Why Choose North Texas Dental Surgery?

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff who are experienced in anesthesia techniques. We specialize in modern, advanced surgical and restorative periodontal techniques. Our team provides reputable, cutting edge periodontics and compassionate, personalized care.


Meet Dr. Choi


Dr. Daniel Choi was born and raised in Ohio. He attended UCLA for an undergraduate degree in business and sociology. Upon graduating, Dr. Choi became interested in dentistry and pursued a degree at Ohio State University. Dr. Choi then furthered his education in Periodontics at the University of Pittsburgh.

Since arriving to Texas, Dr. Choi has quickly made a name for himself as the go to Periodontist in the Dallas area.He is a Board Certified Periodontist that provides such services as implants, impacted wisdom teeth extractions, gum grafts, and LANAP® Laser Treatment, to name a few.

Dr. Daniel Choi, a periodontist in McKinney, TX, offers patients the latest in periodontal therapies and dental implant placement. If your gums bleed when you brush or floss or if you’ve lost one or more of your natural teeth, Dr. Choi has treatments that can work for you! We offer advanced laser gum surgery, dental implants, All-on-4 dental implants, gum grafting, bone grafting, and sedation options.


Dr. Daniel Choi was born and raised in Ohio. He attended UCLA for an undergraduate degree in business and sociology. Upon graduating, Dr. Choi became interested in dentistry and pursued a degree at Ohio State University. Dr. Choi then furthered his education in Periodontics at the University of Pittsburgh. Since arriving to Texas, Dr. Choi has quickly made a name for himself as the go to Periodontist in the Dallas area. He is a Board Certified Periodontist that provides such services as implants, impacted wisdom teeth extractions, gum grafts, and LANAP® Laser Treatment, to name a few. Dr. Daniel Choi, a periodontist in McKinney, TX, offers patients the latest in periodontal therapies and dental implant placement. If your gums bleed when you brush or floss or if you’ve lost one or more of your natural teeth, Dr. Choi has treatments that can work for you! We offer advanced laser gum surgery, dental implants, All-on-4 dental implants, gum grafting, bone grafting, and sedation options.

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  • North Texas Dental Surgery was amazing.  I wish I'd known about them sooner.  Dr. Choi and his staff (Chelsea is awesome) were phenomenal.  I felt no pain during the surgery (I don't remember anything about it) and following the post-op instructions the recovery pain was minimal at best. My family and I will use them for all Dental Surgery going forward.

    Matthew H. Patient
  • I went there for an implant and Dr. Choi was great. I had a pretty  serious infection in my nerve and my previous dentist made me come back and forth a few times which made the infection go worse. Dr Choi didn't waste my time and provided a great procedure in a  very timely manner. I felt like he cared every little step.  The total surgery was less than 30 mins and I didn't feel uncomfortable at all throughout the whole procedure. I thought getting an implant would be a bigger surgery and heard some horror stories before but he made it very quick and easy. No discomfort whatsoever. Plus his staffs were extremely friendly. I strongly recommend.

    Brian S. Patient
  • I did a lot of research and reviews prior to finding a place and person whom I would trust for my dental work.   I did not go wrong!  Dr. Choi is amazing and he's the only person who I would recommend.  I even had my family see him and only him.   Not only is he and his staff knowledgeable, but truly attend to your needs and make you feel as comfortable as possible.     I promise you, Yelpers, you won't go wrong.     He's the Korean magician for your mouth.

    Tim L. Patient
  • Wisdom tooth extraction went really smoothly. The staff were very friendly, professional and proactive about following up for any potential concerns. If I still had wisdom teeth left, I would definitely come back here to get them taken out. Thanks North Texas Dental Surgery!

    Helen X. Patient
  • I can't recommend Dr. Choi highly enough, my wisdom tooth extraction was quick and painless and my bone graft procedure was over before I knew it; a welcome relief from my last Dentist, I'll definitely be back.

    Chudi O. Patient
  • Dr. Choi did my wisdom teeth removal surgery and it was super successful!! Quick and painless, not at all like those horrible teeth extraction experiences I've heard. Following his instructions, I did not have any problems with the wounds post surgery. I would definitely recommend him to anyone who is looking to do dental surgeries!

    Ashley Z. Patient
  • I have had several surgical procedures  by Dr Choi, I would never want to use anyone else. He had to fix a surgery previously done by another surgeon. He put me on medication because the old surgery had caused infection. He then went in and did the procedure correctly. I never had any more problems because Dr Choi is an excellent surgeon who knows exactly what he's doing. I saw him in Burleson office, then Hulen office. I will travel wherever he is because he is the only oral surgeon I trust.

    Janet A. Patient
  • omg i also highly recommend dr choi i just got 3 wisdom tooth's extracted i rate my pain a 0 after my surgery i was so scared when i went there and nervous it was nothing to worry about !!! the staff is wonderful , kendra was by my side the whole time she even checked on me the whole weekend very nice lady !!! thank you so much i will definitely return.

    Amber A. Patient
  • I highly recommend this place. Dr. Choi and his staff were very knowledgeable and made me feel comfortable. The actual wisdom teeth surgery was very quick, along with painless. I felt fine the next day. For anyone who is looking for a place to get their wisdom teeth removal surgery, North Texas Dental Surgery is the place to go! Highly recommend.

    Brandon B. Patient
  • I highly recommend Dr. Choi for all wisdom teeth removals. I have always heard horror stories of this procedure but after experiencing it myself with Dr. Choi, I have no worries. He was every quick and calming. I was out of the office in 20 mins tops. If anyone is looking a true professional to extract their wisdom's, you have found a great one with Dr. Choi.

    Kori D. Patient
  • I went there for an implant and Dr. Choi was great. I had a pretty serious infection in my nerve and my previous dentist made me come back and forth a few times which made the infection go worse. Dr Choi didn't waste my time and provided a great procedure in a very timely manner. I felt like he cared every little step. The total surgery was less than 30 mins and I didn't feel uncomfortable at all throughout the whole procedure. I thought getting an implant would be a bigger surgery and heard some horror stories before but he made it very quick and easy. No discomfort whatsoever. Plus his staffs were extremely friendly. I strongly recommend.

    Brian Sungmoon Shim Patient
  • Getting my wisdom teeth out was really quick and Dr. Choi was extremely efficient. I really appreciated that since I opted for the nitrous oxide instead of the IV. The aftercare was easy and prevented any infections and the cavities are healing quickly. If I had to do it again I would definitely go here still!

    Shannon Maher Patient
  • I was terrified going in to get my lower wisdom tooth pulled as well as the tooth next to it but everyone was very nice and explained everything to me. I don't remember anything after I was given the drugs lol But everything has gone great afterwards! No issues! Ive followed the aftercare procedures as directed by Dr Choi and things are healing nicely. I also love the fact that I was given phone numbers to be able to text them directly and get a response in a timely matter with questions. 🙂 Thanks yall! I will definitely choose Dr Choi again if I need to get any more teeth pulled!

    Karlie Wilbur Patient
  • I had my wisdom teeth pulled, and recovered 3 days after surgery. I suffered no complications and was ready to go back to work, with minimal swelling and bleeding after 2 days. I would recommend North Texas Dental Surgery to anyone who needs and oral surgery done.

    C N Patient
  • Dr. Choi did my wisdom teeth removal surgery and it was super successful!!! Quick and painless, not at all like those horrible teeth extraction experiences I've heard. Following his instructions, I did not have any problems with the wounds post surgery. I would definitely recommend him to anyone who is looking to do dental surgeries!

    Ashley Zhu Patient
  • Dr. Choi and team were great. I felt well informed and taken care of. If you unfortunately have to have dental surgery this is definitely where you want to go.

    Steve Walker Patient
  • I went in for a wisdom tooth removal and it was so smooth. I felt no pain. The recovery was about a week and it was a great team full of wonderful people.

    Carmen Hill Patient
  • Dr. Choi and his team are great. They did excellent work with my wisdom teeth removal surgery. Highly recommended.

    Elena Hoang Patient
  • Hands down best dental experience I've ever had! I had a quick and painless surgery with no post-opp swelling during recovery. I was back on my feet playing sports on my second post-surgery day! Dr. Choi knows what he's doing and does it better than anyone else based on awful experiences my friends had getting their teeth removed somewhere else.

    William Greenfield Patient
  • I had my back tooth pulled approximately 2 weeks ago by Dr. Choi as well as other dental surgeries last year and must say he is fantastic! Dr. Choi is professional, personable and takes the time to explain his findings of your dental situation, what to expect during and after surgery. If you have any concerns he addresses those too! I know I am in excellent hands with Dr Choi. Thank you Dr Choi!

    Teri Wilson Patient

Dental Implants

Dealing with tooth loss used to be a troublesome experience for many people. The only two alternatives were dental bridges or dentures, both of which have downsides. The recent development of dental implants as a treatment option has revolutionized the way dentists and patients feel about tooth loss.

There are many misunderstandings and misconceptions about dental implants that people seem to have. Today we are going to do our best to dispel some of the myths, in an impartial and accurate overview of the procedure and its benefits.



Why Do I Need Dental Implants? What’s Wrong With Bridges And Dentures?

To understand what makes dental implants such a good choice, we need to see the issues that the other treatment options have.

In the most extreme cases of tooth loss, dentures were previously the only option for many people. To be fair to dentures, they have come a long way from the traditional, slightly scary stereotype most people have of them. However, that being said, many of the downsides of the treatment are still real and hinder quality of life for countless people.

(Note: Here we are only referring to traditional dentures. Implant dentures, and even snap on dentures provide significant improvements. For more information on them, check out our comprehensive guide by clicking here.

Almost all of the issues dentures suffer from are related in some way to stability. Traditionally, dentures are not physically secured to the jaw at all. The upper denture relies purely on suction, and the lower denture rests on the jaw (relying on gravity and cheek muscles to stay in place).

This creates a whole range of issues. Eating hard foods is simply unthinkable for many people with traditional dentures. They regularly fall out (which can be embarrassing), and make an unpleasant noise when they roll around in your mouth. They are very often easy to recognize as dentures, and often times, look less than convincing.

The list goes on and on, but we are trying to keep this guide as brief as possible. It’s almost insulting to compare dental implants to archaic dentures. Let’s move on to a less easy target – dental bridges.

Bridges are only an option for people that have healthy teeth surrounding the area affected by tooth loss. The way they work is often surprising to many people. The healthy teeth on either side of the gap created by tooth loss are drilled to have all their enamel removed from them. This leaves them looking like two tiny stumps, and is done to provide a secure attachment point for the bridge.

These two previously healthy teeth are now left consisting mainly of a soft inner substance called dentin. They are unprotected until the bridge is ready. When attached, the bridge covers the two dentin stumps with crowns and secures and supports the replacement tooth in the middle. This fills the gap caused by tooth loss.

This system works well at first. But eventually, the cement securing the bridge starts to degrade. When this happens bacteria can get underneath the crown, and they start to attack the dentin. Decay then occurs and the bridge may fail (fall off). When this happens the extent of the decay often means that the two previously healthy supporting teeth are no longer strong enough to support a bridge.

This means that a new bridge has to be made that also covers the two previously healthy teeth. To attach this bridge, two more healthy teeth have to be contoured down to dentin stumps and the cycle repeats.

Many people are shocked when they first learn this is what a dental bridge is, and it’s easy to see why.

Call 214-592-0692 to Schedule a Consultation or Click Here to Request an Appointment Online

How Do Dental Implants Work?

So now, we know what the alternatives are. As we are sure you will agree, neither of them are exactly attractive options. Dental implants solve all of these issues (and more) by adopting a totally different approach. Instead of using teeth to secure a bridge, implants are directly implanted into the jaw bone. No healthy teeth need to be harmed if you have dental implants.

The procedure is reasonably simple in principle, despite being a technical challenge that requires huge amounts of skill to conduct properly.

Firstly, a consultation needs to be completed with Dr. Choi. Here your mouth will be examined and your tooth loss situation will be evaluated. Dr. Choi will look at your gums and jaw bone to ensure that they are suitable for implants. If everything looks good, an appointment will be made for the first part of the treatment.

The first step of the procedure is the actual insertion of the implants. This is usually conducted under local anesthetic and is the most invasive part of the procedure. Dr. Choi will make an incision in the gum where your missing tooth was, and then insert the implant. The implants are very small, screw-like devices that are made from titanium.

During the insertion of the implants, you will not feel any pain because of the anesthetic. However, you should expect to feel lots of pushing, pulling, tugging, pressure, and vibration from the drilling. Once this step is completed you will then be sent home to heal for 6 to 12 weeks.

During the first few days of the healing process, some discomfort should be expected. However, there is no need to be alarmed as it is reasonably minimal and most people cope with it just fine. Some swelling and bleeding of the mouth will probably occur, and you may feel pain in your cheekbones (and occasionally under the eyes too). This discomfort subsides very quickly, and within a few days, you will be feeling reasonably normal again.

Despite feeling fine after a week or so, your body is undergoing a healing process deep within the jaw bone that takes time to complete. The titanium is undergoing a process that essentially fuses it into the bone. It then acts as a single piece and quite literally becomes a part of your body for the rest of your life. It is this process that gives dental implants their incredible longevity and stability.

From this point onwards there is no discomfort or pain to be experienced. The hard part is over, and the fun part starts.

When you return to the dentist for the next stage of the process a small device called an abutment will be secured to the implant. The abutment’s job is to facilitate a secure connection between the titanium implant and the replacement tooth. Around this time your dentist will usually also start taking molds of your mouth and teeth. This allows the dental lab which creates your new tooth to custom make you a 100% perfect fit.

When the tooth is ready it will be color coded to look identical (literally) to the coloration of your remaining teeth. This makes the dental implant seamlessly blend into the rest of your mouth. They are often impossible to distinguish from your real teeth, even under close inspection.


So Why Are Dental Implants Better Than Bridges?


The immediately obvious benefit dental implants have over bridges is the fact that they do not require you to remove the enamel from healthy teeth during the procedure. It’s a strange concept to harm healthy teeth to plug a gap caused by tooth loss. And while it does cause an immediate improvement in quality of life for many people, in the long term it can be an unwise choice.

Bridges on average will last around 10 years, which is a very respectable amount of time for a treatment of this nature. However, compared to dental implants they almost look like a temporary measure. Dental implants will last you for the rest of your life (providing you maintain a good dental hygiene routine).

The implant itself is immune to bacterial infection and decay. It is stronger and better than your other regular teeth in almost every way. However, for the implant to stay strong and healthy, you need to have healthy gums. An excellent daily oral hygiene routine is essential to avoiding failure of the implant.


But Aren’t Dental Implants Expensive?


There is no denying that dental implants are much more expensive than bridges (at least initially). Bridges have been around for quite some time now, and as such efficiency savings have been made. They are a highly affordable treatment option.

There is a good chance that dental implants will be comparatively priced in a decade or two. But for now, yes – dental implants are more expensive.

However, that being said. Over the long run, dental implants often work out to be a much more economical choice than you may originally think. As we mentioned earlier, bridges only last around 10 years before they need to be replaced. If you need to replace them 2, 3, or 4 times within your lifetime, the overall cost adds up.

In these instances, opting for a dental implant in the first place actually ends up being cheaper in the long run.

When this is combined with the fact that you don’t have to harm your healthy teeth, it’s easy to see why implants are so popular.

If you are interested in learning more about dental implants or have any questions, please feel free to give Dr. Choi a call at 214-592-0692.

Wisdom Teeth Removal

The vast majority of people will need to have their wisdom teeth removed at some point or another. The procedure to remove them has gained notoriety over the years for being invasive and complex. Discomfort is often anecdotally reported, and healing times are believed to be long and painful.

However, the fact of the matter is very different. While it’s true there is some slight discomfort during the procedure, it’s actually painless. Healing times are often quick, and unless there are complications, discomfort after the surgery is minimal.

Today we are going to take a look at some of the most frequently asked questions about wisdom teeth removal to dispel some of the myths, and hopefully, calm some nerves.

Let’s get started.


Does Everyone Have Wisdom Teeth?


The first thing we feel we should point out is that not everyone has wisdom teeth. The vast majority of people will have between 2 to 4 wisdom teeth, but having none is not that uncommon.

Most wisdom teeth will start to come through (or erupt) between the ages of 15 to 25. It is during this time that most dentists recommend they are removed if they foresee complications. The earlier wisdom teeth are removed, the easier the procedure. This means less discomfort experienced by the patient. This is because during our earlier years, the root of the wisdom tooth is less secure, and the jawbone is less dense.


Why Do Wisdom Teeth Need to Be Removed?


Because wisdom teeth erupt later in life, it means that there is often not enough space for them to fit in our mouths. This can cause a whole range of issues that ideally need to be pre-emptively corrected with extraction. If wisdom teeth are not extracted and issues manifest, then patients will still need an extraction, alongside treatment for the additional complications.

Below we will list 2 of the most common issues that can arise as a result of wisdom teeth not being removed:


Impacted Wisdom Teeth


By far the most common issue associated with wisdom teeth that have not been removed is “impacted wisdom teeth.” In essence, this means that for one reason or another there is not enough room in the mouth for the erupting teeth. This can make the wisdom teeth come through the gum at a strange angle. It can also damage existing teeth as they attempt to force their way through. Pain is common in this scenario.


Bacterial Infection


If the wisdom teeth cannot break through the gum line fully (or while they are in the process of erupting) small pockets can form in the gum. These little pockets are perfect bacterial breeding grounds. Even the most rigorous brushing and mouth washing are often inadequate to properly remove all the bacteria. This can often result in painful infections that require antibiotics to treat.

Call 214-592-0692 to Schedule a Consultation or Click Here to Request an Appointment Online

How Are Wisdom Teeth Removed?


The first step in any wisdom tooth removal is a comprehensive dental exam. Dr. Choi will inspect your mouth for any signs of infection and take x-rays to see the underlying bone structure of your mouth. If an infection is found, antibiotics will be required to treat the infection before extraction can begin.

Most procedures are conducted under local anesthetic, but general anesthetic can be used in some cases (usually with multiple extractions, or cases of severe anxiety). Contrary to popular opinion, most wisdom teeth removal procedures are conducted in a dental surgery office and not the hospital. The extractions that take place in the hospital are reserved for patients who can expect some kind of complication, or who have pre-existing health conditions that need special attention.

The procedure starts by Dr. Choi opening up the gum above the wisdom tooth with a scalpel. Occasionally, there will be bone and tissue above the wisdom tooth if it is in the early stages of eruption. If this is the case, it will need to be removed to allow Dr. Choi unobstructed access to the tooth. Once all connective tissue has been removed the actual extraction can begin.

Up until this point, discomfort is usually minimal and comparable to getting a normal filling. There will be lots of loud noises and a little bit of pressure and vibration, but nothing that most people cannot handle.

The actual extraction itself is a quick and easy procedure in the hands of an experienced dentist. The tooth will be securely gripped and then pulled out of the mouth by hand. This is the most uncomfortable part of the process, but it’s usually over in less than a minute. Thanks to the anesthetic, there is no pain, but you will feel a large amount of pressure as Dr. Choi pulls on your tooth.

After the extraction has finished, stitches may be required to seal the extraction site. This can either be done with temporary stitches that dissolve over time, or normal stitches that require a second appointment for removal. If you do not need your stitches removed, then you will not need to attend a follow-up appointment (unless there are complications during recovery).


What Is The Recovery Process Like?


A proper recovery is essential to a successful wisdom tooth extraction. The do’s and don’ts are reasonably simple and straightforward, but they must be followed precisely. Most of the recommendations are based around avoiding dislodging the blood clot that forms around the extraction site. If this happens patients can often experience a painful condition known as a dry socket.

Swelling and bleeding are reasonably normal for the first day or two after the procedure. The pain is almost always minor and can easily be alleviated with Ibuprofen. Ice packs on the cheek can help with swelling significantly. You will usually be advised to brush your teeth still, but you should ensure you do not agitate the blood clot by brushing close to the extraction site.

Protecting the blood clot that forms at the extraction site is of paramount importance. Here is a short overview of the kind of things you will be advised to avoid after the extraction:

 Do not drink through straws. This is one of the most common mistakes based on a myth. The suction can dislodge the blood clot

 Do not smoke for 72 hours. A similar suction effect can occur as mentioned above, additionally, smoking can cause infection and delay healing times

 Do not drink hot, caffeinated, or carbonated drinks

 Eat soft foods whenever possible to avoid accidental disruption of the blood clot


What Is A Dry Socket?


If you follow the instructions given above (and those given to you by North Texas Dental Surgery), then you should have no problems during recovery. However, accidents can and do happen and if the blood clot is dislodged, a dry socket is a very real possibility.

A dry socket is an inflammatory infection that can cause extreme pain in the cheeks and parts of the face. Dry sockets also produce a very unpleasant smell and taste in the mouth. Treatment requires a visit to the dentist, who will provide you with antibiotics to clear the infection. It can take up to a week before the infection is gone, and as such, it should be avoided at all costs.

If you have severe pain 2 or more days after you have had your wisdom teeth removed, then you may have a dry socket. Contact North Texas Dental Surgery immediately.


Will My Dental Insurance Cover My Wisdom Teeth Removal?


Dental insurance regularly covers part of the costs associated with wisdom teeth removal. However, this does come with some caveats. The main one being that generally speaking, insurers will only provide coverage for essential extractions medically recommended by your dentist. Pre-emptive extractions requested by the patient (or their parents) are often not covered.

However, this is not always the case and some comprehensive policies will pay most, or all of the costs. As always, we highly recommend that you check with your insurance company before undergoing treatment.


Why Should I Choose Dr. Choi For My Wisdom Teeth Removal?


Dr. Choi has extensive experience in helping his patients remove their wisdom teeth when required. When it comes to wisdom tooth extraction, there is no substitute for a skilled pair of hands that have performed the procedure countless times before.

This is mainly due to the actual physical extraction itself. The actual technique can be adequately taught in dental school, and it’s a reasonably straightforward procedure. However, doing it correctly is only half of the battle. For patients to experience the minimum amount of discomfort possible, it needs to be performed efficiently.

Inexperienced dentists can take much longer to extract a wisdom tooth, pulling on their patient’s mouths for an unnecessarily long amount of time. Dr. Choi and his experienced, steady hands are renowned for getting teeth out painlessly (and in record time).

If you know someone who needs their wisdom teeth removed, or if you are unsure about any aspect of the procedure, why not give Dr. Choi a call? He is available at 214-592-0692 and would be happy to help you book an appointment and give you his professional opinion on the best way forward.

Gum Grafting

The amount of people suffering from receding gums in the United States is as high as 12%, according to some studies. That means that more than 1 in 10 people are affected by the condition. However, most people are totally unaware they have receding gums and are unfortunately, on the road to tooth loss.

One of the most common treatments for receding gums (after the condition reaches a certain point) is gum grafting. The very mention of the word “grafting” brings anxiety and fear straight into the hearts of many people when it really shouldn’t. In this article we are going to talk a little bit about the procedure, what causes gum recession, and answer some frequently asked questions.



What Are Receding Gums and What Causes Them?


As you may have guessed from the name, receding gums are gums that are slowly moving away from the tooth. As this happens, they start to expose more and more of the underlying tissue, which causes a whole range of issues. Because the process is incredibly slow, many people with receding gums don’t know they actually have the condition until it has progressed reasonably far.

A sudden sensitivity to temperature in the mouth (where there was none before) can be an early sign of the condition. If you notice that your teeth appear larger, or notice small gaps between your teeth and gums, you may also have receding gums.

There are many causes of receding gums. The majority of cases are caused by improper oral hygiene resulting in gum disease. As plaque builds up on the teeth, it promotes bacterial growth. If the plaque is not removed, it transforms into tartar. Tartar is slightly rough, and this encourages even more plaque build up. As more and more plaque builds up in your mouth, the bacteria it carries multiply, causing gum disease. Gum disease is one of the leading causes of gum recession.

External factors can also influence the likelihood of contracting gum disease (especially when combined with an inadequate daily oral hygiene routine). Smoking significantly increases your chances of contracting the disease too, and some people can be genetically more likely to develop the condition.

Other external factors are rarer but can be still be found. People with lip, cheek, or tongue piercings can inadvertently repeatedly rub their piercing against the gums, causing it to recede in a small area. Additionally, female hormones can cause gum recession during pregnancy, puberty, and menopause.


What Is Gum Grafting?


If gum recession is caught early enough, it is possible to stop the recession without surgery. A good professional cleaning by a dentist can remove plaque and tartar that has built up over time. When this is combined with a good oral hygiene routine, it’s possible to halt the recession.

However, once the gum recession reaches a certain point, surgery will be needed to rectify the situation. Gum grafting is one of the most common techniques used and has an excellent success rate of over 90%. There are 3 different types of gum grafting, the one recommended to you will depend on the current state of your gums.

Every one of the surgeries is painless while being performed and local anesthetic is always used. In rare occasions of high levels of anxiety, it may be possible to use a general anesthetic instead.

Call 214-592-0692 to Schedule a Consultation or Click Here to Request an Appointment Online

Connective Tissue Grafts


Despite being one of the most invasive of the three surgery types, connective tissue grafts are the most common kind of gum grafting surgery. The procedure starts with a dental surgeon making an incision in the roof of the mouth to create a “flap”. Then using custom made tools the dentist will remove tissue from inside the roof of your mouth.

This tissue is then carefully placed over the root that has been exposed by recession and stitched in place. Once completed the dentist will stitch up the flap in the roof of the mouth, and the procedure is completed.


Free Gingival Grafts


Free gingival grafts are much less common than connective tissue grafts but are still performed in some instances. They are more likely to be used with patients who have thin gums, or gums that have receded significantly. The procedure is almost identical to a connective tissue graft. The only difference is where the tissue is taken from. Instead of making a flap, a free gingival graft takes tissue directly from the roof of the mouth.


Pedicle Grafts


Pedicle grafts work slightly differently to the other two surgical options. In a pedicle graft, the roof of the mouth is not used as a donor tissue site at all. Instead, the dental surgeon will take a scalpel and slice an area of the gum as close to the exposed root as possible. (This flap of skin is still attached to the gum on one side). The flap that has been created is then stretched over the exposed area, and stitched into place. When healed, tissue should grow around the stretched area reversing the recession.


Frequently Asked Questions


Gum Grafting Sounds Invasive, Is It Going to Hurt?


No, absolutely not. Gum grafting is a reasonably invasive procedure, but pain during the procedure is non-existent. The entire process is done under strong local anesthetic, and the most you will feel is some prodding and pushing without any pain.

However, minor pain and discomfort during recovery can be expected from certain types of gum grafting surgery. Pedicle grafts are the most comfortable surgical option because they do not take any tissue from the roof of the mouth. The only area that has been affected is the gums, which experience mild swelling and possibly a little bit of bleeding.

On the other hand, free gingival grafts (and connective tissue grafts) are a little more uncomfortable during recovery. You will experience a very mild soreness, swelling, and bleeding from the gums (just like we described for pedicle grafts above). The majority of the discomfort comes from the tissue donor site in the roof of the mouth.

People have equated the pain to something similar to burning the roof of your mouth on a hot slice of pizza, but a little more painful. It’s something that can be relieved partially with non-prescription pain medicine.

Despite the reasonably uncomfortable description we have given, it’s surprisingly bearable.


What’s The Chao Pinhole Surgical Technique?


We frequently get asked about the Chao pinhole surgical technique as it gets quite a large amount of attention from online media outlets. At first glance, the procedure seems to solve many of the issues present with the traditional techniques we mentioned above.

The procedure takes a totally different approach to treatment that removes the need for a scalpel altogether. Instead, a small device is used to make a pinhole sized incision into the gums around the receded area. The dentist then works and moves the tissue that has been exposed to loosen it slightly. The tissue is then dragged out of the hole to cover the root exposed by recession.

Proponents of the technique and anecdotal reviews state that recovery time is usually less than 48 hours, (as opposed to over a week with traditional methods).

However, Dr. Choi does not offer the Chao pinhole surgical technique to his patients. This is mainly due to the low success rate of the operation.

Proponents of the technique suggest that there is a comparable success rate to the traditional methods of surgery. This claim is based upon the work of a handful of studies, with very small sample sizes.

Anecdotally among dental surgeons, the success rate is said to be much lower. Dr. Choi believes that any treatment he provides should have the best possible chance of helping the patient successfully. As such, he does not offer the Chao pinhole surgical technique at this time.


How Much Does Gum Grafting Cost? Will My Insurance Cover It?


Gum grafting is often much cheaper than people expect it to be. There is a huge amount of diversity in the complexity of surgery required between different patients. It’s not possible for a rough estimate to be provided. A quick consultation with Dr. Choi will enable an accurate price for a treatment plan (and a recommendation of surgery type).

Most insurers will cover gum grafting surgery in some shape or form. It’s uncommon for the entire procedure to be covered unless you have an exceptionally comprehensive policy. Partial coverage is, in our experience the most common situation. However, as always we strongly suggest, contact your insurance company and double check your coverage before undergoing any treatment.




So there you have it; a brief introduction to gum grafting surgery, gum recession, and a few commonly asked questions. Gum grafting surgery can literally change lives with the sense of renewed confidence it can inspire. It can be a little painful to recover from, but the alternative of tooth loss and the issues that come with it is usually unthinkable to most people.

Dr. Choi has extensive experience with gum grafting surgery, achieving excellent results as painlessly as possible. If you think you are showing the symptoms of receding gums and need an expert opinion on treatment options, why not give Dr. Choi a call at 972-592-0692 to see how he can help.

Implant Dentures

At some point or another in our lives, most of us will have to deal with the prospect of multiple tooth loss. For many people, the thought of dentures is a less than welcome idea that brings anxiety and fear.

However, the dentures most people imagine in their mind when they think of the “stereotypical dentures” are far from the best the dental world has to offer patients today. Huge technological advances have been made in all aspects of denture design. They now fit better than ever before, are more secure, and look just as good as your original teeth (or often times, better).

In this article, we are going to look at the three main types of dentures that are available to patients. We are also going to explain why we think that implant dentures should be at the top of everyone’s shortlist.

Let’s get started.



Traditional Dentures


While dental technology has progressed significantly since the first traditional dentures were produced many, many years ago, the design of the “traditional denture” has not. While advances in materials and design technology have been made, traditional dentures largely remain the same as they were decades ago.

Traditional dentures are designed to sit on the gums and are not physically attached to the body in any way. They are made up of synthetic teeth that are embedded into a synthetic gum material, which is often molded specifically to the shape of a patient’s gums.

The design of the top and bottom denture are different to one another, and they work in very different ways. It seems counter-intuitive at first, but the top denture is actually the more secure of the two halves. It is held in place to the gum by suction and works in a very similar way to the suction pads people use to attach “baby on board” signs to car windows.

Despite the top denture relying on suction, it’s surprisingly effective at staying in place (considering it is relying on suction alone). However, it is far from an “acceptable solution” for most people. To make matters worse, the bottom denture is much less secure than the top one. It does not have any suction to keep it in place, and instead, it rests on the jaw bone and gums.

The bottom denture is basically loose in your mouth and needs to be kept in place while eating through use of your cheek muscles and tongue. As you can imagine, this is less than ideal and often results in dentures falling out of place while eating. Putting them back in can be embarrassing in public situations. Additionally, doing so will almost always make the unpleasant “denture clacking sound” we are sure you are imagining in your head right now.

Traditional dentures can reduce chewing efficiency by up to 50%, which basically means you are going to have to work twice as hard to chew. They are highly unreliable when used to eat food that is even remotely hard, which drastically limits food options. In fact, many people with dentures eat a softer, less nutritious diet than they otherwise normally would because of this.

The one way that traditional dentures have improved over the years is the way they look. Although most of them are easily identifiable as dentures, they admittedly do look a lot better than they used to a couple of decades ago.

As we are sure you will agree, traditional dentures have some serious issues that can dramatically reduce anyone’s quality of life. They are a useful tool as a last resort, but ideally, one of the better, more modern denture options should be considered if possible.

Call 214-592-0692 to Schedule a Consultation or Click Here to Request an Appointment Online

Snap-On Dentures


While not the best option available, snap-on dentures are a significant improvement over traditional dentures, and are a viable option. They provide a much greater quality of life than traditional dentures and can be relied upon with relative peace of mind.

The main problem with traditional dentures is born from the fact that they are not physically attached to the mouth in any way. They are essentially loose (or relying on suction). For something that is going to need to ideally withstand the full force of a bite, it’s less than ideal.


Snap-on dentures solve this issue by using titanium implants that are attached directly to the gums and jaw bone of the patient. (We discuss the procedure in more detail in the implant denture section as it is largely the same). On average, there will be 2 implants in the lower jaw, and 4 implants in the upper jaw (the upper jaw has more because the bone is less dense).

The end of each these titanium implants has a connector on them which matches to a connector on the dentures themselves. This provides a reasonably secure attachment which creates an important, and acceptable level of stability. With snap-on dentures, you will be able to eat most foods reliably (with the exception of very hard foods), and they will rarely accidentally detach while in use.

They need to be cleaned like regular dentures and should be removed every night. While not an ideal situation, it’s a small price to pay to have confidence and freedom back in your life.


Implant Dentures


Implant dentures (as you might have guessed from the name) are dentures that are semi-permanently fixed in your mouth with titanium implants. Once they are in place, they can only be removed by your dentist. For all intents and purposes, they feel and act like a set of normal, healthy, real teeth.

The implant procedure is admittedly quite a large undertaking and is an invasive procedure. Before implant dentures can be fitted, Dr. Choi will need to assess your jaw bone and gums to check if you are able to accept the implants with a good chance of success.

Providing you get the go ahead from Dr. Choi, the actual process of having the implants fitted can take several months. It’s going to involve several appointments and a little bit of waiting in-between.

We will outline the general flow of the treatment below (local anesthetic is used for most parts of the process).

Initially, you will need to have any unviable teeth removed. Once this is done, Dr. Choi will then start inserting the titanium implants. These are screw-like devices that will attach to your jawbone and gums. Once the implants are in place, you will need to wait several months for them to fully heal and embed themselves properly. During this time, you will be given a temporary set of crowns to enable you to eat in the meantime.

It is important to remember, that because this is a large, complex, and invasive procedure, there will be a little discomfort after the implants have been inserted. Discomfort around the cheeks, eyes, and jaw is common for the first few days. You will also notice swelling of the mouth and gums, alongside a little bit of bleeding. Ice packs on the cheeks and Ibuprofen can help, respectively. After a few days, the pain should subside and you will be back to your normal self.

Once Dr. Choi has told you that the implants have healed enough for the dentures to be attached, the fun part starts. He will then attach your dentures for you, and you are ready to show the world your new smile.

Implant dentures need care and attention like normal teeth do. The implants themselves are not susceptible to decay like real teeth, but it is very important that you maintain excellent oral hygiene. This is because your gums are essential to your implants staying functional, so dust off the toothbrush and remember to get flossing!

The anecdotal comments from many patients who have implant dentures fitted are nothing short of inspirational. The procedure literally changes people’s lives. Years of worrying about the appearance of your teeth, or perhaps years of anxiety about dentures falling out is permanently gone in an instant.

The world will see your big bright smile and marvel at your new teeth. They are incredibly life-like, it’s almost impossible to differentiate good implant dentures from real teeth.

Patients find themselves a whole new lease on life, which is not an exaggeration.




If you have issues with your teeth and think you might need to get dentures, (or if you need to upgrade from traditional dentures) there is no substitute for implant dentures. They are the strongest, most reliable, and most attractive option available with current dental technology.

Your new teeth will look and feel better than you could ever have imagined. We can pretty much guarantee your life will generally be healthier, happier, and full of beautiful smiles.

If you have any questions or are considering getting implant dentures, why not give Dr. Choi a call? You can contact him and his team at 214-592-0692 who are always more than happy to have a no pressure, friendly chat about how they can help you with your denture needs.

LANAP® Laser Gum Surgery

People think of gum disease as a single issue. However, there are actually three distinct stages of gum disease, and each stage gets progressively worse than the last. Once the disease has progressed past a certain point, surgery is the only option to prevent inevitable tooth loss.

In the past, this meant there was a need for an invasive and uncomfortable procedure that involved surgically slicing the gums under general anesthesia.

For many people this surgery was unwelcome, and it was invasive, and it took a long time to recover from. It also required someone to transport the patient to the dentist (due to the requirement of general anesthesia). However, despite the inconvenience, it was a necessary task, because the alternative of tooth loss was obviously inevitable.


However, as dental technology has advanced, new treatment methods have been developed that remove the need for this invasive kind of surgery. By using lasers instead of scalpels, patients receive periodontitis treatment in a whole new way.

Many people are a little unsure about laser gum surgery. It seems like a mysterious, unfamiliar, futuristic technology to some.  Obviously, this can generate a bit of anxiety about the treatment. How does it work? Does it hurt? Will my insurance cover it?

In this article, we are going to answer many of the common questions people have about laser gum surgery to help provide some clarity on this new and exciting procedure.


Why Does Periodontitis Require Surgery at All?


Let’s start with the cause of the problem before we get into the details of the surgery. There are three stages of gum disease, periodontitis is the second stage.


Gum Disease – Stage 1 Gingivitis


Gingivitis is the most common form of gum disease. For the vast majority of people, the symptoms are noticed at this stage, and then treatment is carried out. There are a wide range of symptoms that you should look out for (but the main ones are bleeding and receding gums).

Gingivitis can be treated without the need for surgery because at this stage, the disease has not spread underneath the gum line. Gingivitis is almost always caused by an improper dental hygiene routine. (Proper brushing and flossing is the best way to prevent yourself from contracting gum disease.)

If you want the gory details, gum disease is caused by a build up of plaque. Plaque is usually removed with proper brushing and flossing, but if it is not removed, it starts to turn into tartar. Tartar is much harder than plaque and can only be removed by a professional dental cleaning. Tartar has a rough abrasive surface, which makes it a magnet for further plaque build up.

If this build up is not removed, then one (of the many issues) that can be encountered is the first stage of gum disease, Gingivitis. Specifically, it is brought about by the ever increasing amount of bacteria in the plaque which multiplies consistently.

If the symptoms of Gingivitis are caught reasonably quickly, the condition can be treated easily with over the counter mouthwash and a good professional cleaning by your dentist. This is because at this stage, the plaque and tartar causing the issue are only present above the gum line, which means removal is quick and easy.

However, when the plaque build up starts to entrench itself under the gum line, things get much more serious. At this point, the condition has progressed to the second stage of gum disease, Periodontitis.


Gum Disease Stage 2 – Periodontitis


Despite being classed as a second stage of the disease, the actual processes that are taking place are reasonably similar to stage 1. Plaque is being built up, turning into tartar, and bacteria are breeding that advance the disease. The only difference is that it is happening beneath the gum line. This means that now it cannot be accessed (and removed) without surgery.

The symptoms are largely similar to Gingivitis, but when gum disease reaches the periodontitis stage, the damage being caused is irreparable. The fibrous tissues in your gums, and the bones that support your teeth are being damaged. This leads to wobbly teeth and takes the patient one step closer to probable tooth loss in the very near future.


Gum Disease Stage 3 – Advanced Periodontitis


As the cycle of plaque and tartar build up continues, the severity of the disease gets worse. There is not much more to say about the condition that you probably have not already guessed from reading the progression above. Teeth are incredibly loose and wobbly at this stage, tooth loss is imminent (or has already happened). At this point, invasive surgery is immediately required.

Call 214-592-0692 to Schedule a Consultation or Click Here to Request an Appointment Online

So What Is Laser Gum Surgery? And What Makes It Better Than Traditional Treatments?


So as we briefly mentioned at the start of this article, the traditional method of treating periodontitis is an invasive procedure called gum flap surgery. The dentist cuts a flap in the gum above each individual tooth, cleans away the plaque, and tartar, and then closes the flap back up. As you can imagine, this is a reasonably large procedure and needs to be performed on the whole mouth.

The alternative has been brought about by advances in laser technology. Laser gum surgery, which is officially known as a Laser Assisted New Attachment Procedure (LANAP) removes the need for a scalpel entirely.

Before the treatment begins, Dr. Choi will conduct a full examination to determine the extent of the infection. LANAP is usually conducted throughout two separate appointments. One half of the mouth will be done first, and the second appointment (usually scheduled about a week later) will complete the other half of the mouth.

The procedure can be broken down into 3 main steps.

The first step is where a super thin laser is used (it’s the thickness of around 3 human hairs). The dentist will use the laser to remove the bacteria underneath the gum line and open a small section to allow cleaning to begin.

The cleaning phase is the second step, and instead of using a laser, a precision ultrasonic tool is used instead. During this part of the process, Dr. Choi will do two things. The first job is to remove all of the tartar and plaque that is producing bacteria. Once this has been done, he then looks for any rough spots that can encourage plaque formation. If rough spots are found, they are smoothed off.

Once the smoothing has been completed, the final stage is to seal the opening that has been made (to prevent bacteria and germs getting in and causing infection). This is again, facilitated by using a laser and is done by forming a natural blood clot at the top of the opening.

Because the procedure does not require a general anesthetic, once it has been completed, you will be free to go about your day as per normal. You may have a numb mouth for a few hours afterwards, but apart from that, you should experience no significant discomfort.

Slight swelling and bleeding is normal after the procedure, and occasionally a very small amount of pain is reported. If this is the case, Ibuprofen is often more than enough to remove it entirely.

After laser gum surgery, Dr. Choi will often advise you to not brush your teeth for 7 to 10 days to help the healing process. Smoking is strongly advised against and can significantly delay the healing process, potentially causing infection.

Despite LANAP being a new type of surgery, most patients find that they are covered for the procedure with their current dental insurance. This is because most insurers are not concerned with the tools that are used for the job (the laser), and instead, they cover the procedure (periodontitis treatment). However, make sure you double check with your insurance company before undergoing treatment.

LANAP is not currently recognized as a treatment method by the American Academy of Periodontology. They state that there is currently not enough evidence for them to ascertain that it is more beneficial than traditional treatment options. However, it is our opinion that it is just a matter of time before LANAP is officially accepted by the AAP. The real world evidence is growing rapidly, and thousands of patients are curing their periodontitis with laser gum surgery each and every day.




So there you have it, a brief overview of laser gum surgery. As you can hopefully see by now, LANAP is an extremely exciting new way of treating periodontitis (that would otherwise require invasive surgery). The benefits are obvious, immediate, and LANAP makes the previous treatment method of using gum flap surgery seem rather archaic in comparison.

Dr. Choi is one of the finest board-certified surgeons in the state of Texas and has extensive experience with this treatment method. If you have any questions or would like to learn more about Dr. Choi and his team – they are always happy to help. Why not give them a call at 214-592-0692 to see how they can help you, and your family have some of the brightest, whitest, and healthiest teeth in Texas.

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