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February 27, 2018

The below article is a big concern to me!  But there are some things about this study that are a little misleading.  

First, brushing 1x/day isn't the end of the world, certainly not as harmful as skipping 2+ days entirely.  Where you might run into trouble is combining brushing 1x/day with poor technique or not taking enough time (2+min) to completely and properly brush your teeth.  That's why we advocate electric toothbrushes:  they can compensate for both improper technique and they ahve a 2 min timer!  

Second, not coming to the dentist regularly is the best way to end up needing treatment with the dentist. Because most dental disease is preventable, regular care is far less expensive and invasive...

Finally, technology is changing. We are constantly upgrading and improving our equipment. The sounds and smells of the past may not be part of your current dental experience, especially when your source of information is the stories told by your parents or grandparents. It's much faster, less threatening, and more pleasant to see the dentist and receive care than it's ever been before.

If you sill have concerns, please, share them with your dentist-we want to make your experience as quick and pleasant as possible. If you need a dental home where you can have a consistently pleasant experience, please give us a call Granite Dental 360-693-2577!!  -Dr. Dave

For some millennials, morning breath may last for more than just the morning. That’s because, according to new research, many young Americans are failing to regularly clean their teeth. A new study…


February 6, 2018

February is National Children's Dental Health Month.  Since 1941 the American Dental Association has observed events all over the country to raise awareness of the importance of Children's Dental Health.  This has helped reach children and their families all across the country.  The theme this year is, "Brush your teeth with fluoride toothpaste and clean between your teeth for a healthy smile."  Posters and fun activities can be found at the ADA's website dedicated to healthy mouths-mouthhealthy.org.  

At Granite Dental we know how important it is for kids to have a great first dental visit.  Dr. Keller has 6 children of his own so he know how to ease their anxieties and help them learn how to take care of their teeth in a fun way.  Come visit us today.  














February 1, 2018

Did you know that January 26th is Dental Drill Appreciation Day.   Most people would not think that appreciating the dental drill is a great idea.  We wanted to share with you some fun facts about this very valuable, and very dreaded tool. 


The very first “drill” called a bow drill appears to have been used by an ancient civilization 9000 years ago.

As recently as the 20th century dental drills needed to be turned by a foot pedal. 

The high speed dental drill rotates at 250,000 RPM’s that means it spins 4000 times per second!

Drill bits are made from Tungsten Carbide-some have blades and others have a more sandpaper like appearance. 

Many dental researchers have made it their life’s work to improve dental drills-or get rid of them.  Lasers, Air jets and other products are used in some procedures.  This makes us wonder, do those researchers hate the drill too? 


 Dental drills are multipurpose tools used to protect teeth.

A drill must be used to remove existing decay in order to prepare teeth for fillings.  This ensures that the filling will be successful and last for a long time

Drills are used to remove old crowns and fillings for replacement.  Teeth that need crowns or other restorations need the teeth to be shaped so that the crown fits well and doesn’t come off. 

We know the sound of the dental drill can make even the most fear-adverse patient cringe.  Researchers have worked hard to make them quieter and quieter. 


A regular routine of brushing, flossing and Regular Dental Checkups can help you avoid the dreaded dental drill.  Call us today and we can help.  360-693-2577



January 17, 2017

This article is one that I feel is pretty informative and non-biased. It doesn't really address the elephant in the room: costs, but it helps people remember how preventative dentistry is and how easy it is with regular care to reduce cost and discomfort while promoting health and happiness.
Granite Dental we have begun a Wellness plan to help our patients on fixed incomes, those without insurance, and those whose insurance isn't fantastic afford the regular prevention they need. If you, a friend, or a family member is interested in learning more or signing up, give us a call @ 360.693-2577 or www.granitedental.com/wellness-plan -Dr. Keller

To protect your teeth in your 70s and beyond, start now.


January 5, 2017

t is not only fascinating but instructive: when the major world health organizations are asked, "what regular/annual care should every living person have?", they focus on obesity, cancer, sleep, and dentistry. Why is that? It's because these are four categories of PREVENTABLE diseases! We want to help you have the best year of your life! Schedule that exam and cleaning you've been putting off! 360.693.2577

Make the most of your checkups and get the preventive tests you need.


December 28, 2016

When making your New Year's Resolutions this year, here are 5 that we at Granite Dental think are definitely worth keeping.

1. Commit To Flossing-To take the best care of your teeth brushing twice a day just isn't enough. Adding flossing to your daily routine is exercise for your gums.

 2. Kick The Habit-Smoking increases your risk for gum disease and is linked to a host of other health issues. Make a commitment to quit for good.

 3. Cut The Sugar-This can decrease your risk of tooth decay dramatically. Something to smile about.

 4. Eat Mouth Health Foods-Dairy products are high in calcium which strengthens your teeth, and foods high in fiber help scrub away the plaque.

 5. Schedule A Visit to Granite Dental-We'd love to see you regularly and help give you something to smile about.

Call Today 360-693-2577


December 7, 2016

Of course this is a concern to me! At Granite Dental, we've started a wellness program to help with this. Basically, you sign up for a membership in our wellness program like joining a fitness club. There is a modest joining fee and low monthly payments. This provides you with two important benefits: all of your exams, xrays, and cleanings are free. And you get 15-25% off any needed procedures.
We want you to be healthy and acknowledge with the rest of the dental community that regular preventative care is less expensive and far more health promoting than waiting for things to hurt. If you or a loved one would benefit from joining our wellness plan, please give us a call so we can send you some information! 360.693.2577 -Dr. Keller


Americans are more likely to skip needed dental care because of cost than any other type of health care, researchers report.



October 16, 2016

Dr. Keller loves Crossfit. And Dr. Keller loves flossing. Did you know that Flossing is one of the things you should be doing every day (along with your fitness routine) to keep your body healthy? Check out the video from regence.com to learn more. And don't forget to call us at 693-2577 to schedule your regular cleaning. #livefearless


September 21, 2016


More alarming that many might realize, especially those who are young, healthy, and invincible, and those who are unhealthy enough to have chronic illnesses or injuries.
In the dental office, we run into this most often in the ongoing argument between orthopedic surgeons and the rest of the medical world related to taking antibiotics before dental appointments after having a joint replaced. We will always do what is best for our patients, especially providing the information each individual needs to make their best decision! If you have questions about antibiotics before dental appointments, give us a call at Granite Dental 360.693.2577!


August 3, 2016: 

Here is the response from the dentists to the press who think flossing is not necessary.

Interdental cleaners, such as floss, are an essential part of taking care of your teeth and gums




August 3, 2016

No Flossing!  Finally change I can believe in!!

Since the great recession, Dentistry has been the slowest major industry to recover.  Apparently, in an effort to spur Dental economic growth, the Federal Government has announced that our patients no longer need to floss.  This is fantastic financial news for dentists:  no flossing means more cavities, more deep cleanings, more frequent cleanings, needing to replace existing crowns and fillings more frequently, implants that don't last as long as they have in the past!  What a fantastic opportunity to produce more preventable dentistry than ever before!!

Kidding aside, what’s up with such a bold statement? The short answer is that the statement is based on a misunderstanding of what is and is not currently represented in the literature. It also is heavily influenced by the extremely volatile political environment: election year and a lame duck president whose shining star healthcare reform, the ACA or “Obamacare” is failing miserably.

It’s interesting that for many decades one of the few things dentists have consistently agreed on is the benefit of regular brushing and flossing. It’s further interesting that the number one area where dentists are sued and found negligent is treating periodontal disease properly, the effects of which are significantly influenced by the adequacy of one’s flossing regimen.

My take home message:
• Dental floss-$4
• A water flosser (which I believe is better than string floss)-$65
• Dental cleaning for a health adult-$100
• Dental cleaning for an unhealthy adult-$200
• Having beautiful, health teeth and gums, not having bad breath, not losing teeth and having to wear dentures, not dying 15 years earlier from the acceleration of your diabetes because you have untreated periodontal disease-priceless

If you have questions about the government’s new recommendations, give us a call! We are committed to doing all we can to help you have the best possible health and wellness! 360.693.2577


July 19, 2016:

This is a common discussion point with my patients. Unfortunately, while ongoing research in this area seems to have moved the majority of healthcare in one direction, orthopedists largely remain resolute that antibiotics for life is indicated for "all" dental procedures. But when we question them, they will admit that they don't want their patients to take antibiotics before all dental procedures: just the ones likely to introduce bacteria into the blood stream like deep cleanings or tooth extractions. Simply procedures such as fillings and crowns have such a low risk of causing infections that virtually all healthcare providers no longer recommend antibiotics for these kinds of procedures.

Because this is a constantly changing area in healthcare, I recommend you ask questions each time you come in. I remain committed to doing all I can to help you understand your health and receive the best possible care! If you have questions, please give us a call! 360-693-2577.  -Dr. Dave

Frequent dental scaling reduces the risk of infection following knee replacement surgery, according to a new study. As oral bacteria are responsible for…



July 19, 2016: 

Of course this is a growing concern. Everyone is concerned about the rising cost of dentistry, especially me!

I think this article is fairly objective, highlighting some of the pros and the cons of dental (medical) tourism. I would love to discuss this if anyone has any questions, especially if you're considering having dental or even medical procedures done out of the US. Having lived abroad as a dentist, I have some unique insights...-Dr. Dave 

Dental tourism has been expanding, especially for pricey procedures such as implants and root canals.…



June 15, 2016:

Wow! Hot off the press!

Of course I want to share my opinion and unfortunately for my patients, this issue is neither clear or easy to generalize. However, there are some important things to consider regarding dental care.
1. Many who have it don't fully utilize it. This is unfortunate-spending someone else's money on your health is a pretty sweet deal.
2. Patients who have chronic dental illness, such as periodontal disease, a high rate of growing cavities, or that clench and grind their teeth will almost universally benefit from dental insurance.
3. Generally I observe a decline in the frequency of appointments made and kept by those who are paying out of pocket. When the money comes from out of pocket, it is too easy to emotionally consider it discretionary when in fact it is not discretionary but rather essential to optimum health.

I recognize dental insurance can be both confusing and overwhelming. If you have any questions about yours, give our office manager Lisa a call-she is an insurance miracle worker! 360.693.2577!  -Dr. Keller

Consumers are paying more in premiums and co-payments for dental insurance than the benefits are worth, according to a new study from the ADA…



June 1, 2016:

This is a great example of why I belong to the American Dental Association and the Washington State Dental Association They advocate on behalf of my patients on matters that really do affect their lives and their health!

For my insurance patients, I cannot emphasize enough how important it is for you to understand your insurance benefits if you have them. While we work exceptionally hard to get accurate and timely estimates of your benefits, quite often our access to that information is inferior to yours.

While I would love to say insurance is a patient's friend, the truth is that insurance companies are contracted by employers to provide specific benefits to specific patients in specific situations. They are very motivated to provide benefits only when the requisite requirements are met. Understanding those requirements is so important for my patients: it will allow you to maximize your benefits as your receive the care you deserve. If you have any questions, feel free to call us-we can help you! 360.693.2577-Dr. Dave Keller

The ADA Council on Dental Benefit Programs wants Delta Dental to reject a proposed policy that would automatically disallow claims where more than two…



January 19, 2016:


With the rising cost of health care, many of us are finding more of our discretionary income being allocated to pay for to maintain or improve our health. Don’t forget-some of those expenses are deductible! You can deduct medical and dental expenses for you, your spouse and your dependents after your total medical expenses exceed 10 percent of your adjusted gross income (AGI). If you or your spouse is age 65 or older, you can deduct ...total medical expenses that exceed 7.5 percent of your AGI. If you feel you might qualify for these deductions, we encourage you to consult with a competent accountant. Every little bit helps, and at Granite Dental we do all we can to maximize both your health and your savings. If you due for a cleaning or ready to proceed with the care you know you need, give us a call @ 360.693.2577.



January 3, 2016

Consumer Reports, a well-known magazine that has as its mission “to work for a fair, just, and safe marketplace for all consumers and to empower consumers to protect themselves” , included in its list “Top 10 Health Stories of 2015” the article “Dental Insurance that will Save Your Smile”. I applaud Consumer Reports for their effort to educate the public, but want to clarify some of the information contained in the article as it may apply to my patients at Granite Dental.

1. Of course this is wonderful-anytime you can get someone else to pay a portion of your healthcare, take it! Remember, however, that as healthcare costs increase, employers are seeking for more ways to cut costs, and often your benefits are where that savings to them occurs. Not all dental insurances are created equal. If there are opportunities to switch plans, be sure to call us-we can help provide information that will assist you in make the best possible decision for your health.
2. These kinds of plans can be wonderful for patients with excellent health and a low risk for growing cavities. Again, call us and we can help you understand what the plan may and may not include.
3. In our area, Kaiser is a dental HMO, and Willamette Dental is a similar type of organization. In exchange for out of pocket cost savings, your insurance only provides benefits with their employee dentists and only on a limited scope of procedures.
4. ACA coverage is misleading. It will often result in you having coverage. But with that coverage, be aware that sometimes the deductibles are very high, and often the reimbursement to the dentist is so low that you may struggle finding an office that will accept you as a new patient.
5. This is misleading-you may be eligible, you may not. Access to care in a timely manner remains a significant challenge that is getting worse, not better, as the VA seeks to streamline and cut costs.
6. Bargain hunting works well for commodities like toilet paper or gasoline. However, with services such as healthcare, bargain hunting can be misleading. All fillings, cleanings, and crowns are not created equal, and therefore comparing them solely on price can be very risky. Your best bet is to discuss it with your dentist. If cost is a concern, bringing it up early in discussions will help you find a level and quality of care that is comfortable for you financially. Also be aware that we can help you with third party financing to afford the care you need and deserve.
7. It is always prudent to save for a rainy day! Accidents and unforeseen expenses pop up in everyone’s lives. And everything that is in your mouth will eventually wear out and need to be replaced.
8. In SW Washington, we simply lack much community health support. If you call us, we can provide a list of the current community resources available.
9. OHSU and Clark College Hygiene school are great resources. The cost savings is not tremendous-they charge the same fees as many PPO insurance providers, but if you lack insurance, you may save up to 50% on procedures. Of course, you will sacrifice your time to get the cost savings-procedures take 2-3 times as long to complete in dental/hygiene school settings. Again, give us a call-we can usually help you get a rough estimate of the expected cost savings.
10. This really is the best advice in the article. The reality is that preventing disease through a healthy diet and good home care, coupled with regular preventative care (exams and cleanings) is not only the least invasive and most predictable way to maintain your health, but it’s also the least expensive way to do so!

-Dr. Keller


For everybody who listened to my interview with Chad on 750 The Game, here are two photos of the hoof clearner the US Army thought was dental cleaning instrument!



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