Dr. Duane Keller Inventor of Perio Protect: 2011

Monday, December 19, 2011

Do you or someone you know have Periodontal Disease?

Forget Conventional Surgery.

Try the Perio Protect Method!

http://www.dentalmastermindgroup.com/dental-education/dr-duane-keller.html

Find A Perio Protect Provider Near you!

http://www.perioprotect.com/locator.asp

Monday, December 12, 2011

Before/After Pictures Of Diseased Mouth

This Patient Presents with Severe Gingivitis. Pictures shows calcified Tarter/Calculus on and around all teeth. Tarter or Calculus can be as hard as bone. Patient did not have any type of surgery. Patient did wear customized Perio Protect Trays followed by several appointments for professional removal of biofilm and calculus. Perio Protect Trays have customized seals around each tooth, this seal is in direct correlation with patients periodontal readings. If the patient has a 6mm pocket on the distal lingual of #30, then the seal that covers the distal lingual of #30 reaches down 6mm to hold the medication in the pocket. Patient did have a normal cleaning after wearing Perio Protect Trays. For more information visit www.perioprotect.com

Before Perio Protect Method

After Perio Protect Method

Wednesday, December 7, 2011

DentalMaster.com interviewed Dr. Duane Keller, inventor of the Perio Protect Method

Click on the link below to watch this short video.

http://www.dentalmastermindgroup.com/dental-products/perioprotect.html

Monday, November 28, 2011

What doctors, hygienists and patients are saying about Perio Protect:

“This is by far the best perio treatment out there.”
- Dr. Robert Nisson, Henderson, NV
“This is a revolutionary treatment!!!”
- Dr. Owen Waldman, Scottsdale, AZ
“In my thirty-five years of dentistry, I have never seen anything like this. It does the same for perio that fluoride does for cavities.” -Dr. Terry Spahl, St. Paul, MN

“I have had amazing results with the Perio Protect Method! My personal patients have seen pocket reductions from 8 to 2mm. This morning I had a patient who saw me on May 8, 2007 and today on a follow up recall that same pocket which was an 8mm pocket is now at 3mm. It represents a 1mm per month reduction! FANTASTIC!! We have repeated these results over and over and over again.”
- Dr. Randolph Sun, Lakeport, CA

“In my 32 years as a dental hygienist, I’ve never come across anything that works this well..”
- Linda Schowengerdt, RDH, Nevada, MO
“The results we have seen with the use of Perio Protect in my practice have been just short of miraculous. Nothing I have ever tried has been as successful in reducing inflammation and pocket depths as the Perio Protect technique.”
- Dr. Jack Fifield, McKee, KY
“This is a great service for patients. In over 30 years of practice, I have never seen anything work like this.”
- Dr. Allen Sprinkle, Arlington, TX
“I have seen a remarkable improvement over the last year using the Perio Protect Method for patients that I have treated for twenty or thirty years without the success that I now have. I can also confirm the improvement by the reduction in harmful bacteria that I see using my phase contrast microscope. This is becoming more important with patients who have heart problems or a stroke.”
- Dr. Ronald Cohen, Brooklyn, NY
“These trays will reduce the need for osseous surgery by more than 50%. These are revolutionary!”
- Dr. Gary Wiele, Clayton, MO
“We have been using Perio Protect for virtually all our perio patients for several years. We treat all our patients with PerioProtect except those who are very advanced and will definitely require significant surgery. These are referred to a superb periodontist. It is extremely powerful. Results are astonishing.”
- Dr. Steve Ross, Wappingers Falls, NY
“I started 10 patients the first month, 15 the second. About 30% of my patients need this Perio Protect system”
-D. Allinson DDS, Kirksville, MO

“I just got back from the Periodontist and he was amazed and wanted to know what I had done to correct the condition. I told him about using the Perio Protect system. He told me that my condition is great. He said he wouldn’t need to see me for a year and then only for a check up!”
-Patient: S.O., Elizabeth, AR
“I always felt I was failing my perio patients who did what I asked and still had problems. I used your method and the bleeding was GONE within one to two weeks. Now we have a way that works to help them.”
-T. Loughary, DDS, Jacksonville, IL

“I was surprised at the Perio Protect system results. No, not surprised, AMAZED! I was a 'Doubting Thomas,' but no longer. Perio Protect works just like you told us it would.”
-T. Deeter, DDS, Bismark, ND

“My bleeding gums stopped bleeding in two days! And the bleeding hasn't come back. That was over two years ago. I feel healthier now and my teeth are whiter. This is a totally painless and easy method that I use every day. My teeth feel as clean as if I just had a professional teeth cleaning every time I use the trays. ”
-D.N.D., St. Louis, MO

"Love IT! Love IT! Patients Need it! I have helped so many patients keep their smile and confidence and we are changing their health status ... healthier hearts and minds! I have over 20 patients actively using Perio Protect.
- Careen McNeil, RDH, Canada

Saturday, November 12, 2011

5 Major Health Threats That Your Dentist Can Predict

Click Here To View

Tuesday, November 1, 2011

Hidden Dangers of Gum Disease

Headline making news today on Yahoo's home page. Gum disease is a serious disease that is getting world wide attention.... which is long over due!

The Perio Protect Method not only can help maintain oral health, but can kill 99.9% of bacteria every single day!

Click Here to Read About the Hidden Dangers of Gum Disease

Monday, October 31, 2011

Our Latest Publication In The Journal of Clinical Dentistry

The Journal of Clinical Dentistry

THE INTERNATIONAL JOURNAL OF APPLIED DENTAL RESEARCH

Subgingival Delivery of Oral Debriding Agents:

A Proof of Concept

Click Here to View the Article from the Journal of Clinical Dentistry

Saturday, October 22, 2011

Oral Bacteria can effect your heart, or even your unborn child.

According to the Mayo Clinic, a full menu of diseases can result from poor dental care, including endocarditis (an infection of the inner lining of the heart), cardiovascular disease (clogged arteries and stroke may be linked to oral bacteria), and premature birth and low birth weight babies, to name a few.

Oral bacteria causing infections in gum tissue may threaten more than your teeth and gums. Research has established associations between oral bacteria and systemic diseases including:

Type 2 Diabetes
Heart Disease
Respiratory Disease
Blood Clots
Strokes
Preterm and Low Birth Weight Babies
Chronic Inflammation

Image of biofilm from a periodontal pocket.

The theories linking oral bacteria to other diseases explain that the mouth may be a portal for bacteria to spread to the rest of your body.
If you have been diagnosed with gum disease for example, pathogenic bacteria are likely forming colonies that cause localized inflammation and damage in your gum tissue. Those bacteria may enter the blood stream through small ulcers in your gum tissue.

The growth of bacteria in periodontal pockets occurs in three stages. After the first stage of attachment, the bacteria form a colony with a filmy or slimy protective covering. The most advanced stage of bacterial growth involves clumps of bacteria detaching from the colony to form new infections.

The bacterial infection, like the colony growing on the tooth surface in this illustration, spreads when small clumps of bacteria detach in a “seeding” effect to form new infections. Left unchecked, bacteria growing in the protective colonies in periodontal pockets can lead to the destruction of teeth and eventually the bone supporting the teeth. Because the bacteria may spread through your body to threaten more than your teeth and gums, it is important to talk to your doctor about your risk factors and treat any infected areas of your mouth.

ASSESSING YOUR RISK FACTORS FOR DISEASE
People who have a family history of disease may be genetically predisposed and need to discuss ways to protect their health with their doctor. It is important for everyone to eat right, not smoke, and take care of their oral health.
Heart Disease, Stroke, Hardening of the Arteries (atherosclerosis)
Once oral bacteria enter the body, they may cause inflammation, which in combination with fat deposits can lead to a build up of plaque clogging blood flow and to a build up of blood platelets causing blood clots. These conditions may be responsible for heart attacks, strokes, and other dangerous health conditions.
Diabetes
Controlling gum disease has a positive effect in controlling diabetes. Diabetic patients with gum disease have a higher blood sugar level and require more medication to manage their diabetes. When the gum disease was treated, the blood sugar levels decreased and stayed lower for 3 months.
Respiratory Disease
The bacteria present in gum disease have also been located in lung tissue in patients with lung abscesses. Biopsies of the diseased lung tissue found the same bacteria that are present in the gum disease.
Alzheimer’s Disease
The bacteria associated with Alzheimer’s Disease have been isolated in the periodontal pockets and along the nerves from the teeth to the brain tissue. When these bacteria are introduced into brain cultures, beta amyloid is formed, which is the substance that is a cause of Alzheimer’s Disease.
Pre-term and Low Birth Weight Babies
Pregnant women also have an increased incidence of gum disease. It has been demonstrated that an inflammatory product caused by the bacterial gum infection can cause a woman’s uterus to contract. Pregnant women with gum disease have a 57% incidence of low birth weight babies and a 50% greater incidence of preterm deliveries. Researchers continue to examine these correlations to determine the relationship between gum disease and pregnancy.
As research continues, it is important to understand that oral bacterial infections are serious and that they should be treated. Please talk to your doctor about the best treatment options for you.

Wednesday, October 12, 2011

To The 85% Of The Population Who Have Some Form Of Gum Disease

Keller Professional Group

3955 Bayless Ave. Suite 100

St. Louis, MO 63125

314-638-4190

As you are aware, dental treatments have advanced significantly in the last thirty years. However, one of the remaining challenges for oral medicine in the 21^st century is the effective treatment of periodontal disease. Periodontal disease is the most common cause of bad breath, bleeding gums, receding gums, loss of the bone supporting the teeth and eventually the loss of teeth.

We are now offering a revolutionary method that will bring periodontal treatment to new levels of effectiveness. It is revolutionary in a small, but important way - it provides the missing piece for delivering “tried and true” medications to an infected gingival sulcus (perio pocket) around the tooth. The Perio Protect Method™ for treating periodontal disease features a very comfortable appliance worn over your teeth just minutes a day at home or work (or in your car), which brings medicine for healing your gums and restoring your oral health. The appliance is clear and flexible and easy to use. Unlike traditional periodontal surgery, the Perio Protect Method™ involves no lost time from work for recovery and costs considerably less. And the best news of all: it is very effective.

This is what the “perio tray” looks like. In the photograph you will see the small seal around the top of the tray that serves to gently guide the medications to the source of the infection. These are easy to use; will make your brushing and flossing more effective and wearing them can reverse disease symptoms in a matter of days. Now is the time for you to take control of your health in a way that was not available before.

Please do not hesitate to call if you have any questions in the future. Thank you for coming into our office, and we look forward to working with you to reach your optimal oral health.

Sincerely,

Duane C. Keller D.M.D.

Tuesday, September 20, 2011

Are Patients To Blame for Their Gum Disease?

I think it is important for readers to understand that you may not be at fault for your gum disease (unless you don't at least try to brush and floss). The following are exact excerpts from the dental literature that demonstrate even if you follow the directions of your dentist you may not be able to adequately control the cause of gum disease that is also associated with a host of systemic complications.

This first one is an excerpt from a professional journal. Every possible treatment was done and they evaluated the bacterial (cause) results at one year. No one is going to do all of these steps, but even with this the bacteria that cause the disease are prevalent at one year. How can people be responsible if we (the dental profession) don’t give the patient the tools to control the disease.

ž Conventional Care:

Shiloah J, Patters MR, Dean JW 3rd, Bland P, Toledo G J Periodontol. 1998 Dec;69(12):1364-72

The prevalence of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, and Bacteroides forsythus in humans 1 year after 4 randomized treatment modalities. 1) scaling and root planing; 2) pocket reduction through osseous surgery and apically-positioned flap; 3) modified Widman flap; and 4) modified Widman flap and topical application of saturated citric acid at pH 1 for 3 minutes.

Patients rinsed with 0.12% chlorhexidine for the first 3 months postoperatively and received a prophylaxis every 3 months.

The choice of treatment modality did not affect the prevalence of the target species at 1 year post-treatment. These results suggest that prevalence of microbial pathogens negatively affects the 1 year outcome of periodontal surgical and nonsurgical therapy.

This second one was the results from the University of Florida that was presented at one of the major research meetings. The bacteria (cause of gum disease) were found to be the same in the periodontal pocket before and after professional (gold standard scaling and root planing) cleaning. How can the patient control the disease if we the profession leave the cause in place?

Conventional Care:

Differences between Biofilm Growth Before and After Periodontal Therapy

Resposo S et al. University of Florida, Gainesville, FL

Objective: The purpose of this study was to evaluate in vitro subgingival biofilm growth from plaque samples collected before and after scaling and root planing (SRP). Methods: Subgingival samples were collected before and after SRP from a 5mm pocket or greater with bleeding, along with 5ml of saliva from 9 patients diagnosed with chronic periodontitis. Calcium hydroxyapatite discs were coated with 10% filtered sterilized saliva for 2hrs, placed in 5ml of Trypticase Soy Broth (TSB) and innoculated with 100ul of dispersed subgingival plaque. Biofilms were grown anerobically at 37ºC for up to 10 days with transfer to fresh medium at 48 hour intervals. Biofilms were then processed at specific intervals for total viable counts and the species present were evaluated and semi-quantified by DNA-DNA hybridization. Biofilm composition was also analysed by Scanning Electron Microscopy (SEM). Results: Samples taken before SRP harbored more bacteria than after SRP (10⁷ versus 10⁶, p=0.004). However, both sets of biofilms grew at a similar rate, reaching a peak CFU of ~10⁸ cells as early as day 3 (p>0.05). Samples taken after SRP presented the same species as those samples taken previous to the procedure, but in less quantity (p<0.001). Greater amounts of red complex bacteria and A.actinomycetencomitans (~10⁴) were found both before and after SRP when compared to other species (~10²). SEM analysis showed growth of a complex structure comprised of rods, cocci,fusiforms and filaments in both sets of mature biofilms.

Conclusion: Subgingival biofilms before and after SRP treatment present the same composition of bacterial flora and are able to grow similarly if given proper conditions. Therefore, subgingival bacteria that remains after SRP therapy has the potential to recolonize to pretreatment levels if not properly maintained.

If you the patient do what we (dental profession) tell you and you still suffer a deterioration of the disease over time it is because you were not compliant? A patient has to be compliant, but you also have to be shown a method that works!

J Clin Periodontol. 2003;30 Suppl 5:4-6.

Improving oral health: current considerations.

Ciancio S.

School of Dental Medicine, University of Buffalo, SUNY, Buffalo, NY 14214, USA.

The high incidence of periodontal disease among adults in the Western world indicates that in most cases, routine dental care could be considerably improved. The progressive effect of the disease suggests that improvements in oral cleanliness are mandatory if large numbers of adults are to retain their teeth into old age. Data show that periodontal disease can be minimized through effective plaque control, and that a combination of brushing, interdental cleaning, and chemotherapeutic agents (e.g. mouthwash) is beneficial to patients with plaque control problems. The vast majority of adults do not follow an adequate home-care routine. Average brushing times are low, and only a minority of patients regularly floss. In addition, in those patients who do regularly brush and floss, a deterioration of plaque control occurs over time, suggesting that compliance is a major issue. The principal challenge for dental professionals is to identify how best to elicit an improvement

I do agree with his last sentence that we have to find a way to elicit an improvement.

Our research published in the Journal of Dental Research 2007, Vol 86 show we kill 99.98% of the bacteria in 17 days that are in the periodontal pocket (the same bacteria left in the first two articles). Perhaps patients do not need to beat themselves up, but realize they now have a choice which works.

Later I will post some excerpts that illustrate just how related these bacteria relate to cardiovascular disease, pre-term low birth weight, Alzheimer’s disease, arthritis, cancer, stroke, etc.

Duane Keller DMD

Tuesday, September 13, 2011

What is Perio Protect?

Bacteria divide every 15-20 minutes in the mouth. 1 bacteria in 24 hours will = 5,000 Billion, Billion. Unless..... YOU DON"T LET THEM!!!!

The goal of the Perio Protect Method™ is to promote lasting oral health without requiring repetitive invasive procedures.

What about the bacteria under the gum tissue? Mouth rinse can't kill the bacteria under the gum tissue, and mouth rinse only kills bacteria while you are rinsing.

In 2003 the World Health Organization published a comprehensive report on oral health showing that more than 80% of adults in the U.S. have some form of gum disease. Unfortunately most of these people don't know it.

How does the disease start? click on the following link http://www.perioprotect.com/serious.asp

Perio Protect® is a comprehensive method that is customized for individual patients to help manage biofilms, communities of bacteria, growing in the spaces or pockets between teeth and gum tissue. The overall goal of the Perio Protect Method™ is to manage oral biofilm with minimally invasive dentistry for lasting oral health.

The Method is a combination of treatments, including a non-invasive chemical debriding therapy used in conjunction with traditional mechanical debriding procedures. The chemical therapy involves a tray delivery of doctor-prescribed solutions to chemically debride biofilm from the periodontal pocket and alter the pocket's microbiological environment to disrupt biofilm growth.

The standard cleaning procedures in dental offices (e.g. scaling and root planing) help remove plaque and tartar and help reduce bacteria, but unfortunately bacteria reproduce quickly and biofilms regenerate very easily, so it is difficult to control them between office visits.

With the Perio Protect Method, you can place prescribed solutions into periodontal pockets with an appropriately formed, customized dental tray between office visits to help manage biofilm. Although a dentist must choose the most appropriate solution for individual patients, the most commonly prescribed solution with the Method has oxidizing and oxygenating agents. Oxidizing agents debride (chemically remove) the slimy protective coating of a biofilm and its underlying layers and also cleanse the oral wounds.

Dentists may choose to treat the oral wounds with the chemical debriding and cleansing agents before mechanical debriding procedures to help reduce bacterial populations and thus reduce the risk of introducing bacteria into the bloodstream during mechanical debridement.

For most people following the Perio Protect Method, the placement of prescribed solutions into a periodontal pocket via a customized prescription tray requires only minutes each day. Patients describe the tray delivery as comfortable and appreciate its non-invasive technology.

The actual combination of mechanical treatment, chemical therapies, and prescribed treatment plan is determined by a dentist evaluating your specific conditions. To Learn more about the Perio Protect Method click on the following link http://perioprotect.com/.

Want to know if you have gum disease? Come on in for a free consultation normally valued at $265.00! Just call 314-638-4190. (offer only valid at Dr. Duane Keller's dental practice)