3/20/2017 9:09:23 AM

Dental implant placement and restoration is a highly successful procedure, one that grants many patients the opportunity to have a full smile again. This treatment does come with some risks, which are minimized in the hands of an experienced dentist. In any case, patients looking for tooth replacement options should know how dental implants could benefit their oral health, and how your dentist reduces risk.

Recover Daily Function

When you lose teeth, the way you speak and eat are impacted. If the lost teeth are not replaced, or are restored by a prosthesis or a bridge, you often have to adjust your bite to enjoy food normally or smile comfortably. Adults and seniors with dentures and partials are forced to make adjustments for appliances as over time, they can fall out or lose their tight fit. Dental implant posts, on the other hand, permanently fuse to the jaw bone, providing strength and structure to bone that has been lost. With porcelain crowns or dentures attached to these implants, patients receive the benefits of a full set of teeth; chewing can return to normal, and patients can speak with confidence.

What are the Risks?

Before the placement treatment, patients receive a thorough examination and planning to make sure the treatment is best for their smile. Jaw bone health and strength plays a large role in determining the success of dental implants and provides the greatest source of risk. Patients with too little bone tissue may not be able to receive implants at all, and those with poor oral health may receive implants but infection makes the tissues unable to heal.

Bone grafting and sinus augmentation make up for bone loss, providing ample support for implant placement. These procedures can use your own tissue, as well as donor tissue, to restore the lost bone structure. Individuals with weak oral health, or those who have extensive dental problems, may require more restorative treatments before implants can be placed. Antibiotics, root planing and scaling, and deep cleanings are a few of the possible treatments that will help the smile avoid risks during implant treatment.

Dental Implants in Houston

John Krell, DDS, provides dental implant treatment for people who want a full smile again. With comprehensive services and a gentle touch, our team will make sure patients are ready for implant placement and restoration. Call us today!




5/26/2016 10:15:25 AM

CEREC, the Chairside Economical Restoration of Esthetic Ceramics, is a significant advancement in dentistry. The digital CAD/CAM system has led to increased reliability, efficiency and accuracy in the fields of restoration, orthodontics and implantology.

CEREC replaces the need for traditional methods of creating impressions, molds, and dental appliances. It is a computerized design unit that also is fitted with state of the art software, and a precise computer-guided milling machine. The system allows dental professionals to create inlays, onlays, crowns and veneers in a single appointment, saving patients time and money.

What Does CEREC Do?

Traditionally, restorations involve two stages of treatment. First, the examination and diagnostics stage, which usually involved goopy impressions. A couple of weeks later, the fitting of the final crown or veneer would take place. By using the CEREC technology system, the dentist is able to take a 3D image of the tooth, which is used to accurately design and mill a new ceramic restoration, and fit it precisely into the exact location, all within a single visit.

What to Expect

The 3D image is taken using a special camera, which then gets uploaded to the design unit to be used to create an accurate and detailed 3D model of the new tooth. This is used as a blueprint by the milling machine, which mills the new tooth from a block of high quality ceramic. The dentist selects from different types of ceramic and custom stains in order to closely match the patients’ remaining teeth.

At the start of treatment, any local anesthetic or sedation is applied to help the patient relax and enjoy a painless and comfortable procedure. Once the impression of the tooth is taken, the tooth is prepped for the restoration – such as reshaping a tooth before a crown is fitted, or removing enamel to place a veneer.

When both the patient and the dentist are happy with the results, the dentist will use a cement bond to firmly secure the restoration. From start to finish, it is possible for a CEREC CAD/CAM based treatment to be completed under two hours.

Benefits of Same Day Crowns

The primary benefit is convenience because the CEREC system removes the need for the two-week wait, the unpredictability of temporaries and the need for a second visit. The dentist is in complete control of the process and can accurately customize the new prosthetic tooth in a way that most benefits the patient.

Contact our Houston dental office to schedule your appointment today. Whether you have decay or it has been over six months since your last professional cleaning. We look forward to helping you attain your best smile!




5/16/2016 11:10:30 AM

Sedation dentistry utilizes different levels of sedation to help dental patients relax, and to alleviate symptoms of anxiety and discomfort during complex dental treatments. Dental anxiety and fear prevents a large percentage of the population from seeking dental care, attending regular dental visits, and ultimately can severely impact oral health and wellbeing.

With the use of gentle sedation, such as nitrous oxide and oxygen – also known as laughing gas – patients are able to overcome their initial anxiety. The benefits of nitrous oxide are wide-ranging. They include:

  • Efficacy – Nitrous works well for patients who suffer from mild to moderate dental anxiety.
  • Rapid Onset – It is almost immediately effective and patients quickly enter a relaxed state.
  • Flexibility – Nitrous sedation can be used for all kinds of treatments, regardless of the length of time it takes to complete the appointment. It is also easy for dental professionals to control the level of sedation, which can be adjusted moment to moment, according to the patient’s needs.
  • Recovery – Patients using nitrous will recover quickly enough to drive themselves home from their appointment. Pure oxygen is used to flush nitrous out of the patient’s system and they may return to normal activities almost immediately, including drive themselves home from the appointment.

Benefits of Nitrous Sedation

Nitrous sedation removes the barrier of fear that prevents patients from getting much needed preventative dental care. Patients who, through the use of nitrous, can attend regular dental treatments are more likely to avoid dental issues, such as gum disease and tooth decay.

Disease and bacteria from the mouth can spread to other parts of the body, or progress aggressively causing damage to the mouth and mouth structure, as well as unnecessary trauma and discomfort. This means regular preventative dental cleanings and establishing good dental hygiene habits are vital to oral wellness and overall health.

Dental problems such as gum disease and tooth decay have been linked to such health conditions as diabetes, stroke and heart failure, and when people avoid dental treatment due to anxiety, they leave themselves open to other health complications. With the help of sedation dentistry, including nitrous, patients receive the necessary dental care to optimize their oral and overall health.

However, nitrous sedation is not for everyone – patients with severe anxiety, for example, may need a deeper level of sedation. Dentists also advise patients with respiratory issues, or who suffer from claustrophobia, to look at alternative solutions.

Contact Dr. Krell to find out more about your sedation options. Schedule an appointment to achieve your best smile in a comfortable and relaxing dental experience at our Houston dental office.




5/5/2016 9:59:56 AM

Gum disease is a progressive disease where bacteria and infection spread below the gum line damaging the soft tissue, roots and bone along the way. Although the symptoms of gum disease can be difficult to identify in the early stages, certain warning signs may be an indication gum disease has already started to develop.

What Gum Disease Can Look Like

Common symptoms of gum disease include:

  • Bleeding Gums – Swollen gums that bleed during and after brushing or flossing. Bleeding gums are usually among the first signs of infection and can occur during the early stage of gum disease, commonly called gingivitis.
  • Swollen Gums – The bacteria irritates the gums and can cause them to redden and feel tender.
  • Bad Breath – Although bad breath, or halitosis, can be caused by a number of conditions and issues, the persistent presence of bacteria and decay can cause a noticeably bad taste in the mouth and a strong odor.
  • Receding Gums – As infection spreads, it destroys the soft gum tissue and enters the bone. At this stage, the disease is referred to as periodontitis, because it has progressed from the gingival tissue of the gum to the periodontal ligaments that attach the tooth to the bone. The tissue and ligaments shrinks away from the teeth, leaving them looking elongated and structurally less stable.
  • Loose Teeth – With less supporting tissue and bone surrounding them, teeth can become looser, which can impact biting, chewing and smile aesthetics.
  • Mouth Structure – Gum disease can ultimately alter the appearance of the mouth and the bite itself. Loose teeth and receding gums caused by gum disease can also impact the fit of partial dentures and other oral appliances.

Although these warning signs commonly indicate the presence of gum disease, the true cause of any dental or oral issue is always best diagnosed by a professional. Contact our Houston dental office to make an appointment if you have experienced any of these symptoms, or for more information about gum disease and prevention.




4/26/2016 10:02:45 AM

Invisalign® is an orthodontic alternative to traditional wire braces. The clear retainers were developed by Zia Chisti in the 1990s after Chisti experienced teeth straightening as an adult. He felt a retainer could be used to gradually shift teeth into their desired location using a series of small movements. After years of research and development, the product was released into the market in 1999.

Since then, Invisalign® has proved a popular means of straightening teeth without unsightly and oftentimes uncomfortable wire brackets and braces. But, before choosing Invisalign® over traditional braces, it pays to know more about the procedure and how it will impact your budget and your lifestyle.

What’s Involved?

A series of clear or “invisible” aligners are created by the dentist following a smile analysis using 3-D imaging technology. This provides the dentist with a road map that enables them to identify the necessary steps to shift teeth from their initial position to the final desired position. The retainers consist of strong, medical grade plastic, and are customized to closely fit the patient’s teeth. The retainers are worn for approximately two weeks, moving the teeth incrementally, and then replaced with the next set until the treatment is complete and the final desire teeth position is attained.
Invisalign orthodontic treatments present many benefits, including:

  • Invisibility – clear aligners offer patients discretion and the ability to straighten teeth without visible hardware.
  • Convenience and Function – patients can remove the aligners in order to eat and drink, and to brush and floss regularly. And Invisalign doesn’t interfere with speech in the same way as metal braces.
  • Comfort – though patients may still experience some initial soreness, Invisalign offers a more comfortable overall experience than traditional metal braces.
  • Convenience – patients see their dentist for checkups once every 4-6 weeks, but additional lengthy appointments for fitting and adjustments are not required.
  • Peace of Mind – because the process uses 3-d imaging technology, patients can envision what their teeth will look like following treatment.

Choosing Invisalign®

The clear retainers are appealing to many because they are virtually undetectable. Invisalign can address issues of gapped teeth, crowded teeth, and some bite problems, but more severe cases will see better results with traditional wire braces.

Patients are encouraged to take care of their plastic trays by maintaining good oral hygiene and by cleaning their trays regularly. Patients are also discouraged from smoking while wearing the aligners in order to prevent them from becoming stained and discolored. And apart from time spent eating and cleaning their teeth, patients should wear their aligners all day, every day – this requires a mature approach to caring for both your trays and your teeth.

If you feel you may be a good candidate for Invisalign orthodontic treatment, contact Dr. Krell, your Houston dentist, today and ask them about the “clear choice”!




6/5/2015 8:03:00 AM

Adjusting to your new dentures can be a challenging process. After all, they neither feel nor function exactly like your original teeth. The sensations are different, and it can take some time to get used to them. Dentures might cause you to lisp slightly when speaking, and they might make chewing more difficult. However, Dr. John Krell has a few tips to make the adjustment time as quick and comfortable as possible. Here is some of the advice he gives at his office in Houston.

  • Bear in mind dentures feel more comfortable and natural over time, so the first and most basic piece of advice is to be patient. Don’t assume that the way they feel in the first few days is how they are always going to feel. Initially, they can feel bulky in your mouth, pressing against the cheeks and lips. You might even feel like gagging, but these feelings will go away.
  • It’s a good idea to wear the dentures at night for a while. This will help you adjust to them faster, and once adjusted, you can begin to remove them at night for regular, thorough cleanings. If you develop a sore in your mouth, rinse your mouth out with warm salt water.
  • Learning to eat with dentures also takes time, so start with softer foods that are easier to chew. Once you get used to chewing with dentures, you can gradually introduce firmer foods. Alternate the sides of your mouth while chewing in order to stabilize the dentures. Also, avoid biting into firmer foods using the front teeth so as to prevent the dentures from dislodging.
  • The lower denture can be a little harder to adjust to because it does not have the grip or suction of the upper denture. Rest your tongue against the inside front edge to help keep it in place. For a while, you might want to use adhesives, but you can eventually learn to control the position of the denture with your lips and tongue.

If all of this seems more challenging than you expected, bear in mind the initial symptoms are only temporary. The end result is worth the adjustment time, so hang in there. Dr. John Krell can make necessary changes along the way, ensuring that you have the best possible fit. For more information about dentures or to schedule an appointment, contact our office in Houston today.




5/26/2015 2:56:08 PM

Missing one or more teeth can be hard to adjust to. In addition to possibly affecting your bite or the way you eat, you may also feel embarrassed speaking around other people. When it comes to replacing your teeth, you do have options. One of the best and most effective choices is a dental implant. They are completely natural looking and offer several benefits, including:

Improved Functionality: Dental implants look and function like natural teeth and can improve your smile and the way you speak.

Durability: When placed properly and cared for, dental implants can last a lifetime.

Less Worry: If those gaps in your smile are making you self-conscious, dental implants are the perfect solution.

Bone Protection: If you leave empty spaces in your mouth, this could lead to the deterioration of your jawbone. Dental implants preserve natural bone and also stimulate bone growth.

Keeping Your Face Shape: When teeth are missing, your face can sag. Dental implants are a great way to prevent this from happening.

Better Eating: Do you avoid certain foods because of your missing teeth? Once your dental implants are put in, you will never have to worry about what’s on the menu!

No Cavities: Dental implants still need to be cared for properly, but because they aren’t real teeth, they will never form cavities.

Keeping Teeth in Place: While dentures are an option for missing teeth, there is always the possibility that they will slip when eating, coughing, talking, or doing a number of other common things. With dental implants, you’ll never have to worry about them shifting or moving.

Long-Term Success: Dental implants have proven to be the best choice for long-term success, and are more effective than removable appliances and bridgework.

Protection of Existing Teeth: When a bridge is put in, often the teeth on one or both sides have to be ground down to support it. Dental implants just go in the gaps where teeth are missing, therefore they don’t affect any of the other teeth.

If you are tired of the gaps in your mouth, just get in touch with Dr. John Krell in Houston, Texas. We would be happy to go over all of your options and give you more information about how dental implants can help you.




1/31/2014 10:38:59 PM

We’re excited to announce the official launch of our John H. Krell, D.D.S. &
Matt A. Guerre, D.D.S. blog.

We’ll be posting helpful dental tips, news from the dental industry, news from our practice, and more about the latest in dentistry.

We built our practice on the notion that we’re there for our patients when they need us and we want our online presence to be a reflection of that principle. We hope this blog provides an extra level of service to our current and future patients.

If you would like to stay up to date on the latest from John H. Krell, D.D.S. &
Matt A. Guerre, D.D.S., simply click the RSS “Subscribe to feed” link located on our website and subscribe. Our subscribers will be updated when we make a new blog post.

Here’s to your best oral health ever!