Implant Dentistry & Perio Rehab
with Dr. William S. Neale, DDS, MS
Do you Have:
- Bad Breath
- Jaw Joint Pain
- Loose Back Teeth
- Receding gums
- Tooth Sensitivity
- Inflamed and bleeding gums
- Excessive biting of own lips and check while eating and/or talking
- Abnormal wearing of teeth
- Uneven wear, chipping
- Limited movement, locking of jaw
- Clicking or popping noise in jaw joint when opening or closing mouth
- Tension of the chewing muscles
- Headaches, neck pain
- Difficulty in properly brushing and flossing all tooth surfaces
2106 Virginia Dr. Ste A,
Wichita Falls TX 76309
Tuesday – Thursday: 8:30am-4pm
Saturday – Monday: Closed
Infection control in our office is important to us. To protect our patients and ourselves, we strictly maintain sterilization and cross contamination processes using standards recommended by the American Dental Association (ADA), the Occupational Safety and Health Administration (OSHA), and the Center for Disease Control (CDC).
We have implemented added protective measures to protect our patients in response to the COVID-19 pandemic.
Most Insurance Accepted
We are not in-network with most insurance carriers, but we will submit your claim electronically for more timely reimbursement.
Dr. William S. Neale, DDS, MS
Dr. William Neale is fascinated by the mouth’s connection to the overall health and well-being of an individual. “It all starts in the mouth,” he informs. When not educating others on this connection and spending time with his friends and family, Dr. Neale enjoys reading, jogging and various continuing educational pursuits.
It has been observed that he spends everyday with “his hair on fire” for Perio!
In the Hands of an Expert
As the only Periodontist within one hundred miles of Wichita Falls, Texas, the PerioRehab team gives you the care you need.
Why Choose Us
Experienced Dental Care
Up-to-date periodontal regeneration.
Short Wait Times
We provide you with the time you need to get the care you deserve.
Over 20 Years in Business
Decades of experience to help you gain back your beautiful smile!
Periodontal disease is caused by bacteria in dental plague, the sticky substance that forms on your teeth a couple hours after you have brushed. This leads to swollen, bleeding gums, signs of gingivitis (the earliest stage of periodontal disease), and loosening of the teeth, a sign of severe periodontitis (the advanced stage of disease).
to treat acute painful dental infection and also to protect heart valve or artificial joint replacement for any dental procedure likely to cause gum bleeding
to re-grow bone support lost around the teeth roots, usually due to trauma, chronic gum infection, or to add jawbone bulk to deficient areas
to cover exposed sensitive, long, unsightly root surfaces with gum tissue to the original gum line position.
screening with digital and visual inspection of the face, neck, lips, and entire mouth for possible signs of cancer
Prophylaxis (Teeth Cleaning)
a routine simple dental cleaning, usually tooth polishing to remove slight tooth in a healthy mouth with little or no additional treatment needed
re-growing lost bone and or gum tissue lost from trauma or chronic jaw infection, using grafting material from tissue bank or patient’s own tissue
Sleep Apnea Appliances
a dental device, usually worn at night allowing air to enter easily through the nose &/or mouth allowing a more restful sleep
adding bony wall thickness to the sinus floor usually to accommodate a longer and stronger dental implant
to expose the complete natural tooth crown for a partially erupted tooth
a titanium metal bolt-like replacement for one or more missing teeth
Gum & Jawbone Corrective Treatment
building back gum and jawbone loss due to accident or chronic infection
Periodontal Scaling and Root Planning
removing hard mineralized deposits below the gum line resulting in a much smoother roof surface which simplifies daily dental hygiene
back flushing the deeper periodontal pocket trouble spots around the teeth with various cleansing, purifying medicated solutions
Pocket Reduction Surgery
a traditional (and somewhat outdated) surgical procedure to expose the hiding place for pyorrhea germs for easy daily dental cleaning
correcting jawbone deformities, either adding or removing lost bone and are soft tissue usually in preparation for dental implant placement
removal of a one or more roots to enhance periodontal surgical procedure
a condition (snoring) that prevents refreshing restorative sleep
Soft Tissue Grafting
covering exposed, sensitive, ugly root surfaces to the original gum line
Temporomandibular Joint Dysfunction (TMJ)
nonsurgical correction of painful jaw joint problems
Frequently Asked Questions
What to Expect at Your Initial Appointment?
Before your appointment you should receive a welcome package introducing Dr. Neale and his staff.
When you arrive at our office you will be handed the necessary paperwork, including a patients' contact information, medical history, dental insurance and HIPPA compliance/ verification. This ensures that we have all necessary information to address your concerns and needs.
Once your appointment begins, we will start with a review or your treatment history and mediation list from your family dentist and physicians as indicated. Our staff will listen to your desires and concerns about your dental health and appearance.
We will address acute dental problems to relieve any current discomfort as soon as possible by performing a thorough dental/gum (periodontal) examination including pocket depth, gum recession / root exposure, bite analysis, TMJ, X-rays & photographs of all teeth.We will perform a phase contrast microscope evaluation of live oral bacterial biofilm activity found below the gum line.
Finally, Dr Neale will have a brief discussion of the connection between dental health and overall/ systemic health including dental anatomy, self-care, treatment options, etc. Also, we will discuss short and long term prognosis and treatment options/ recommendations.
How Do I know When I should see a Periodontist?
If you have heart disease, diabetes, osteoporosis, or loose or missing teeth, then it’s time to get to a periodontist as quickly as possible. There’s no time like the present to ensure periodontal disease isn’t making your condition worse. You may give the periodontist a chance to save some of your remaining teeth.
You could attain what Dr. William S. Neale, local periodontist in Wichita Falls, calls a “kissable smile”. You could have periodontal disease and not know it. There are few early warning signs. For example, if you have soreness and/or bleeding in your gums, no matter how minor, it’s the time to see a periodontist.
Your general dentist may refer you to Dr. Neale, your local periodontist in Wichita Falls, Texas. If there’s a problem in the mouth that goes beyond dental expertise, your dentist and Dr. Neale work as a team to ensure the best periodontal and dental care possible.
What Causes Periodontal Disease?
There are a number of issues that can lead to periodontal disease. We’ve given you a taste of one; poor dental hygiene. Dental hygiene is not just brushing a couple of times per day. It includes regular checkups with your periodontist.
Interesting. A periodontist, such as Dr. William S. Neale, can do what a dentist can do, but a dentist cannot do what a periodontist can do. So as part of your dental hygiene, don’t let periodontal disease get a start in your mouth. Make regular appointments to visit Dr. William S. Neale in Wichita Falls to keep your teeth and gums in perfect shape.
Another cause of periodontal disease can be smoking. This is actually one of the most significant factors contributing to gum disease that leads to periodontal disease. Your best defense, whether you stop smoking or not, is to visit Dr. William S. Neale for a regular checkup.
One cause of periodontal disease is genetic factors. None of us can do anything about our genetics. No matter what we do, about 30% of the population are nearly six times more likely to develop gum disease leading to periodontal disease.
The only defense in these 30% of cases is to visit your local periodontal specialist, Dr. William S. Neale, on a regular basis.
In addition, pregnancy, menopause, stress, and poor diet may lead to physical damage of the teeth. Some medications may wreak havoc on your gums causing gum disease in your mouth.
What are the signs and symptoms of periodontal disease?
The problem with having periodontal disease is you may not know you have it. At the beginning stage of development, it is quite likely there won’t be any signs such as red, sore, and swollen gums. That’s a major reason everyone should have an early, preventative checkup with Dr. William S. Neale of Wichita Falls, Texas. He is eminently qualified to diagnose and treat periodontal disease.
Do not delay. We cannot stress this enough. Periodontal disease is nasty stuff. The damage caused by the disease cannot be reversed; it can only be stopped. Getting an early diagnosis is critical to maintaining a healthy mouth and a sparkling smile.
As periodontal disease progresses in your mouth, you may experience some of the following signs:
Bleeding Gums. Your gums may bleed for no apparent reason when brushing or flossing and sometimes even when you eat.
Pain, swelling and redness. You may experience these conditions as a result of an infection building at the lower gum levels. There may not be any apparent reason. Periodontal disease is usually located so deeply in the gums that only a specialized periodontal dentist, such as Dr. William S. Neale of Wichita Falls, Texas, is qualified to conduct a diagnosis and carry out treatment regimes to bring back your sparkling smile.
Once the disease gets to this stage, the infection caused by Spirochetes bacteria, the root cause of periodontal disease, can translocate through the bloodstream to other parts of your body. Some may say, “So what?” Spirochetes bacteria is a causal factor in a number of serious medical conditions. Your chances of having heart disease, diabetes, chronically swollen joints, and other severe conditions increase by not securing a periodontal disease checkup.
Teeth that appear to be growing. Your teeth may seem to be getting longer when in reality, your gums are shrinking. Periodontal disease attacks the gums, which recede toward the jawline. Let this continue and the loss of teeth becomes a consequence. So much for your sparkling smile. You didn’t visit Dr. William S. Neale of Wichita Falls, Texas for an examination and treatment to stop periodontal disease in its tracks.
Loosening Teeth ultimately fall out. Periodontal disease destroys the ligaments holding the teeth in the jawbone. It destroys the gums and jawbone. This causes the loosening of your teeth and their ultimate loss.
Oozing Pus between your teeth. Picture that. Wouldn’t pus oozing out of your gums between your teeth suggest there is something terribly wrong? We hope you never get to this stage. If you do, you need to see Dr. William S. Neale immediately. Contact Dr. Neale. Give his office a call at (940) 322-0758.
What is Gum Recession?
It’s a sad fact that many people are affected by their gums receding. Periodontal disease may be the causal factor. Once the damage is done, it can only be repaired by medical intervention. Other causes of receding gums can be:
• Over-Aggressive Brushing. Hard brushing with a hard toothbrush can cause the gums to recede. The obvious cure for this situation is to use a softer toothbrush and be more gentle with your teeth and gums.
Build up of tartar and plaque. This can turn into periodontal disease.
What is a Chairside Microscope Exam?
A Chair-Side Microscopic Exam is a non-invasive method for investigating the likelihood of diseases in the body that can be associated with periodontal disease. Blood samples can be taken during a periodontal examination and observed under a microscope or exposed to other types of examination.
The objective is to use painless methods of examination to gain an exact assessment of any periodontal disease you may have in your gums.
Showing up quite clearly with a microscopic examination is any presence of Spirochetes bacterium which causes severe infection. Samples taken by Dr. Neale can be examined. The stage of any periodontal disease deep in your gums can be assessed.
What is the Connection between Periodontal Disease and Diabetes?
The connection between the two diseases is called causal factors.
- Blood Sugar – Periodontal disease in the body elevates blood sugar. It adds to the time the body must take to bring sugar levels to normal. This blood sugar connection increases the incidence of diabetes.
- Blood Vessel Thickening – Blood vessels in the mouth tend to become thicker when one has diabetes. This reduces the absorption of waste material and nutrients which causes the results of the infections created by periodontal disease to worsen.
- Poor Oral Hygiene – Without proper oral health, sugars in the mouth are more apt to be trapped in the lower recesses of the gums becoming food for periodontal disease. This increases the metabolic problems that diabetes sufferers experience.
What is the Connection Between Periodontal Disease, stroke, and Heart Disease?
In the medical article, “Systemic Diseases Caused by Oral Infection” (Xiaojin Li, National Institutes of Health, October, 2000) suggested, periodontal disease “may affect the host’s susceptibility to systemic disease in three ways: by shared risk factors, by subgingival biofilms acting as reservoirs of gram-negative bacteria, and through the periodontium acting as a reservoir of inflammatory mediators.” In short, periodontal disease results in a situation where the body becomes more susceptible to stroke and heart disease.
What is Periodontal (GUM) Disease Bacteria?
The bacteria associated with periodontal(GUM) diseases are predominantly gram-negative anaerobic bacteria and may include A. actinomycetemcomitans, P. gingivalis, P. intermedia, B. forsythus, C. rectus, E. nodatum, P. micros, S. intermedius and Treponema sp. These bacteria have all be associated with chronic inflammation problems.
How is Periodontal Disease and Pregnancy Connected?
When a woman is pregnant, there are a number of hormonal changes that affect her body. This increases the risk of developing periodontal diseases. If a woman already has the disease, the process of bodily destruction may speed up. The result is Spirochetes bacterium can increase throughout the body as levels of periodontal disease increase. This can cause significant pre-natal and post-natal problems such as:
• Prostaglandin – There is medical evidence that the effects of periodontal disease can increase levels of prostaglandin; is a labor-inducing compound. Having high levels can induce premature labor. If born too early, serious medical conditions occur in the newborn baby.
• C – reactive protein (CRP) – Periodontal disease can cause the liver to produce elevated levels of CRP. The result is high blood pressure in the mother, as well as pre-mature birth. In addition, the CRP can cause blood clotting and inflamed arteries in the mother, which can be severe for the fetus.
• Bacterial Spread –Spirochetes bacterium from periodontal disease spreads through the body. It is a causal factor in a number of other medical conditions. Diabetes, heart disease and strokes, arthritis, and chronic joint inflammation are a few of those medical conditions. Any time a woman is pregnant, every adverse medical condition always puts the fetus at risk.
What does Periodontal Disease and Osteoporosis have to do with each other?
Periodontal disease is a progressive infection that begins deep within the recesses of the gums. In the beginning one may not exhibit symptoms at all. As the illness progresses, the gums become red. They bleed and start to recede. One may also think their teeth are becoming longer. That’s an illusion caused by the gums pulling towards the jawbone.
Those are the symptoms you may see. What you may not see is the continued build-up of an infected mass that degenerates the jawbone and destroys the ligaments holding the teeth in position. This causes the spread of Spirochetes bacterium to other parts of the body through the bloodstream. The bacterium in the bloodstream becomes a causal factor in a number of other severe conditions.
Osteoporosis is a type of arthritis that attacks the bones of the body, reducing bone mass and deteriorating bone tissue. The disease is painful. It also exposes the person to increased risk of bone fracture due to fragility.
Causal Factor in Osteoporosis
The causal factors for Osteoporosis are not well understood. It is believed that other diseases do increase the likelihood of Osteoporosis. In this case, the Osteoporosis is called secondary osteoporosis.
It can be exacerbated by low mineral bone density. Periodontal disease and the resulting Spirochetes bacterium that finds its way through the bloodstream to other parts of the body can cause chronic swelling in bone joints. Infection can attack the surrounding bone tissue. If the bone tissue is weakened due to osteoporosis, the periodontal disease can speed up the degenerative process.
What happens in the jawbone with periodontal disease is a good example. There the periodontal disease directly attacks the jawbone causing it to degenerate to the point that it can lose its structural capability.
Does Periodontal Disease and Respiratory Disease have a Connection?
Respiratory diseases may be caused by the ingestion of bacteria-laden drops of moisture from the mouth into the lungs. These ingested bacteria colonize the lower reaches of the lungs creating the opportunity for pneumonia and other respiratory problems.
As well, people with respiratory problems typically are exposed to a stressed or low-functioning immune system. This encourages a much faster build-up of periodontal disease which can aggressively attack the gums and teeth. The result is even greater stress on the immune system and greater opportunity for bacterial infection in the lungs.
The impact of periodontal disease on respiratory diseases cannot be overstated. Neither can the case of respiratory infection and a weak immune system.
What is Bruxism?
Do you grind your teeth? If you do, then you have Bruxism. Bruxism is the involuntary action of grinding your teeth, especially during sleep. It’s reminiscent of people who bite their nails. They are completely unaware of their actions.
What happens with Bruxism?
At least when one bites their nails, the nails grow back. One of the consequences of Bruxism is the enamel on the teeth does not come back once it is ground away. Bruxism is of concern because it can:
• Cause severe damage to the gums
• Cause weakening of the teeth to the point of fracturing
• Cause voids between the gums and the teeth that allow toxins and bacteria deep down into the gums. This acts as a causal factor in periodontal disease.
• Cause arthritis in the joint of the jawbone, creating chronic earaches and headaches
Bruxism is an unfortunate condition that can cause significant impact to the mouth and the body. There may not be a cure, but there are treatments that can be implemented to reduce the effects. Dr. William S. Neale of Wichita Falls, your periodontal specialist, can help you with those treatments.
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Implant Dentistry & Perio Rehab
2106 Virginia Dr. Ste A, Wichita Falls TX 76309