Steps to make implant surgery simpler!

Most implants (about 80 to 90 percent of them) today are single-unit cases that are administered to patients with adequate bone in the area of implantation. A popular and an accessible mode of dental treatment, implants can therefore be executed with a high degree of precision by following some simple steps.

The commonest cases of single-unit implants are either a lost tooth due to an accident or injury or a case of failed endodontic treatment. The best methodology that is followed by especially new implant practitioners are preparing the ridge, allowing the site to heal, placing the implant and finally delivering the crown.

Since accidental cases or failed treatments are the most common ones, implant restoration of your lost tooth is best executed with the aid of the following steps:

Step 1: Tooth Extraction

Your tooth is removed with perfection, keeping in mind that the buccal plate and the surrounding bone should be kept intact as much as possible. Using a very fine diamond bur to trace around the root, periotomes are sometimes situated between the root and the bone to aid painless removal.

Step 2: Grafting the Socket

To solidify an implant application, it is important to preserve the bone of the extraction site. This is done by grafting the socket. At first the place is cleared off (from any granular material) with a surgical curette. The walls of the site is then scraped and irrigated using a CK-6 scaler to initiate some bleeding. At this point, the socket is filled up to the crest of bone with some grafting material and then closed with a simple suture.

Step 3: Allow the Extraction Site to Heal

It takes about four months for the extraction site to heal and the graft to grow. This duration is crucial for the implants to settle down strong and long-lasting.

Step 4: Verifying the implant placement site

After the socket site has healed, once the patient returns for placement of the implant, the previous steps are followed again. That is to say, the buccal plate should be intact and the site needs to have adequate ridge height and width. The site can be evaluated intraorally and radiographically for this purpose and the bone volume is verified.

Step 5: Implant Diameter measurement

In this step, the diameter of the implant to be placed is determined following which the patient is anesthetized.

Step 6: Placement of implant via flapless surgery

Flapless implant placement is an excellent option because it is minimally invasive. It also reduces disruption to the blood supply and facilitates a smooth healing process. The flapless procedure is begun using a tissue punch to create an opening for the implant placement in the appropriate location, noting that it should be situated 1.5 mm from the adjacent teeth!

Step 7: Place a Healing Abutment

Instead of placing a cover screw (after the implant has been embedded), a healing abutment, can be delivered. In doing so, it is important to ensure that the healing abutment is out of occlusion. This indeed keeps any forces being applied on the implant during its healing phase.

Step 8: Deliver the Crown

Finally, the crown that is delivered is screw-retained. The healing abutment needs to be removed now. These crowns are esthetic, predictable, and an excellent choice for single tooth implant cases. CAD/CAM-produced restorations excel in achieving a precise fit and a natural appearance that is inclusive of the perfect shape, contours and margins.

Before your crown is delivered (i.e. when you return after three months from the placement of your implant) the impression of your tooth is captured. This actually ensures the apparent natural emergence of the tooth! Implants today are thus powerful sources of building self confidence in individuals and boosting them too.

Above all, single-unit extractions are not only creating predictable and remarkable results but also developing surgical and restorative skills among the aspirant implant practitioners!

Things to do during Common Dental Emergencies

One great thing about this wing of dentistry is that emergency care provided by any dentist or hospital is covered by most dental insurance providers. It is therefore important to note down the after-hours number of your dentist in Keller or dental clinic. However, there are some dentists and offices that provide emergency care but are out-of-network dentists which give you a good reason to check your coverage before availing the service.

When do emergencies occur?

An emergency is a completely unprecedented affair. However, there are certain conditions, which when not addresses properly, could give rise to an emergency situation. Additionally, emergencies could occur while travelling. Depending upon your location of travel mostly, dental coverage differs. That is to say, your insurance provider covers emergencies up to a certain extent of geographic distance from your place of residence.

Insurances with nationwide network coverage are thus best to go for. Interestingly, there are some providers that offer emergency coverage in any location, even abroad. While it is essential to know what is covered, it’s also good to know what isn’t. Dental coverage often does not apply for urgent care visits and emergency room admissions simply.

Examples of a few common dental emergencies that you respond to immediately

A Knocked-Out Tooth:

Usually during a sports injury or any other trauma, your tooth may be knocked out. Both in case of a knocked tooth as well as a chipped tooth, the things to be done are more or less the same. 

  • Pick up the tooth by the crown (the exposed part of a tooth that remains above gum line.
  • Cleaning with plain water post this is highly recommended. Scrubbing should be strictly avoided at it could damages some tissues!
  • Slightly make an effort to put back the teeth from where it popped out. No force should however be applied.

A Chipped Tooth:

It could well be an injury and/or biting down on something hard. When you have a chipped tooth, all you need to do is:

  • Collect all the pieces of the tooth as much as you can find and store them safely.
  • Take them with you to your dentist as soon as you get the appointment.
  • In case you’re bleeding, place a thick amount of gauze on the affected area, preferably until the bleeding stops.
  • Applying a cold compress on the outer side of the cheek, below which your affected area lies. This is greatly effective.

Lost Dental Restorations:

If your dental restoration, such as a crown comes out loose, the following must be done:

  • Initially, apply some clove oil to the area with a cotton swab
  • Try placing the crown back to its original place and with the help of over-the-counter denture-adhesive, dental cement or simply toothpaste until you reach your dentist’s chamber.

Dental fillings function as a common restorative or preventive measure too. In case of a lost or worn out filling, a temporary measure is really effective. Chew a sugarless gum and place it over the cavity site unless you arrive at your dentist’s office. A sugar filled gum could cause pain but a sugarless one will not.

Something got caught in between the teeth:  

You could use a floss to remove the stubborn particle from where it got suck. If it is not effective, you should not attempt to use a pin or any sharp object. They could prove to be dangerous for both your teeth and gums. Remember that your gums are made up of soft tissues.

Soft-tissue injuries:

Soft tissues include tongue, cheeks, gums, and lips. Sometimes an unconscious bite could even result in injury to these tissues and consequent bleeding or soreness. In such a case, the situation should be addressed immediately with any of the following measures:

  1. A mild salt-water solution rinse.
  2. A cold compress from outside (above the cheeks) to relieve pain
  3. Apply a hot tea bag or wet gauge fro above your cheeks for at least 20 minutes.
  4. See your dentist as soon as possible if the bleeding does not stop.  

In all the above mentioned situations, as soon as your self-management of the condition is over, try calling your emergency dentist in Keller, TX. After the initial steps, a professional treatment is necessary to keep dire consequences at bay!

The advent of LASER in modern dentistry

The term LASER is an acronym for ‘Light Amplification by the Stimulated Emission of Radiation’. This technology came into being as early as the 1960s and was introduced to the dental industry too. Theodre Maiman was the introducer of this technology. He mixed neon with helium in order to give birth to the technology.

So, how does the laser technology work for your dentist?

The thin and concentrated beam of light emitted by the Laser instrument is the primary tool in the hands of your dentist. Since light emitted is calculated in wavelengths, dentists are able to determine the exact amount of laser to be applied. One wavelength generates a certain amount of thermal output. According to the particular tissue on which the beam is to be applied, the extent of laser is to be determined. Some wavelengths are more conducive to performing certain procedures than others. For instance, there are particular lasers for soft tissue surgeries while others are effective on hard tissues like your tooth enamel or your jaw bone.

The use of LASER technology in the dental industry is a subject of continuous research and advancement. In the dental world, uses of LASER are many. They can be categorized based upon:

  • the lasing medium used, such as, gas laser and solid laser
  • the  tissue applicability, hard tissue and soft tissue lasers

Let us take a glimpse into the different types of laser applications in the dental industry:

  1. Carbon-di-oxide Laser

    Since CO2 laser has a very high affinity for water, it causes rapid soft tissue removal and hemostasis. The depth of penetration is also very less. Disadvantages of the CO2 laser include

    Its relative large size and

    High cost that might be unaffordable to many and

    Hard tissue destructive interactions.

  2. Neodymium Yttrium Aluminum Garnet Lasers

    This wavelength is highly absorbed by pigmented tissue. Therefore, quite obviously it is effective for cutting and coagulating dental soft tissues, with good hemostasis. In addition to its surgical applications, research in the concerned field has confirmed that this laser is as well useful for nonsurgical purposes concerning periodontal disease control.

  3. Erbium Laser

    The erbium wavelengths are known to have a high affinity for hydroxyapatite. Also it has the highest absorption of water compared to any dental laser wavelengths. This makes it the best LASER choice for treatment of dental hard tissues. Since dental soft tissues also have a high percentage of water, the erbium lasers could also be used for soft tissue ablation as well.

  4. Diode Laser

    The diode laser is basically semiconducting medium made of aluminum, gallium, arsenide, and occasionally indium. They are capable of producing wavelengths, ranging from approximately 810 nm to 980 nm. These diode wavelengths are absorbed by tissue pigment (melanin) and hemoglobin. On the contrary, they are poorly absorbed by the hydroxyapatite and water present in the enamel. Accordingly, certain procedures like aesthetic gingival re-contouring, soft tissue crown lengthening, etc. are performed with the aid of diode lasers

A list of common uses of Dental Lasers

Simply put, when dental lasers are being discussed, a number of its uses in this particular medical field can be listed down. Since the light emitted serves both the purposes of removing or shaping tissue, a number functions are actually performed.

  • Removing as well as reshaping bone and gum tissues during the crown lengthening procedures
  • Removing muscle attachments which are responsible for restricting tongue or lip movements
  • Speeding up the in-office tooth whitening procedures
  • Reducing the discomfort caused by cold sores and cankers
  • Removing small layers  of tooth enamel while say, applying veneers
  • Preparing your tooth enamel for composite bonding
  • Repairing certain worn-down fillings from  your cavities

According to a study published in the National Journal of Maxillofacial Surgery, titled Laser in dentistry: An innovative tool in modern dental practice...

In the last two decades, there has been an explosion of research studies in laser application. In hard tissue application, the laser is used for caries prevention, bleaching, restorative removal and curing, cavity preparation, dentinal hypersensitivity, growth modulation and for diagnostic purposes, whereas soft tissue application includes wound healing, removal of hyperplastic tissue to uncovering of impacted or partially erupted tooth, photodynamic therapy for malignancies, photostimulation of herpetic lesion. Use of the laser proved to be an effective tool to increase efficiency, specificity, ease, and cost and comfort of the dental treatment.

Cited: Verma SK, Maheshwari S, Singh RK, Chaudhari PK. Laser in dentistry: An innovative tool in modern dental practice. Natl J Maxillofac Surg. 2012;3(2):124–132. doi:10.4103/0975-5950.111342

Efficacy and safety of Laser use in dentistry

One safety concern related to the use of lasers is, protecting your eyes from the laser beam. Usually dentists always give you a pair of special glasses to wear during the procedure. In case, it is missed do not forget to ask for one.

Now, the use of Lasers in the dental field has been approved by the American Food and Drug Administration (FDA). However, the ADA’s (American Dental Association) Seal of Acceptance is yet to come. Unless that arrives, it does not ensure dentists that the required standards of efficacy and safety are met. Therefore, despite being in the industry for decades now, the Laser Technology is still not much talked about in the dental world. However, dentists have been successfully using this advanced mechanism to deliver patients with pain-free, hassle-free treatments as far as feasible.

Is Dental Bonding Better Than Veneers? How Effective It Is?

Are you suffering from broken or chipped tooth? Do you have those annoying stains that keep you away from smiling publicly? Fret not. There is a multitude of dental treatment options available including dental veneers and dental bonding.

Honestly, if the problems are minor and you are tight on your budget, dental bonding can be a feasible alternative.

Today, through this post, we will learn how effective dental bonding can be in this case. As an alternative to veneers, dental bonding is cost-effective, is easy to administer and needs only ONE visit to the dentist.

So, before we start, let’s see what we have in this post.

Dental Bonding – An Overview

If you are suffering from a broken, chipped or even a stained tooth, there are treatment options for you. One of the many options available to patients in these situations is dental bonding. The great thing about bonding is that it is cheaper than the alternative (veneers), but can still give you that dreamy smile you’ve always wanted. Ultimately, it is a moderately economical way to make minor dental repairs. For patients with dental insurance, bonding is generally covered by insurance!

The Dental Bonding Procedure

Bonding is a painless procedure typically performed by a cosmetic dentist and takes place when the dentist applies a composite material that is the same color as the tooth. This composite material is then molded into the shape of the tooth prior to being hardened and polished.

The material then simply bonds to the tooth. Aside from fixing minor dental problems, such as chipped or cracked teeth or even gaps between teeth, dental bonding can also be used to fill in small cavities – much more visually appealing than traditional silver tooth fillings.

The Pros and Cons of Dental Bonding

Every procedure has its advantages and disadvantages. Advantages of bonding include price, speed and ease. The price is relatively inexpensive, especially when compared to its alternative. The procedure can usually take place in a single visit and anesthesia generally is not necessary.

However, patients should understand that the bonding material, after applied, could become stained. Therefore, proper care is needed post-procedure. Dental bonding can last several years, but it is less durable when compared to veneers and/or crowns.

How To Care For Your Bonding

Patients must follow a few special instructions when they go home after having a bonding procedure. For one, because dental bonding is susceptible to staining, red wine, tea, coffee and sodas need to be eliminated completely or at least reduced in addition to smoking, which can not only stain teeth but cause gum disease and oral cancer.

Food For Thought: In addition, dental bonding is more likely to chip than other forms of (more expensive) dental procedures, so a patient needs to avoid chewing on hard objects and biting their nails.

To Conclude,

If you only have a minor cosmetic dentistry problem – such as a discolored tooth, a cracked tooth, or a gap between your teeth – then bonding may be right up your alley so that you can have that sparkling white smile you’ve always dreamed of.

What More?

If you find this post helpful, feel free to share this post with your social peers, family and friends. also, for more info, feel free to call us or schedule an appointment online.

Our dentist in Keller – Dr. Allen Charles, offers comprehensive dental treatments in the most convenient way possible. We look forward to meeting you in person.

Rare Oral Problems of 2019

A general fear of visiting the dentist, even for a routine dental check-up, is commonly termed as Dental Anxiety. But when people are panicking about their future dental issues, they must keep themselves thoroughly updated with the different kinds of oral issues that could afflict the mouth health at any given time. Consulting a dentist near me to get accurate information is, in my opinion, the most remarkable way to bring dental issues to your knowledge.

Apart from common issues like yellowing or discoloration of teeth, sensitivity, tooth loss due to trauma or an infection, root canal etc. there are certain issues that might be rare but significant!
Such mouth problems are:


Dry mouth can be caused by a number of responsible factors like tobacco smoking, yeast infection, health ailments like diabetes, autoimmune disorders etc. It is medically termed as Xerostomia. This condition leads to issues like:

  • Apathy for food. Since saliva plays a huge role in our digestion process, food remains partly undigested. This affects your eating routine and your health too.
  • Saliva helps in protecting your tooth enamel too. Dry teeth conditions are more prone to acid attacks from sugary eatables.
  • Mouth dryness results in an overall feeling of discomfort that does allow you to stay in peace through the day.


Canker Sores:

Also called aphthous ulcers, they are small lesions that develop on the soft tissues in your mouth or at the base of your gums. These occur due to some tissue injury or stress. However, the exact cause of canker sores are not known. Although they are not harmful, they cause a lot of problem while eating and speaking.


They are white colored thick patches appear on your tongue and the lining of your mouth. Although the exact cause for this is not known, smoking is considered to be responsible for this phenomenon. These are painless but if they turn red, they alarm at serious consequences.

Black Hairy tongue:

A black hairy tongue (as it appears to be) is caused by too much bacteria or yeast growth in the mouth. The bacteria build up on tiny rounded projections called papillae. The papillae lie along the surface of the tongue. Instead of shedding normally, the papillae start to grow and lengthen, creating hair-like projections!

Cleft lips & Cleft Palate:

These are facial and oral malformations that occur even before birth, i.e, when the baby is inside the mother’s womb. This phenomenon takes place when there is not enough tissue in the lips or mouth are. A cleft lip is a physical split or separation of the two sides of your upper lip. It usually appears as a narrow opening or gap in the skin of the upper lip. A cleft palate on the other hand, is the split or the opening in the roof of the mouth.


Jaw problems usually refer to TMJ syndrome or a Temporomandibular Joint Syndrome. A TMJ refers to pain that may go from mild to severe, near the site where the jawbone joins with the skull muscles. This problem may crop up due to a lot of problems including ‘biting issues’ like overbite or underbite! Another significant reason includes acute teeth grinding habits (brixism) of an individual that may put excessive pressure on the particular joint.


Oral cancer, which includes cancer of the tongue, lips, pharynx, the floor of the mouth, cheeks, sinuses, hard and soft palate. Therefore these are very much life-threatening and should, therefore, be diagnosed and treated early.

In short, any small irritation in your oral portion, calls for attention. This awareness infused among the masses would generate real oral health awareness! At The Dentist of Keller, Dr. Charles, your general dentist in Keller Tx, would best advice on what lifestyle to be followed in order to keep away from these alarming mouth health problems. Above all, regular teeth cleaning regime including brushing, flossing, use of a mouthwash and regular dental check-ups would indeed aid in keeping most of these ailments at bay.





What Are the Benefits of Laser Assisted Periodontal Treatment?

Although it is a new type of technology, many patients who try laser periodontal therapy are pleased with the results. Similar to other industries, lasers have revolutionized oral care and given doctors a new tool to treat gum disease. In this blog, we tell you about the benefits of laser assisted periodontal treatment.

What Is Periodontal Disease?

Periodontal disease develops when the supporting tissues and bone that keep your teeth in place become infected. According to the National Institute of Dental and Craniofacial Research (NICDR), adults in their 30s and 40s tend to suffer from periodontal disease.

Causes of periodontal disease include:

  • Smoking
  • Certain Prescription Medications
  • Genetics
  • Serious Health Conditions

How Does Laser Therapy Work?

A dentist will use a laser to eliminate the inflamed gum tissue around the root of your teeth. After the infected tissue has been removed with the laser, the root will be exposed. The dentist will then scrape off the calculus and plaque below your gums and around the exposed root. Finally, any rough spots that might attract bacteria and create future infections are smoothed out with dental instruments. The gum and the root will regenerate as you heal from the procedure.

The Academy of General Dentistry (AGD) cites the following as some of the benefits of using laser assisted periodontal treatment:

  • Lasers are capable of precisely targeting the infection
  • Patients experience less bleeding, pain, and swelling
  • General anesthetic is not needed for the procedure
  • Time for recovery and healing is shorter than other types of treatments

Laser Therapy The DoK - Dentist of Keller

Are you interested in learning more about the laser assisted periodontal treatment services we offer? If so, get in touch with our doctor today to get the answers you are looking for. At The DoK - Dentist of Keller, our dental professionals use the latest technology to treat gum disease and help our patients maintain a healthy smile. Visit our state-of-the-art, boutique-style office to speak to a dentist today.

Call to request a laser assisted periodontal treatment appointment with our dentist in Keller.