(972) 960-1111

April 29, 2013

Impacted Wisdom Teeth- A Visual Guide

Dr. Chilcoat @ 9:30 am
impacted wisdim teeth infographic

A Visual Guide To Impacted Wisdom Teeth

Impacted, Erupted, Partially Impacted- What does all that even mean?  Your dentist has it in for your wisdom teeth, but at the moment they are not hurting you.  Before you decide to wait to act upon your dentist’s advice to remove your wisdom teeth, make sure you know all the facts about impacted third molars.

Why Remove Wisdom Teeth?

When it comes to dental surgery, most people are of the attitude “If it ain’t broke, don’t fix it”.  This is a really great rule of thumb as long as you recognize that pain is not the only indicator of wisdom teeth problems.  In fact, there are many instances in which the third molars can be seriously dysfunctional and even destructive without experiencing pain.  Like most dental conditions, such as tooth decay and gum disease, pain does not usually enter the picture until the disease or condition has become quite advanced.  Your wisdom teeth are no different.  It’s a good idea to have your dentist examine your third molars for signs of pathology, disease, decay or other problems.  If he makes a recommendation to have the wisdom teeth removed, ask for an explanation about “why”, so you can understand if there are underlying problems that exist, but perhaps are not painful at the moment.

Impacted Wisdom Teeth

An impacted tooth is one which has not ‘erupted’ into the dental arch, in alignment with the other teeth.  It is positioned within the jaw bone, covered completely or partially with bone and gum tissue.  Just because a tooth is impacted does not mean it must be removed.  Some wisdom teeth are positioned in such a way that removal can cause more risk for complications than leaving the tooth alone.  Only an oral surgeon is best qualified to assess impacted wisdom teeth and make this determination.

Some signs of trouble with impacted teeth include:

  • Malpositioned tooth which has the potential to cause harm to the adjacent teeth
  • Improper tooth positioning which causes misalignment and crowding of the other teeth, especially after previous orthodontic therapy.
  • A wisdom tooth which has erupted only partially creates a prime environment for bacteria, resulting in chronic infection, gum disease, decay and pain.
  • Formation of destructive cysts around the wisdom tooth which can destroy jaw bone and cause loss of the adjacent teeth, infection or even pathologic jaw fracture

While the problems outlined in this graphic are not the only problems we see associated with impacted wisdom teeth, they are the most common.  Some of these problems do not cause physical pain until they have become advanced.  As with all dental problems, it’s usually less expensive, less traumatic and easier on you to take care of problems while they are still in their early stages.  Ask your dentist about the health of your wisdom teeth, or visit our Dallas oral surgery practice to find out whether your wisdom teeth are healthy enough to keep.



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April 22, 2013

Affordable Dental Implants- Affordable Enough For You!

Dr. Chilcoat @ 1:42 pm

You Can Afford Dental ImplantsWhen thinking about replacing missing teeth with dental implants, you might throw the idea away because you are afraid of the cost. While it is true that dental implants are the most effective, reliable and natural feeling option for tooth replacement, the preconception that there is no such thing as affordable dental implants couldn’t be farther from the truth!

You Can Afford Dental Implants

There are some important facts to consider about replacing teeth, whether you need a single tooth replacement, multiple tooth replacement of full mouth dental implants.

Dental Implants Are:

· 97% Successful over more than 50 years of research

· The most reliable and natural looking/feeling treatment option

· Stronger than even natural teeth; eat what you want!

· A mainstream treatment option which has recently become more affordable than ever for patients

Save On the Cost of Dental Implants Without Compromising Quality of Care

As Dallas’ fair price leader, your Dallas dental implant dentist, Dr. Robert A. Weinstein, believes that implant dentistry should be affordable for everybody. Since they are usually the ideal treatment option for missing teeth, dental implants should not be reserved for only those of exceptional means.

When you have your dental implants procedure done by one of our trained oral surgery specialists, you will receive:

  • Fees up to 50% less than our competitors


  • Proven, highest quality dental implants backed by over 50 years of research and experienced surgeons                       with over  30 years experience in implant dentistry


  • Personal treatment planning attuned to your specific needs and desires


  • An easy, comfortable experience each step of the way


  • Easy financing and payment plan options


  • FREE Companion airfare voucher to send you on a vacation to celebrate your new smile!

(Limited time; while supplies last)

To Schedule Your Personal Consultation and Receive Your Affordable Dental Implants Treatment Plan,

CALL US TODAY! Check out our Specials Page for more information on how we make

We Make Dental Implants Affordable For Everybody


April 3, 2013

Oral Surgery And Your Personal Safety

Dr. Chilcoat @ 9:27 am

Patient safety in the oral surgeon’s office is at the top of people’s minds this week due to recent developments in the news regarding infection control.  While the world will always have a few people in it who behave irresponsibly and without regard for others, the good news is that the overwhelming majority of healthcare providers take patient safety very seriously.  In fact, at the oral surgery office of Dr. Robert A. Weinstein, we make patient safety our number one goal in everything that we do. In order to give our patients an inside look at the measures we take to ensure patient safety and infection control in our practice, we offer the following information.

It Starts With Sterilization

instrument sterilization in the oral surgery officeIn a surgical setting, the number one thing we do to prevent transmission of disease is to sterilize our instruments.  Every surgical instrument from retractors to forceps and even dental handpieces (drills) are steam and pressure sterilized utilizing a hospital grade autoclave.  First, the instruments are cleaned of any visible soil.  After that, they are inspected to make sure they are functioning properly and intact before being placed in an individual wrapper.  Once wrapped, the instruments are sterilized in the autoclave, destroying any living microorganisms including bacteria and viruses.  The autoclave itself is tested on a regular basis to ensure that it meets the prescribed conditions for sterilization.

Disposable Instruments

Whenever possible, disposable instruments are utilized in order to further ensure sterility, patient safety and prevention of contamination.  Disposable instruments include dental needles, suture needles, scalpel blades, drill burs, suction tips, irrigation tips and other instrumentation. These disposable instruments are for single patient use only, and come packaged in sterile wrappings.

Prevention of Cross-Contamination

Sterile instruments are not enough to ensure safety of the patients in our practice.  We take precautions to prevent cross-contamination (contamination of a sterile instrument by coming in contact with a non- sterile surface).  In order to prevent cross contamination, the clinical team is well-trained in aseptic technique when handling contaminated items and while providing surgical care to a patient.  The use of aseptic techniques when handling soiled instruments, working in the mouth and other activities helps ensure that blood and fluids are contained and not spread to surfaces or patients.

Disinfection and Barrier Usage

All hard surfaces in the operatories and clinical areas of the office are kept clean and disinfected utilizing an antimicrobial and antiviral disinfectant productsantiviral/antimicrobial surface disinfectant after each patient.  All surfaces which are likely to be handled during patient care, such as the dental chair, light handles and other instruments are covered with a protective barrier or fitted with a disposable instrument to prevent exposure from patient to patient.  In addition, all employees utilize disposable protective equipment such as gloves, masks and gowns to reduce the risk of cross contamination.  Personal hygiene including proper handwashing techniques and other methods of personal hygiene help reduce the risk of exposure as well.

Careful Compliance With State And Federal Protocols

State and Federal agencies such as OSHA, The Texas State Board of Dental Examiners and the Centers for Disease Control require careful compliance by healthcare providers.  The protocols and preventive measures described by each of these agencies are detailed and meticulous.  Dr. Weinstein insists upon compliance with the guidelines and regulations in place.  In addition to the annual infection control/safety training required by law, Dr. Weinstein provides quarterly safety and infection control training to his clinical team.  Dr. Weinstein also insists that in addition to the basic life support certification requirements, his clinical team is certified to provide Advanced Cardiac Life Support (ACLS) in order to be well prepared for any patient safety situation.  He has received a certificate of compliance from the American Association of Oral and Maxillofacial Surgeons Office Anesthesia Evaluation Program.  Dr. Weinstein invited the State of Texas to perform a voluntary OSHA inspection in order to ensure that the measures taken in the office were in complete compliance with all safety guidelines and requirements.  He received a letter of OSHA compliance and recognition for his proactive commitment to patient safety.

For more information about State and Federal infection control protocols and patient safety requirements, you can visit



TSBDE Infection Control Policy

14856 Preston Rd., Suite 104, Dallas, TX 75254 USA
Charles Chilcoat, DDS Dallas TX Dentist (972) 960-1111 care@texaswisdom.com