once you have completed your course of clarithromycin. Hang in there, finish the entire prescription. If you cannot t... Read More
A 33-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Good hygiene + more: I have had very few patients develop cavities with bite splints and invisalign. It all relates to how diligent a person is in their everyday dental h... Read More
A 32-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
It depends!: There are so many whitening systems on the market that all do the same thing. The difference is in how fast, and how strong the chemicals are that do... Read More
A 29-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Maybe: It really depends on where the bump is and the look, feel, and history of the bump. It could be something as simple as a fibrous or fatty tissue lump... Read More
A 50-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Probably: Most likely, either the root canal treatment has failed, or the tooth is cracked, and requires removal.
A 24-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Laser: If your dentist has a soft tissue laser, he or she can 'zap' the ulcer at a low setting that will immediately eliminate or significantly reduce the di... Read More
A 38-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Sorry - cant tell: With little information , it is impossible to tell you what is wrong. For instance, many medications can cause dry mouth, which can cause your tongue... Read More
A 16-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Lots!: A proper dental exam should examine both hard and soft tissues of the mouth and the head and neck. On the outside, your lymph nodes, tmj, and overall... Read More
A 32-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Probably normal: Most likely, the little point you see is what we call a 'mamelon'. Brand new front adult teeth that have just erupted generally have three little bum... Read More
A 24-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Unsure: A raised red spot in the back of your mouth could be one of many different things, depending on what caused it and how long it has been there. Just b... Read More
A 36-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
DO: Do brush twice a day and use an antibacterial oral rinse. Don't brush the teeth you want to lose!
A 47-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Could be dry socket: If pain medication is not resolving your discomfort, and it is 2-3 days post op, you could possibly have dry socket, which will hurt no matter how muc... Read More
A 21-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Soon!: Antibiotics usually take anywhere from 2-3 days to start feeling noticeable relief. In some cases, it gets worse before it gets better. As the ant... Read More
A 18-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Altered taste/textur: The acids in your stomach that find their way into your mouth if you suffer from gerd can have long term negative effects on your oral cavity. From d... Read More
A 33-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Hard question!: There are many who would advocate certain diets to reduce high acid levels, but there are no real clear answers. We can tell you what not to eat, inc... Read More
A 36-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Maybe: Many things can cause interrupted menstrual cycles, and it is not unheard of for stress to affect your monthly cycle. Certainly multiple extractions ... Read More
A 22-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Yeast: Most likely you have a yeast infection in your mouth. If you have any conditions or medications that decrease your immune systems ability to function... Read More
A 23-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Probably normal: Most of us hear a funny squishy sound when we swallow. When our mouths are closed, it may feel like it is louder. However, if the noise never happen... Read More
A 36-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Yes: Sinus mucoceles are generally removed surgically, as opposed to mucous retention cysts, which usually resolve on their own.
A member asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Usually fMRI and EEG: Brain mapping usually consists of what is called a 'functional mri, or fmri and an eeg (electroencephalogram). These are ways to measure brain activi... Read More
A 27-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Possibly: With the wide range of symptoms associated with dysautonomia, what you are feeling may be associated. It may be transient numbness that feels like go... Read More
A 48-year-old member asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Depends: Depending on the size and shape of the tooth, a root canal treatment can take, on average, about 1-1/2 hours. Time and care must be taken to properly... Read More
A 59-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Ask: Medication recommendations are best clarified by the prescribing physician. Please contact your dr. Asap to verify your dosing schedule.
A 71-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Careful: There are many natural alternatives to treating gerd, but make sure your physician is aware of what you are trying. Here is a link to just a few opti... Read More
A 32-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
No: The piece you swallowed is not going to cause any harm to your growing baby. So relax and enjoy your pregnancy!
A 49-year-old member asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Depends: Just because you spat out a some clotted blood does not mean you will have complications. Most cases get progressively better after 72 hours. Howeve... Read More
A 35-year-old member asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Not usually: The germs that are generally found in tooth infections do not respond particularly well to erythromycin. Amoxicillin is generally used as a first lin... Read More
A female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
See your doctor: Since tuberculosis is transmitted through the air you breathe, if the person/people you were in contact with were coughing and symptomatic, you should... Read More
A 18-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
No: The only real risk, and its rare, is something called a bezoar (indigestible material) which can cause an obstruction in the digestive tract. However... Read More
A 61-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Yes: Benadryl (diphenhydramine) is a medication commonly used to treat allergies. It will help with mild allergic reactions. However, it would be wise to... Read More
A 29-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Maybe: Since the TMJ is close to both the maxillary sinus and the ear, any inflammation in the TMJ complex could contribute to pain in both the ear and the s... Read More
A 48-year-old member asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Many things: First i would recommend you see a dentist to find out why they are bleeding and see what the recommended treatment is. At home, regular brushing 2-3x... Read More
A 31-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
You are ok!: The amount of mercury in an amalgam "silver" filling is negligible. Treating your tooth problem properly allows you to continue through your pregnanc... Read More
A 29-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
YES: Frictional keratosis is a result of physical trauma to tissue from cheek biting or cheeks rubbing on teeth/fillings/crowns. The skin basically overgr... Read More
A 27-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Test again: Sometimes it takes a while to have enough of the hormone (HCG) in your system to show up on a pregnancy test. Your other symptoms are suggestive of p... Read More
A 20-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Fillings or ortho: Gaps between teeth can be improved with either changing the shape of the teeth through restorative work (fillings/crowns) or changing the position of ... Read More
A 48-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Immediately: You can wear a denture immediately after having teeth removed. In fact, it can help to control post operative swelling. The only thing you will run ... Read More
A 49-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Lots of things!: Anything from a virus, to a bacterial infection to other things can cause the symptoms you mention. If you have any risk factors for herpes or hiv, y... Read More
A 45-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Could be a gland: If the liquid coming from the blister is a thin, clear secretion, it is most likely a minor salivary gland that has a damaged duct that keeps getting ... Read More
A 20-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
NO: Not an std. We all have bumps on the back of our tongues called circumvallate papillae. These help us to taste as well as secrete a type of saliva t... Read More
A 38-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Maybe: Craniosynostosis can be missed, but any good pediatrician should pick up on it provided your child has had routine pediatric visits. Unfortunately, I... Read More
A 45-year-old male asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
NO: Canker sores, also known at apthous ulcers, are not caused by the herpes virus. They are the result of a break in the skin by either trauma or an aut... Read More
A 31-year-old female asked:
Dr. J. Blake Perkins
Dentistry 22 years experience
Not sure: Could be transient ischemic attacks (small heart attacks) or side effects from medications she is taking to treat her cardiac problems. I would consu... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
226
Thank you notes
Mar 24, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
Jul 2, 2013
Very knowledgeable with thorough, to the point answers and advice.
HealthTap member
Mar 30, 2015
Dr. Perkins is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful! Thank you. I have been to a doc and a blood test/swab has ruled out all sti's so we still have no idea what it is :(
HealthTap member
This saved my life. Thank You! Thank you! I was worried the white was there due to an infection. That helps a lot! :)
HealthTap member
Your answer was very helpful! Thanks :) I appreciate some where to find answers, I would genuinely like more,!

Education & Training

Medical/Graduate school

Case Western Reserve University School of Dental Medicine
Graduated 2000MD

Residency

Wright-Patterson Medical Center

Awards

Top Dentist, First Place, Washington - Winter
2013
Top Dentist, First Place, Washington - Summer
2013
HealthTap Founding Doctor

Affiliations

ADA - Member
AADSM - American Academy of Dental Sleep Medicine
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less