Matthew Keider, DDS

The way you smile is says a lot about you. A genuine Duchenne smile (which involves the muscles around the mouth and eyes) can even reveal how welcoming and trustworthy you are. However, many people conceal their smiles because of dental imperfections. These include common issues like stains, discoloration, chips, gaps, or cracks, all of which can make you less likely to show off your teeth. But, at Dr. Keider’s practice, we want all our patients to love their smiles. In light of this, we offer a wide range of cosmetic dentistry services to enhance your teeth and give you the confidence to flash a smile at any moment. What Is Cosmetic Dentistry? Cosmetic Dentistry in Winston-Salem, NC | Book a Consultation A smile makeover with veneers and implants helped this patient feel like herself again. Cosmetic dentistry encompasses various treatments to enhance the appearance of your teeth. Common imperfections that we address with our cosmetic treatments include: Stained or discolored teeth Cracked or chipped teeth Misaligned and crooked teeth Irregularly shaped teeth Small teeth Missing teeth Cosmetic Dentistry at Dr. Keider’s Office Cosmetic dentistry alters the appearance of your teeth, and some procedures even provide restorative benefits. At our practice, Dr. Keider offers several cosmetic and restorative treatments that can enhance your dental aesthetics, helping you fall in love with your smile. Teeth Whitening Teeth whitening is an easy way to enhance your smile by making your teeth more radiant. At our office, we offer take-home teeth whitening kits with high-strength gel and whitening trays customized for your smile. The gel contains a higher concentration of hydrogen peroxide than you can find in store-bought products. As a result, it’s extremely effective at breaking down stains and brightening teeth. The kits are safe and convenient to use at home. Simply dispense the whitening gel into the tray and wear it for 15 minutes. Do this daily for two weeks, and you’ll see long-lasting results. With our professional whitening kit, you can expect faster and more long-lasting results than anything you might buy at the store. Dental Bonding Dental bonding is a popular cosmetic procedure that enhances the appearance of your teeth while providing restorative benefits. Dr. Keider may recommend bonding to restore chipped or cracked teeth, conceal tooth discoloration, protect exposed tooth roots, and fill gaps between teeth. For the procedure, Dr. Keider will apply a tooth-colored composite resin to your tooth or teeth, gently reshaping it to achieve your desired result. Porcelain Veneers Porcelain veneers are a durable, long-lasting solution for achieving a flawless, photo-ready smile. These ultra-thin porcelain shells correct a variety of dental imperfections, from worn-down teeth to stubborn stains. They can also close small gaps and improve the appearance of minor misalignment, providing a natural and polished look. The minimally invasive procedure begins with Dr. Keider removing a small amount of enamel. He then bonds a thin porcelain shell to the front of your tooth and uses a curing light to secure it. Finally, he shapes and polishes the veneer for a natural, symmetrical smile. Dental Crowns Dental crowns can also be made from porcelain and are built to protect damaged teeth. They serve as a “cap” that covers your entire tooth, protecting it from further harm. While dental crowns do an excellent job restoring broken, chipped, or worn-down teeth, they also enhance your tooth’s appearance. We can personalize your dental crown by adjusting its shape, size, and color. This customization helps to achieve your unique smile vision. Dental Implants Dental implants are a reliable option for replacing missing teeth. The implant post is made from titanium, so it’s built to last a lifetime. Meanwhile, the replacement teeth that the implants support are made from beautiful and durable materials like porcelain and zirconia. As a result, implants are a long-lasting restorative treatment with big cosmetic benefits. If you opt for implants to replace your teeth, Dr. Keider will insert the titanium post into your jawbone, and through osseointegration, the post fuses with the bone. This process allows the implants to mimic the function of natural tooth roots, firmly anchoring restorations like crowns, bridges, and dentures. However, not everyone is a candidate for dental implants. Some patients may lack the bone density to support a conventional implant. Mini dental implants are an ideal alternative for these cases, as they are smaller and don’t require the same amount of bone. Despite their small size, mini implants are as strong, long-lasting, and high-quality as conventional ones. They offer stable reinforcement for false teeth, leading to a smile that’s as functional as it is beautiful.

Are stains, chips, or gaps keeping you from smiling? Do you hold back a grin or a cheerful chuckle because you’re embarrassed about your teeth? If so, you’re certainly not alone—studies show that 1 in 4 adults avoid smiling, and 23% are embarrassed because of the condition of their teeth. Given that your smile is one of the first features others notice about you, these insecurities can impact how you interact with people and the world around you. Fortunately, innovations in dentistry have led to advanced treatments for patients. One such treatment option is dental veneers. Dental veneers are a cosmetic treatment offering a simple, long-lasting solution to transform your teeth and enhance your smile. Whether you want to correct discoloration, uneven edges, or minor misalignment, veneers provide a natural-looking result tailored just for you. Understanding Dental Veneers Dental Veneers in Winston-Salem, NC, | Book a ConsultationIf you’ve ever wished for a picture-perfect smile, dental veneers could be the solution you’ve been looking for. Veneers are extremely thin shells that cover the front of your teeth to transform their appearance. They’re like fake fingernails for your teeth. Veneers are made from high-quality porcelain and correct a variety of cosmetic imperfections, including: Stains and discoloration that don’t respond to whitening treatments Chicks, cracks, or worn-down teeth Gaps between teeth Slight misalignment or uneven shaping This cosmetic dentistry solution seamlessly blends with natural teeth and provides a bright, symmetrical smile. Veneers can retain their beauty for years with proper care, giving you the confidence to smile without hesitation. Lumineers You may have heard of Lumineers®, a brand of “no-prep” veneers. These are even thinner porcelain veneers that don’t require us to prepare your teeth before placing them. With standard porcelain veneers, Dr. Keider will remove a thin layer of enamel to accommodate the thickness of the veneer so it doesn’t look bulky or out of place. Because Lumineers are so thin, Dr. Keider can bond them to the surface of your teeth without altering your natural tooth structure. While not quite as strong and durable as standard veneers, Lumineers are a good option for those looking for a more conservative and reversible procedure. The Benefits of Dental Veneers Whether you choose a single veneer to enhance a small lateral tooth or opt for 8-10 veneers for a full smile makeover, you can enjoy many benefits: Natural-looking appearance: Lab technicians customize porcelain veneers to achieve your desired color and shape. We’ll make sure they look and feel natural and that they blend in with your smile for a harmonious look. Minimally invasive: Dental veneers are less invasive because they require less enamel removal than other treatments, such as porcelain dental crowns. The minimal removal of enamel helps preserve more of your natural tooth structure. Easy maintenance: Porcelain veneers need the same care as your natural teeth. Simply brush twice daily, floss regularly, and keep up with your dental checkups. Durability and stain resistance: With proper care, porcelain veneers can last 15 years or even a lifetime. They’re also highly resistant to stains, so you can keep your smile bright without specialized maintenance. Decay resistance: Porcelain veneers have a non-porous surface, meaning they won’t decay or develop cavities. However, the natural teeth beneath them are still vulnerable, so it’s essential to maintain good oral hygiene. Improved confidence: By enhancing your smile, veneers can boost self-confidence and improve your overall quality of life. The Dental Veneers Process Veneers can dramatically improve the appearance of your teeth. You may think such a transformation calls for a complicated procedure, but it doesn’t. The process is actually quite simple. Initial Consultation Dr. Keider is meticulous and detail-oriented, taking the time to find the best solution for your unique needs. During your consultation, he will carefully assess your dental concerns and goals to determine if veneers are the right option for you. At this visit, Dr. Keider will also take digital scans of your mouth and create models of your teeth. He’ll adjust the models to simulate the changes in your smile. If the models meet your expectations and you decide you’d like to move forward, the next step is to prepare your teeth.

Wearing metal braces can feel like trying to drive home and meeting countless frustrations on the road. You navigate around construction zones, heavy traffic, and unexpected detours to finally reach your destination. Likewise, traditional metal braces come with hassles that make the process feel more complicated than it needs to be. When you take this route, your teeth straightening journey comes with food restrictions, extra maintenance, and uncomfortable brackets and wires. With Invisalign, on the other hand, you can enjoy a smoother, more direct route to a straight smile—without unnecessary roadblocks. This discreet braces alternative is a popular option for anyone who wants a straighter smile with fewer disruptions along the way. What Is Invisalign and How Does It Work? Invisalign® is a nearly invisible way to straighten teeth without the hassle of metal braces. Instead of brackets, wires, and bands, it uses clear, removable trays custom-formed to fit your teeth. These aligners gradually shift your teeth into place, giving you a straighter, more confident smile over time. Because they’re removable, you can eat, brush, and floss just like normal. That means no food restrictions or complicated cleaning routines. Dr. Keider will meet with you to determine if Invisalign is right for you. Using advanced 3D imaging, he’ll create a custom treatment plan tailored to your smile goals. You’ll receive a series of aligners, each designed to make small, precise adjustments to your teeth. For the best and quickest results, you’ll need to wear your aligners for 22 hours per day, only removing them to eat and clean your teeth. Every one to two weeks, you’ll switch to a new set of aligners, bringing you closer to your ideal smile. One of the best features of Invisalign is its discreet appearance, making it a great option for both adults and teens. Whether you’re fixing gaps, crowding, or misalignment, Dr. Keider and his team can help you achieve the straight smile you’ve always wanted. With Invisalign, you can transform your smile without anyone noticing you’re in treatment. Invisalign vs. Metal Braces Invisalign in Winston-Salem, NC | Discreet Braces AlternativesBraces are the traditional method for straightening teeth, but they have some drawbacks. For many patients, Invisalign® is the ideal choice, namely because of the following features: Translucence: Invisalign’s clear plastic trays are nearly invisible when they’re against your teeth. With braces, the brackets, wires, and bands are much more pronounced. Comfort: Made from smooth plastic, Invisalign aligners are more comfortable to wear. Unlike metal braces, which can have sharp edges and poking wires, Invisalign won’t cut your cheeks or lips. Flexibility: You’ll need to wear your aligners 22 hours per day to stay on track, but you can remove them for special occasions. Whether it’s a wedding, job interview, or a photo opportunity, you have the freedom to take them out when needed. Easy Maintenance: Keeping your Invisalign aligners clean is fairly simple, and since they’re removable, you can brush and floss your teeth without fighting with brackets and wires. Mealtime freedom: Unlike braces, Invisalign lets you eat whatever you want. You don’t have to avoid sticky, hard, or crunchy foods. Simply remove your aligners, enjoy your meal, rinse the trays, and pop them back in when you’re done. Invisalign is ideal for anyone looking for a discreet, comfortable, and flexible way to straighten their teeth. Unlike braces, the clear, removable aligners let you eat what you want, avoid irritation from metal brackets, and easily maintain oral hygiene. If you want a low-maintenance, effective alternative to braces, Invisalign may be right for you! The Benefits of Straighter Teeth A straighter smile comes with important perks, some of which you might not have considered. From boosting your confidence to improving digestion, properly aligned teeth can benefit your health, comfort, and overall well-being. Consider how a straighter smile can make a difference in your daily life: Enhanced self-confidence: A straight smile boosts self-confidence by improving your appearance and encouraging you to smile more often. This can positively impact social interactions, professional opportunities, and your overall mental well-being. Improved oral hygiene: Straighter teeth are easier to clean thoroughly, preventing cavities and gum disease from developing. Crooked teeth, on the other hand, create hard-to-reach areas where food and bacteria can accumulate. Better digestion: Did you know that straight teeth help you chew your food more effectively? Proper chewing makes it easier for your body to digest and absorb nutrients. It also reduces the risk of indigestion and acid reflux, helping you feel better after meals.

Ever feel like your smile isn’t as bright as it used to be? Coffee, tea, wine, and everyday life can dull your teeth over time. If you’ve tried over-the-counter whitening strips or toothpaste but haven’t seen the results you want, you’re not alone. Many store-bought products provide only temporary or minimal changes. If you’re tired of wasting time and money and are looking for a convenient solution, we can help. Our at-home teeth whitening kits offer faster, longer-lasting, and more dramatic results for a smile you’ll love showing off. The Benefits of Whiter Teeth Whitening your smile doesn’t just improve your appearance—it also offers several personal and health benefits. These are some of the key benefits of having brighter teeth: Teeth Whitening in Winston-Salem, NC | Convenient At-Home KitsBoosted confidence: When your teeth look their best, you feel more comfortable in social and professional settings. A whiter smile can help you speak, laugh, and interact with others more confidently. A more youthful appearance: Over time, teeth naturally darken due to aging, diet, and lifestyle habits. Whitening reverses this, helping you maintain a fresh, youthful look. A strong first impression: Studies show that people with bright smiles are often seen as more trustworthy, friendly, and approachable. Whether at work or in social settings, a whiter smile can leave a lasting positive impact. Smiling more often: When you love your smile, you’ll naturally smile more. That’s a key benefit, considering that smiling has been linked to reduced stress, improved mood, and even lower blood pressure. Better oral health: People who invest in whitening treatments are often more motivated to maintain good oral hygiene, which leads to healthier teeth and gums. Regular brushing, flossing, and dental checkups help keep your smile bright and strong. The good news is that you can experience these benefits without breaking the bank. Tooth whitening is one of the most affordable cosmetic dentistry treatments available, making it easy to enhance your smile without a major investment. What Is Professional Teeth Whitening? At our practice, we offer professional at-home teeth whitening so that you can whiten your teeth whenever and wherever you want. Our kits come with professional-strength whitening gel and custom-made trays for safe, effective results. Whitening Gel The gel comes in an easy-to-use syringe with a dispensing tip for precise application. It contains 9% hydrogen peroxide to break down stains and brighten teeth. The thick formula ensures the gel stays in place, maximizing contact with the tooth surface for even, long-lasting whitening. Custom Trays We provide custom-made whitening trays that fit snugly over your teeth. These trays ensure the gel is evenly distributed without leakage or gum irritation. Simply dispense the gel into the trays and wear them for 15 minutes daily for two weeks to achieve a noticeably whiter smile. How Are Professional Kits Different Than OTC Teeth Whitening Products? Teeth Whitening in Winston-Salem, NC | Convenient At-Home KitsProfessional teeth whitening kits offer stronger, safer, and longer-lasting results than over-the-counter (OTC) options. They contain a higher concentration of whitening agents, which means faster and more noticeable whitening without needing constant reapplication. Unlike OTC strips or brush-on products, our kits include custom-fitted trays that hold the gel securely against your teeth. This snug fit allows for even whitening. It also minimizes sensitivity by preventing the gel from spreading to your gums. On the other hand, many store-bought products can cause irritation or uneven results because they aren’t designed for your unique smile. With a professional kit, you’re not wasting money on gimmicks or trends—you’re investing in a dentist-approved, proven solution. Plus, our formulas are gentle on enamel. Recently, charcoal whitening products have gained popularity, but they can be harsh on enamel and do more harm than good. We always recommend consulting a dentist like Dr. Keider for the latest recommendations on safe and effective ways to maintain a healthy, bright smile. Not only are our professional products safe, but they’re also effective. Our at-home teeth whitening kits provide long-lasting results that can keep your smile bright for months or years, not just weeks! How To Make Your Teeth Whitening Results Last Keeping your teeth white after professional whitening treatment doesn’t have to be complicated. With the right habits, you can extend your results and keep your smile bright for longer. Here’s what we recommend: Practice good oral hygiene: Brush twice a day and floss once daily to prevent stains from building up. Use a straw: When drinking coffee, tea, soda, or other dark beverages, use a straw to reduce direct contact with your teeth. Rinse after eating: Swishing with water after eating stain-causing foods

Did you know that something as simple as smiling can actually boost your mood? When you flex your facial muscles into a grin, your brain releases mood-enhancing hormones and reduces stress—helping you feel happier and more relaxed. Plus, a smile is contagious, making your day (and someone else’s) just a little brighter! However, many people feel insecure about their smiles due to dental imperfections, which can hold them back from fully embracing their grins. Luckily, there are ways to correct dental flaws. One such way is dental bonding. This cosmetic dental procedure can improve the appearance and function of a damaged tooth and even offers functional benefits. What Is Dental Bonding? Dental Bonding in Winston-Salem, NC | Book a ConsultationDental bonding is a popular procedure that enhances the appearance of your teeth, improving your smile while restoring function to damaged teeth. This cosmetic procedure is an excellent solution for: Restoring chipped or cracked teeth Filling gaps between teeth Contouring irregularly shaped teeth Concealing tooth discoloration Shielding exposed tooth roots. Dental bonding is both a cosmetic and restorative treatment. It not only improves the look of your smile but also strengthens teeth and protects exposed roots, helping to maintain long-term oral health. Dental Bonding Procedure Dr. Keider applies a tooth-colored material to the surface of your tooth, creating a natural-looking result. Unlike veneers, dental bonding is less invasive and doesn’t require removing enamel. This quick procedure can be completed in just one visit, making it a simple and effective solution. It typically includes the following steps: Initial consultation: Before we can begin the process, you’ll come in for a consultation so we can discuss your dental goals. Dr. Keider will thoroughly examine your teeth and decide if bonding is the best solution for you. Tooth preparation: Dr. Keider will examine your teeth and select a tooth-colored resin that closely matches your natural shade. He will then gently roughen the tooth’s surface and apply a bonding agent to help the bonding material adhere. Application: Next, Dr. Keider will apply the resin to the damaged tooth, carefully molding and smoothing it to match the shape of your surrounding teeth for a seamless look. Curing: Using a special light, Dr. Keider will harden the resin, securely bonding it to your tooth. Finally, he will polish and refine the bonded area—leaving you with a natural-looking, confident smile! How Bonding Works Dental bonding uses composite resin and adhesives to improve both the appearance and strength of your teeth. Made from a blend of plastic and fine glass particles, the resin provides durability while mimicking the natural look of enamel. The bonding process securely attaches the material to the tooth in two ways: microscopic grooves on the tooth’s surface help lock it in place, while a chemical bond ensures a strong hold. Once applied, the resin creates a smooth, natural-looking layer that blends naturally with your tooth. A special light then hardens the material, ensuring a strong, long-lasting result. Benefits of Dental Bonding Bonding is a popular treatment, and for good reasons: Cost-effective: Dental bonding is generally more affordable than other cosmetic dental procedures. Natural appearance: Dr. Keider uses a tooth-colored composite resin to blend with your smile for a flawless, natural look. No anesthesia required: This minimally invasive, painless procedure usually doesn’t require local anesthesia. Protects tooth structure: By sealing small chips or cracks, bonding can prevent further damage to your tooth. Reversible: Since bonding doesn’t significantly alter your tooth, Dr. Keider can remove or adjust it if needed. Improved confidence: Bonding enhances your smile by correcting minor cosmetic dental flaws, giving you a better smile, and improving your overall well-being.

In North Carolina, 21% of adults ages 65 and older have lost all their natural teeth. While prevalent, tooth loss is a serious issue that should be addressed immediately. Beyond changing your smile’s appearance, missing teeth can make eating more challenging, limit your food choices, and affect your nutrition. Speech issues are also common, potentially leading to embarrassment and self-consciousness. On top of this, many people with tooth loss find themselves smiling less or covering their mouths when they laugh, which can take a toll on mental well-being. Fortunately, replacing missing teeth can restore function, boost confidence, and improve your quality of life. At our practice, Dr. Keider offers dental implants as a lasting solution to help patients regain their smiles. The Importance of Replacing Missing Teeth Dental Implants in Winston-Salem, NC | Dr. Matthew K. KeiderWhen you lose a tooth, you also lose the root that supports it. Tooth roots are essential to dental health because they help stimulate your jawbone. Without this stimulation, bone resorption can occur, leading to gradual bone loss that may eventually alter your facial structure. In addition to bone loss, missing teeth create gaps in your smile. The remaining teeth naturally shift toward the space, leading to misalignment and bite issues. Missing teeth also increase the risk of gum disease and tooth decay, as the gaps can trap bacteria, making it harder to maintain proper oral hygiene. To avoid these dental ailments, we encourage you to consider dental implants. This innovative tooth replacement method replaces missing teeth from the crown to the root, restoring your smile while preserving long-term jaw health. How Dental Implants Can Help Replacing one or more missing teeth with dental implants is a lasting solution for restoring oral function. Made from strong, biocompatible titanium, implants provide a stable and reliable foundation for replacement teeth. Through osseointegration, the implant fuses with the jawbone, mimicking the function of natural tooth roots. A conventional dental implant consists of three main components: Implant post: The implant post is the metal screw Dr. Keider places beneath the gums and into your jawbone. It is the component that fuses with your jawbone over time. The average size of a traditional implant post is about 5 mm in diameter. Abutment: The abutment acts as a connector, attaching the final restoration to the implant post for a secure fit. Restoration: The final restoration is the permanent prosthetic Dr. Keider places into your mouth. The prosthetic can be a crown, bridge, or denture. While traditional dental implants are a reliable solution for tooth loss, they aren’t ideal for everyone. Some patients may not be candidates due to the larger post size, while others may require bone grafting to strengthen the jawbone before placement. That’s why we offer mini dental implants—a narrower and minimally invasive alternative to conventional implants. Mini Dental Implants Dental Implants in Winston-Salem, NC | Dr. Matthew K. KeiderMini dental implants are slimmer than conventional implants, making them suitable for patients who have experienced bone loss. Dr. Keider can typically place a mini implant without a bone grafting procedure. In addition to their size, mini implants boast a unique, one-piece design. Unlike traditional multi-piece implants, where the abutment is an additional piece, mini implants have a ball-shaped end that serves as the connector. This key difference has many benefits. For one, the single-piece design helps reduce the risk of bacterial infection. Bacteria can get trapped between the implant post and abutment in traditional implants, potentially leading to peri-implantitis. This inflammatory condition can make the implant vulnerable to failure. Additionally, the smaller size and streamlined design of mini implants allow Dr. Keider to use a much gentler technique. Rather than make an incision in the gums, he can simply make a small pilot hole and screw the implant into place. This method eliminates the complicated drilling sequence needed for traditional implants. As a result of this minimal invasiveness, Dr. Keider can typically place mini implants in just one visit. While multi-piece traditional implants require multiple appointments to place the implant, mini implants are remarkably convenient. Thanks to their “immediate loading” capabilities, Dr. Keider can even attach a restoration the same day, so you’ll never have to be without teeth. These advantages—including fewer components and a simpler procedure—lead to several patient benefits. Mini implants are more affordable and convenient, making them an effective solution for many individuals.

Missing teeth can make it harder to enjoy your favorite foods, speak clearly, and feel confident in your smile. Fortunately, mini dental implants offer a simple, long-lasting solution for tooth replacement. Smaller and less invasive than traditional implants, they provide a secure foundation for crowns, bridges, and dentures without requiring extensive surgery or bone grafting. When you visit our practice, you’re not just a patient—you’re part of a team. Dr. Keider will work with you to explore all your options and find the best tooth replacement solution for your needs. Together, we’ll make informed decisions so you feel confident in your care. What Is a Mini Dental Implant? A mini dental implant is a small titanium screw that we place in the jawbone to replace a tooth root. It supports restorations such as crowns, bridges, or dentures. This narrow-diameter implant is a modern alternative to conventional implants. While traditional implants are about 5 mm wide, mini implants are less than 3 mm. Their slim design makes mini implants a great choice for many patients. While traditional implants work well in some cases, they demand a lot of space in the jawbone that some individuals simply don’t have. Think of it like securing a screw into a board—if the board isn’t wide or thick enough, the screw won’t have proper support and will eventually loosen. The same principle applies to implants: there must be enough bone to support them and ensure stability. Because mini implants are about half the size of conventional ones, even individuals who have experienced bone loss can be eligible for implants. But size isn’t the only difference. Mini implants also have a single-piece design, unlike traditional implants, which consist of a screw-like post and a separate connector. By combining these components into one, mini implants simplify the process and reduce overall treatment time. For many individuals seeking secure and long-lasting tooth replacement, mini implants are an ideal option. The Mini Implant Process Consultation The first step in the mini dental implant process is a consultation, where we evaluate your oral health and consider the best treatment options for you. We begin by taking a CBCT scan, which creates a detailed 3D image of your head and mouth in just a few seconds. This scan helps Dr. Keider assess your bone structure to determine if mini implants can be placed. He’ll then review the scan with you and discuss which implant and restoration options best suit your needs. At this visit, Dr. Keider also performs a full oral exam to check for any additional dental concerns. Based on the exam and imaging, he creates a customized treatment plan tailored to your needs. He’ll explain the pros and cons of each option, review costs, and discuss financing solutions—ensuring you feel confident in choosing the best path forward. Procedure Mini Dental Implants in Winston-Salem, NC | Matthew Keider, DDSDr. Keider begins the mini dental implant procedure by preparing the treatment area. If a tooth needs to be extracted, he often places the implant immediately after removing the tooth. This approach minimizes healing time and avoids multiple procedures. Instead of making large incisions, Dr. Keider creates a small pilot hole in the jawbone. This precise technique ensures minimal discomfort and preserves as much healthy bone as possible. Once the site is ready, he carefully screws the mini implant into place. Over the next few weeks, it will integrate fully with the bone. In most cases, Dr. Keider can attach a crown, bridge, or denture immediately after placing mini implants. This means you can leave the office with a restored smile the same day. Unlike traditional implants, which require 3-6 months of healing, mini implants provide a faster, more convenient solution. Throughout the placement process, you’ll be comfortably numb and won’t feel any pain. After the procedure, most patients only need over-the-counter pain relief. In just a day or two, you can return to your regular routines. With his expertise and advanced techniques, Dr. Keider makes the mini implant process efficient, comfortable, and highly effective for restoring missing teeth.

Imagine a world without bridges—roads and rivers divided, forcing longer, more difficult routes to reach the same destination. Travel would become inconvenient, everyday movement would be disrupted, and over time, the lack of connection would weaken the surrounding infrastructure. Now, think about your smile. When a tooth is missing, it creates a similar gap, making simple tasks like chewing and speaking more difficult. The surrounding teeth lose stability, shifting out of place and straining your bite. A dental bridge restores that lost connection, filling the space with a secure, natural-looking replacement. Anchoring to the healthy teeth on either side reinforces your bite, keeps your smile aligned, and allows you to eat and speak comfortably again. Without bridges, both roads and smiles lose their function and stability. If a missing tooth disrupts your daily life, a dental bridge can reconnect what’s been lost—helping you regain confidence in your smile. What Is a Dental Bridge? A dental bridge “bridges” the gap left by a missing tooth. It usually consists of three components: Pontic: An artificial tooth that fills the gap left by a missing tooth. A pontic prevents the adjacent teeth from shifting, maintaining the shape of your smile. Abutment: The natural teeth on either side of the gap are called abutments, and they provide stability for the bridge. Dental implants can also act as abutments. Crown: Dental crowns are on each side of the bridge and connect to the abutment teeth or dental implants. The crown is cemented to the abutment to keep the bridge in place. A traditional dental bridge typically consists of two crowns. Dental bridges are made from various materials, including porcelain, zirconia, metal, and acrylic. Each material offers different benefits in terms of strength, durability, and appearance. The type of bridge used depends on factors such as the location of the missing tooth and overall oral health. Traditional Bridge Dental Bridge in Winston-Salem, NC | Book a Consultation A traditional dental bridge with two crowns on either side. The crowns support the pontic, which is the artificial tooth in the center. A traditional dental bridge is an excellent option for those with healthy teeth on both sides of the gap. To start, Dr. Keider reshapes the adjacent teeth and removes a small amount of enamel to make space for the crowns. Then, Dr. Keider cements the crowns onto the abutments, securing the pontic in between. Cantilever Bridge Dr. Keider uses a cantilever bridge when there is only one healthy tooth next to the gap. Unlike a traditional bridge, in which we anchor to teeth on both sides, a cantilever bridge is supported by just one adjacent tooth. This allows it to effectively replace a missing tooth even when support is available on only one side. Maryland Bonded Bridge A Maryland bridge is a less invasive option because it doesn’t require crowns or the removal of enamel. Instead, it relies on metal or porcelain “wings” bonded to the backs of the neighboring teeth to hold the replacement tooth in place. Implant Bridge An implant bridge stands apart from traditional bridges by using dental implants for support instead of relying on neighboring teeth. Dr. Keider uses mini dental implants to securely anchor the bridge, providing a more stable and long-lasting solution for patients missing multiple teeth in a row. Mini dental implants serve as artificial tooth roots. Dr. Keider places them directly into the jawbone, where they fuse with the bone through osseointegration, creating a strong, stable foundation. This method not only secures the bridge but also helps preserve the jawbone, offering a more reliable solution than traditional bridges that can stress surrounding teeth. Roundhouse Bridge A roundhouse bridge is an excellent option for those missing a full set of teeth on the bottom or top arch. An alternative to traditional dentures, a roundhouse bridge is supported by implants and provides more support and stability. Dr. Keider adheres the bridge to the implants, so you don’t have to worry about them shifting or moving like a traditional denture. Properly Caring for Your Dental Bridge Maintaining proper oral health to care for your dental bridge is essential. To ensure the longevity and durability of your replacement teeth, it’s imperative you practice good oral hygiene. This means brushing twice and flossing once daily. You can also use an antiseptic mouthwash to reduce bacteria in your mouth and even help prevent gum disease. You should attend regular dental check-ups for professional cleanings and early detection of potential issues. Try to avoid bad oral habits like grinding your teeth, which can cause structural damage to your bridge.

Missing teeth don’t just affect your smile—they can make eating and speaking feel like a daily challenge. Simple pleasures like biting into an apple or savoring a steak become frustrating obstacles. According to the CDC, one in four adults ages 65 and older has experienced severe tooth loss. Some people turn to dentures as a trusted solution. This dental appliance replaces an entire set of missing teeth or multiple missing teeth. For many, dentures offer a reliable solution, restoring oral function and confidence. At Dr. Keider’s office, we provide customized denture options to fit your needs. We even offer implant-supported dentures for enhanced stability and comfort. Understanding Traditional Dentures Dentures in Winston-Salem, NC | Schedule a ConsultationDentures help restore function to your bite, allowing you to chew, speak, and smile with confidence. Traditional dentures consist of a pink resin base with artificial teeth attached. These teeth, made from materials like acrylic resin or porcelain, are designed to look natural. The removable prosthetic rests directly on your gums and is custom-fitted to fit your mouth comfortably. We offer two types of conventional dentures. Full dentures replace all your teeth, while the partial option fills in gaps when some natural teeth remain. Both offer a cost-effective, noninvasive solution for missing teeth. Although these dental prosthetics are economical, they come with challenges. Problems With Conventional Prosthetics The main drawback of traditional dentures is their tendency to shift or slip while eating or speaking, sometimes even falling out. This issue can cause discomfort and embarrassment. Additionally, their instability means that they lack the bite force needed for crunchy or chewy foods, so chewing is less efficient than natural teeth. This can make meals take longer, often causing people to avoid certain foods entirely, which may impact overall health. Another downside of denture instability is the potential for speech difficulties, making it harder to pronounce certain words or sounds. Unlike dental implants, traditional dentures do not replace tooth roots. That’s important because your tooth roots help stimulate your jawbone to maintain its density. Without this stimulation, you’ll experience gradual bone loss. This bone deterioration can alter your facial structure and cause your tooth replacement to become ill-fitting—even if it once fit snugly. Poorly fitted prosthetics may lead to gum irritation, sore spots, inflammation, and even bleeding. Many people find that they start using adhesive to help keep the denture in place. Your lower jaw typically experiences more bone resorption after tooth loss, contributing to notoriously unstable lower dentures. While we can adjust them as needed to restore their fit, some patients are looking for more reliable stability. While dentures offer an affordable tooth replacement option, they have drawbacks that complicate daily life. In contrast, an implant denture addresses many of these issues, making life easier and more comfortable. The Benefits of Implant Dentures Implant dentures provide enhanced stability, improved comfort, and a more natural feel, addressing many of the limitations that can impact daily life. With traditional implants or mini dental implants, your dentures stay securely in place, eliminating the worry of them shifting while eating or speaking. This stability enhances your chewing ability and improves speech clarity, helping you feel like a new person with a healthier, stronger set of teeth. Dental implants, the foundation of an implant denture, are titanium posts that Dr. Keider inserts into the jawbone. Through osseointegration, the implant fuses with your jawbone, acting as a new tooth root. This biological process has important oral health benefits, such as preserving bone density by stimulating the jawbone and preventing bone loss. And, unlike traditional options, implant-supported dentures don’t rest on the gums, reducing the risk of soreness and irritation. The innovative tooth replacement option can boost your self-esteem, remedy the anxiety of your false teeth falling out during social interactions, and restore your confidence to eat and speak like you used to.

Tooth loss is more common than many people realize. Millions of Americans rely on dentures every day to eat, speak, and smile with confidence. In 2020 alone, over 40 million people used dentures—a number that continues to grow. But while dentures restore function, they don’t always feel like a perfect fit. Many wearers struggle with slipping, discomfort, or difficulty chewing, making everyday activities frustrating. If your dentures ever feel like more of a hassle than a help, you’re not alone—these challenges are incredibly common. At Matthew Keider DDS, we believe your smile should work for you, not against you. We offer a range of implant denture options designed for greater stability and comfort. Whether you’re looking to upgrade your current dentures with implant solutions or explore a more permanent solution, we can help you find the right fit for your smile and lifestyle. Implant Dentures vs. Traditional Dentures Traditional dentures consist of two main parts: the artificial teeth and the supportive base. The artificial teeth are typically made of hard resin and carefully crafted to look and function like natural teeth. The base, which holds the teeth in place, is made from a gum-colored acrylic resin or a flexible polymer. This material is custom-fitted to rest comfortably on the gums, creating a secure foundation. For upper dentures, the base extends over the roof of the mouth, where suction helps keep it in place. However, this natural suction depends on saliva. When someone experiences dry mouth—a condition known as xerostomia—it can significantly affect denture stability. Upper dentures may feel loose without enough moisture, making them more likely to shift or cause discomfort. Over time, the increased friction between the denture and gums can lead to irritation, sore spots, or even ulcers, making it harder to wear dentures comfortably. Lower dentures work a bit differently. Instead of relying on suction, they rest along the lower jawbone ridge and are shaped like a horseshoe to leave room for the tongue. Many patients use denture adhesives to improve stability, but these adhesives naturally wear off throughout the day. As the fit changes, wearers often reapply adhesive multiple times to keep their dentures in place, which can be frustrating and inconvenient. While traditional dentures restore function and appearance, they do have limitations that can impact daily life. How Tooth Loss Affects the Jawbone Tooth loss sets off an immediate response in the jawbone. Without the tooth root to provide stimulation, the bone that once supported it no longer has a purpose. In response, the body begins to break down and resorb the bone, treating it as unnecessary. This process happens quickly as a significant amount of bone can disappear in the months after losing a tooth. However, the loss doesn’t stop there—it continues over time, gradually reshaping the jaw. The bone first becomes narrower, then shorter, reducing the overall structure that supports the face. As the jawbone deteriorates, the effects become more noticeable. Without enough support, the lower face may collapse inward, leading to a sunken appearance around the mouth. While dentures restore some function, they do not replace tooth roots or prevent ongoing bone loss. Implant Dentures: Understanding Your Options Implant Dentures in Winston-Salem, NC | Dr. Matthew Keider Think about the foundation of a house—it holds everything in place, keeping the structure solid and secure. Without it, the walls might shift, and over time, the entire house could become unstable. Your dentures work the same way. Without a strong foundation, they can slip, move, and make everyday activities like eating and speaking more difficult. Traditional dentures rest on the gums without a true anchor, often feeling loose or requiring messy adhesives. Implant dentures eliminate these issues by providing a secure support system. Dr. Keider places dental implants into your jawbone, where they fuse with the surrounding bone to create a stable base. This fusion mimics the natural roots of teeth, giving your dentures the strength and reliability they need. Instead of just sitting on your gums, implant dentures attach to mini dental implants for a secure fit. The dentures have O-rings that fit over the top of the ball-shaped end of a mini dental implant, snapping into place. At our practice, we offer different implant denture options to suit each patient’s needs. Overdentures Overdentures function much like traditional dentures but with one key difference—they attach to mini dental implants rather than simply resting on the gums. This added support creates a more secure and comfortable fit, allowing easy removal.

Oral surgery carries a weighty reputation, often met with hesitation, but its purpose reaches far beyond the immediate procedure. It’s about removing barriers—whether it’s infection, pain, or structural issues—that stand in the way of your long-term health. These procedures aren’t merely about fixing a problem; they set the stage for better function, comfort, and resilience. While no one eagerly anticipates surgery, its role in protecting your oral and overall health is undeniable. Sometimes, the best way forward is through, and oral surgery ensures that when you move ahead, you do so with strength, health, and confidence in what’s to come. At Matthew Keider DDS, we are your partner in this journey. From diagnosis to recovery, our goal is to provide expert care, clarity, and reassurance every step of the way—so you can focus on healing and looking forward to a healthier future. Oral Surgery and Tooth Extractions Oral Surgery in Winston-Salem, NC | Dr. Matthew Keider Tooth extractions are sometimes necessary to protect oral health and prevent further complications. Dr. Keider carefully evaluates each case to determine the best course of action, always prioritizing conservative treatments when possible. However, when a tooth cannot be saved, an extraction provides relief and paves the way for better long-term dental health. There are two primary types of extractions: simple and surgical. A simple extraction is performed on a tooth that is fully visible and easily accessible. Dr. Keider gently loosens the tooth before removing it with forceps. A surgical extraction is needed when a tooth is not easily accessible, such as a tooth broken at the gum line. In these cases, Dr. Keider may need to make a small incision in the gum tissue to remove the tooth properly. Dr. Keider may recommend an extraction for several reasons, including: Severe decay that cannot be repaired with a filling, crown, or root canal Advanced gum disease that has weakened the tooth’s supporting structures Facial trauma resulting in a tooth that is too damaged to restore Fractured teeth that cannot be repaired For impacted wisdom teeth, extractions can be more complex. Dr. Keider can often perform these procedures using oral conscious sedation or laughing gas to keep you comfortable. However, some patients prefer to have no recollection of the procedure and opt for IV sedation. If this is the case, Dr. Keider will refer you to a specialist to ensure you receive the level of sedation that best suits your needs. Restorative and Reconstructive Procedures Restorative and reconstructive procedures help rebuild both the function and structure of your smile, ensuring long-term comfort and stability. Dr. Keider offers advanced solutions, such as dental implants and bone grafting, to replace missing teeth and strengthen the jawbone when needed. Dental Implants and Bone Grafting Dental implants are titanium posts Dr. Keider places in the jawbone, functioning as artificial tooth roots. The implants create a strong foundation for crowns, bridges, or dentures, allowing replacement teeth to feel and function naturally. Additionally, implants help prevent bone loss by stimulating the jawbone, preserving the facial structure, and preventing the sunken appearance that often occurs with missing teeth. For patients who have experienced significant bone loss, bone grafting may be necessary to rebuild the jaw’s strength before placing traditional dental implants. This procedure encourages new bone growth, creating the support needed for long-term stability. However, at Matthew Keider DDS, we also offer mini dental implants, which are much smaller than traditional implants. Because of their size, mini implants often eliminate bone grafting, making them a great option for patients with lower bone density or those looking for a faster, less invasive solution. By restoring missing teeth and reinforcing the jawbone, these treatments do more than improve appearance—they enhance overall oral health and function.

When you hear the word “general,” you might think of a leader in the armed forces—someone who strategizes, oversees operations, and ensures everything runs smoothly. In many ways, a general dentist acts as the leader of your oral health care. They’re the strategist behind your treatment plan and the expert who ensures every part of your smile is in great shape. At our practice, Dr. Keider goes beyond the basics of general dentistry, offering a wide range of services to keep your teeth healthy, strong, and functional—without the need for constant referrals. Whether it’s preventive care, restorative treatments, cosmetic services, or advanced procedures, he’s ready to help you take command of your dental health. The Role of a General Dentist A general dentist is a primary oral healthcare provider whose job is to prevent, diagnose, and treat various dental issues. Dr. Keider, however, stands out because of his extensive services—there are very few procedures he doesn’t provide. Unlike specialists who focus on a single area of dentistry, Dr. Keider provides nearly every type of dental service, so our patients rarely need referrals. He stays up to date on the latest techniques so that he can offer advanced procedures right here in our office—saving patients time and hassle. Dr. Keider’s philosophy is centered on patient education and teamwork. He believes in working with his patients to make the best decisions for their dental health. Instead of a one-size-fits-all approach, he presents multiple treatment options whenever possible, carefully explaining the pros and cons of each, along with costs and time commitments. He even provides a written breakdown so patients can review their choices before moving forward. Prevention is also a priority—through regular checkups, cleanings, and proactive care, he helps patients avoid more complex dental issues. And when treatment is needed, he makes time for his patients, ensuring they get the care they need right away. Preventive Services General Dentist in Winston-Salem, NC | Comprehensive DentistryAt our practice, we believe that prevention and patient education are the foundations of lifelong oral health. With this in mind, we offer a range of preventive services designed to protect your teeth and gums, helping you avoid more serious dental issues down the road. Regular Checkups and cleanings: Routine visits allow us to monitor your oral health, remove plaque and tartar buildup, and catch potential problems early. Oral cancer screenings: At every regular checkup, Dr. Keider performs a thorough oral cancer screening, carefully examining all areas of the mouth for any signs of concern. For new patients, we offer an enhanced screening that uses special glasses and a specialized light to highlight potential problem areas that may be precancerous. Detecting these issues early can make a big difference in treatment outcomes and overall health. Dental sealants: A simple, protective coating applied to the grooves of back teeth, sealants help prevent cavities, especially in children and teens who are more prone to decay. Nightguards for TMJ disorder: If you suffer from jaw pain, teeth grinding, or clenching, a custom-fitted nightguard can protect your teeth and relieve discomfort caused by TMJ dysfunction. By prioritizing preventive care, we can help you avoid costly and complex dental procedures, keeping your smile strong and healthy for years. Restorative Treatments When dental issues arise, our priority is restoring your smile with high-quality, long-lasting treatments. A general dentist provides comprehensive care to diagnose and treat dental problems. At our office, we offer a full spectrum of restorative services to repair damage, improve function, and enhance your oral health. DIAGNOdent: This advanced diagnostic tool uses laser fluorescence technology to detect tooth decay in its earliest stages—even before it’s visible on X-rays. By identifying cavities early, we can provide more conservative treatments that preserve more of your natural tooth structure. Tooth-colored fillings: We use durable, natural-looking composite materials to repair cavities or minor chips, seamlessly blending with your existing teeth for a flawless finish. Porcelain crowns, onlays, and inlays: When a tooth needs more support than a filling can provide, we restore its strength and appearance with custom-made porcelain restorations that match your natural teeth. Dental bridges: For patients missing one or more teeth, a dental bridge fills the gap by anchoring to neighboring teeth, restoring function and a complete smile. Full and partial dentures: Whether you need to replace several teeth or an entire arch, we offer well-fitted, comfortable dentures to help you regain confidence in your smile. Single-visit root canals: If you have an infected or damaged tooth, we can perform a root canal in just one visit, eliminating pain and saving the tooth from extraction.

A damaged tooth isn’t something you want to leave unprotected—it causes sensitivity, can affect your ability to chew comfortably, and even lead to further dental complications if left untreated. Everyday actions like eating and speaking rely on strong, healthy teeth, so when one is weakened, it’s essential to reinforce it before more problems arise. A dental crown covers the damaged tooth, strengthening it so you can bite and chew without discomfort. Dental crowns are one of the most common and effective restorative treatments, and they can even be used with dental implants for a lasting solution. If your tooth needs repair, we’re here to help. With over 30 years of experience, Dr. Keider can restore your smile with a custom dental crown, giving your tooth the strength and protection it needs. What Is a Dental Crown? Dental Crown in Winston-Salem, NC | Dr. Matthew K. Keider A dental crown is a custom-made restoration that fully covers a damaged or weakened tooth, reinforcing its structure and restoring its natural function. Dr. Keider carefully shapes the tooth and secures the crown in place, protecting it from further damage while ensuring a seamless fit with your surrounding teeth. Dental crowns can be made from several materials, including metal, zirconia, and porcelain. At Matthew Keider DDS, we primarily use porcelain because it offers the best combination of durability and aesthetics. Porcelain closely resembles natural tooth enamel, reflecting light in a way that makes it nearly indistinguishable from surrounding teeth. It’s also biocompatible, meaning it’s safe for your gums and unlikely to cause irritation. With proper care—regular brushing, flossing, and routine dental checkups—a porcelain crown can last up to 15 years, making it a reliable and long-lasting choice. Why Would You Need a Dental Crown? There are various reasons why you may need a crown, as they are part of many dental solutions. During your consultation, Dr. Keider will examine your teeth and assess your situation to develop a customized treatment plan. Protect Damaged Teeth Dr. Keider uses traditional dental crowns to restore and protect damaged teeth, such as those that are chipped, cracked, or weakened. A crown acts as a protective shield, covering the tooth to prevent further harm and preserve its structure. Crowns are also commonly recommended after a root canal treatment. Since a treated tooth can become more fragile over time, placing a crown over it helps reinforce its strength while also preventing bacterial exposure and the risk of re-infection. This added protection ensures the tooth remains functional and healthy for years to come. Replace Missing Teeth Dr. Keider uses crowns to support a traditional dental bridge, a fixed restoration that replaces one or more missing teeth by literally “bridging” the gap left by tooth loss. A dental bridge consists of two main components: crowns placed on the healthy teeth adjacent to the gap, which serve as anchors, and one or more artificial teeth attached to these crowns to fill the empty space. Dental crowns can also be paired with either a conventional or mini dental implant to replace a missing tooth. A dental implant is a small titanium post that Dr. Keider places into the jawbone. Over time, the implant fuses with the bone, creating a stable foundation for the dental crown. The key difference between conventional and mini implants is their size. A traditional dental implant can be up to 5 millimeters in diameter. Mini dental implants are much smaller at around 3 millimeters. Because of its reduced size, a mini implant is often the best option for patients with insufficient bone density. This option allows more people to benefit from secure, long-lasting tooth replacement. Implant-supported crowns are an exceptionally strong and durable solution for missing teeth. Dental implants not only restore chewing function and improve speech, but they also help preserve jawbone structure by preventing bone loss. Beyond their functional benefits, implant-supported crowns blend with natural teeth, providing a confident, natural-looking smile. Repairing Teeth With Inlays and Onlays Dr. Keider may recommend inlays or onlays when a tooth has moderate decay or damage that is too extensive for a filling but does not require a full crown. These restorations strengthen the tooth while preserving as much of the natural structure as possible. Unlike traditional fillings, inlays and onlays are custom-made outside the mouth before bonding to the tooth. They can be crafted from porcelain, ceramic, or composite resin, providing a durable and natural-looking solution. An inlay fits within the cusps (raised points) of a tooth, covering the damaged area without extending over the outer edges. It offers more coverage than a standard filling but is less extensive than an onlay.

Of all the dental treatments out there, few have a reputation quite like root canal treatment. The very mention of it tends to make people wince as if just saying the words is enough to cause pain. But here’s the irony—root canal treatment doesn’t create pain; it relieves it. That deep, nagging ache that won’t let up? The sensitivity that turns every sip or bite into a reminder that something isn’t right? A root canal is what stops that. It’s not the cause of suffering; it’s the solution. The fear surrounding it is outdated, a lingering myth that doesn’t hold up to what modern dentistry can actually do. At Matthew Keider, DDS, we’re here to help make the process as smooth and comfortable as possible so you can get back to living without the constant ache holding you back. Understanding Root Canal Treatment Root Canal Treatment in Winston-Salem, NC | Dr. Mathew Keider When a tooth requires a root canal, it means the innermost part of the tooth—the pulp—has become inflamed or infected. This usually happens when damage to the outer layers allows bacteria to penetrate deeper. A tooth that requires a root canal often causes persistent or severe pain, especially while chewing. Lingering sensitivity to hot or cold temperatures is another warning sign, as is swelling or tenderness in the gums near the affected tooth. Some people notice a pimple-like bump on the gums, which may indicate an abscess. In some cases, the tooth may also darken due to internal damage. Enamel and Dentin: The First Line of Defense The enamel is the tooth’s outermost layer, acting as a hard, protective shield against bacteria, temperature changes, and physical damage. Beneath it lies the dentin, a porous layer that provides structural support. Unlike enamel, dentin contains microscopic tubules that connect to the pulp. When the dentin is compromised, external stimuli—such as hot or cold temperatures—can trigger pain and discomfort. When decay progresses past the enamel and into the dentin, bacteria gain access to the deeper layers of the tooth. A crack or chip can also create a direct opening for bacteria to invade. Even repeated dental procedures on the same tooth may weaken its structure, increasing the risk of infection. Any of these issues can set off a chain reaction that leads to pulp damage. The Pulp: Where Pain and Infection Begin The pulp is the soft tissue at the tooth’s center, containing nerves, blood vessels, and connective tissue. When bacteria reach the pulp, it reacts with inflammation, causing pressure to build inside the tooth. Since the pulp is enclosed within the hard structure of the tooth, there is no space for swelling to expand. This pressure leads to intense pain and discomfort. As the infection progresses, bacteria travel through the root canals—the natural pathways that extend from the pulp into the roots—causing further damage. Root Canal Infection and Potential Complications Once the infection spreads through the root canals, it can move beyond the tooth itself. This can lead to an abscess, a painful pocket of pus that forms at the tip of the root. If left untreated, the infection may cause swelling, bone loss, or even spread to other areas of the body. At this stage, intervention is critical to prevent serious complications. What To Expect From Root Canal Treatment Dr. Keider begins by taking detailed X-rays, including CBCT scans, to assess the extent of the damage and determine the best treatment plan. To ensure a painless experience, he administers a local anesthetic to numb the area completely. If you feel anxious about the procedure, you can also discuss additional sedation options, such as nitrous oxide (laughing gas), to help you stay relaxed throughout the treatment. Your comfort is a priority, and Dr. Keider will tailor the approach to suit your needs. Once the tooth is fully numb, Dr. Keider carefully drills a small opening in the crown to reach the pulp chamber. This step allows direct access to the infected or inflamed tissue inside the tooth. Using precise instruments, Dr. Keider removes the damaged pulp and thoroughly cleans the root canals. To eliminate bacteria and reduce the risk of reinfection, he shapes and disinfects the canals with specialized irrigation solutions. After cleaning, he fills the empty canals with gutta-percha, a rubber-like material. This biocompatible substance seals the canals, preventing bacteria from re-entering. An adhesive cement secures the filling, ensuring the tooth remains stable. To protect the tooth, Dr. Keider places a temporary filling over the opening. In a follow-up visit, he will complete the restoration with either a permanent filling or a custom-made crown, restoring strength and functionality.

Periodontitis is far more common than many realize, silently affecting nearly half of adults in the United States over 30. What starts as mild gum inflammation can escalate into irreversible damage—threatening not just your smile but your overall health. Left untreated, it remains one of the leading causes of tooth loss, impacting everything from confidence to daily comfort. But no one should have to navigate this alone. At Matthew Keider DDS, we believe in a proactive, compassionate approach to dental care, helping our patients preserve their smiles and overall well-being. With early detection, personalized gum disease treatment, and ongoing support, periodontitis can be managed—and, in many cases, prevented altogether. Our team is here to provide the care and guidance you need to keep your gums and teeth healthy for years to come. Understanding Gum Disease Gum disease, or periodontal disease, develops gradually, often without noticeable symptoms at first. Throughout the day, bacteria accumulate on the teeth, forming a thin, sticky coating known as plaque. If it isn’t removed, it solidifies into tartar, which clings to the tooth surfaces and fosters bacterial growth. The Early Signs: Gingivitis Gingivitis is the first stage of gum disease. When plaque builds up along the gumline, it triggers inflammation, making the gums red, swollen, and prone to bleeding during brushing or flossing. The damage is reversible at this point because the infection has not reached the bone or connective tissues. Progression to Periodontitis When gingivitis is left untreated, bacteria spread beneath the gumline, triggering a chronic inflammatory response. This process marks the beginning of periodontitis, where the body, in an attempt to fight infection, inadvertently destroys the tissues and bone that support the teeth. As the gums pull away from the teeth, pockets form, creating spaces where bacteria multiply. These pockets deepen over time, leading to further damage. Moderate to Advanced Stages As periodontitis advances, the destruction of bone and gum tissue accelerates. The gums recede, teeth shift or loosen, and deep infections can develop. In severe cases, pus forms in the pockets, chewing becomes painful, and teeth may require extraction. Without intervention, the long-term consequences extend beyond the mouth—research links advanced gum disease to heart disease, diabetes, and other systemic health issues. Gum disease does not develop overnight. It progresses over months or years, influenced by factors like oral hygiene habits, genetics, and overall health. The best way to prevent it is through consistent dental care, regular checkups, and early treatment. Gum Disease Treatment: Deep Cleanings To Surgical Care Unlike a standard dental cleaning, treating gum disease requires more intensive techniques to remove bacteria, plaque, and tartar from below the gumline. Dr. Keider focuses on eliminating infection, preventing further damage, and restoring gum and bone health. The specific treatment depends on how far the disease has progressed, with early intervention offering the best outcomes. Professional Cleaning and Improved Oral Care When gum disease is detected in its earliest stages, professional dental cleaning is often enough to remove plaque and tartar buildup. Dr. Keider will also provide guidance on improving your daily oral care routine to prevent bacteria from returning. Consistent brushing, flossing, and antimicrobial mouth rinses can help reduce inflammation and prevent gum disease from worsening. Deep Cleaning With Scaling and Root Planing If gum pockets have begun to form, a deeper cleaning called scaling and root planing is necessary. Dr. Keider will carefully remove bacteria and tartar from below the gumline, then smooth the root surfaces to make it harder for plaque to reattach. He may recommend antibiotics in pill, rinse, or topical form to further control infection. Ultrasonic scalers, which use high-frequency vibrations, enhance this process by breaking up hardened deposits and reaching areas manual instruments might miss.

As much as we’d like to be perfectly healthy all the time, occasionally, life throws an obstacle in our way. If that obstacle has anything to do with your teeth, gums, or mouth, and you need immediate professional help, you may need to see an emergency dentist. Dr. Keider and his experienced team are ready to provide emergency dentistry treatments when you need them most. We provide the expertise and compassion to address your problems quickly and effectively, ensuring you can begin the road to recovery as soon as possible. What Is Considered a Dental Emergency? Emergency Dentist in Winston-Salem, NC | Get Urgent Dental CareNot every dental health issue falls under is considered an emergency. The American Dental Association defines a dental emergency as a condition requiring “immediate action to prevent biological, functional, or aesthetic complications.” To clarify, here are some common examples of dental emergencies: Sudden, relentless, and severe oral pain Abnormal swelling of the face or jaw Uncontrollable bleeding from the mouth or gums Broken or knocked-out teeth Painful, red gums Physical injury to the tongue, gums, lips, or cheeks If you’re unsure whether you’re experiencing a dental emergency, don’t hesitate to call our office. Dr. Keider can discuss your symptoms over the phone and provide guidance on the most appropriate course of action. For emergencies during our regular business hours, we do our best to see you as soon as possible. In emergency scenarios, prompt treatment ensures the best outcomes. If you call after-hours, listen to the instructions on the voicemail—we can assist you even when the office is closed. However, if your situation is potentially life-threatening, please visit the nearest emergency room. While hospital emergency departments don’t typically staff dentists, the staff can assess your situation, assist with managing pain and symptoms, and offer additional guidance until you can see Dr. Keider. What Is Not an Emergency? All oral health issues should be dealt with sooner rather than later, but not every problem requires urgent dental care. We can address the following issues at a scheduled appointment: Mild or subdued toothache Minor tooth sensitivity A tiny crack or chip in the enamel Food or other object stuck between teeth These symptoms can be irritating and lead to further complications if not addressed promptly. Be sure to call us to schedule an appointment and take care of these concerns as soon as you can. How Can I Deal With Symptoms While I Wait? We do our best to see you the same day you experience a problem, but if you need relief while waiting for your appointment, here are our recommendations for common dental issues: Knocked-out tooth: Grip the tooth from the chewing end and not by the root. Carefully clean off any dirt or debris, and then, if possible, gently push the tooth back into the empty socket to preserve it. Alternatively, you can store the tooth in your cheek or submerge it in milk until an emergency dentist can see you. Broken tooth: Rinse your mouth out with warm water. If you’re bleeding, use a piece of gauze to halt the blood flow. Rinse any recoverable broken tooth pieces with water and save them. If enough of the original tooth has been recovered, Dr. Keider may be able to reconstruct it. Severe tooth pain: Dissolve a teaspoon of salt in a glass of warm water and rinse your mouth with it for 30 seconds to help relieve pain. You can also use an ice pack and over-the-counter medication to help with swelling or aching. Broken or lost dental restoration: Older restorations like crowns and bridges can become dislodged or fall out over time. Save the restoration if you can, and avoid chewing in that area until you can get help. Be sure to bring the restoration to your visit, as Dr. Keider may be able to re-cement it.