Locations
Keller Professional Group
Saint Louis, MO
Office
St. Louis, MO
About
Bio
I treat acute and chronic head and neck pain patients to stable relationships using orthotics, physical medicine, and TMJ Orthodontics. I use the Perio Protect method to treat the bacteria that cause gum disease and are associated with systemic inflammatory diseases.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Dentistry
Languages spoken
English
Doctor Q&A
260 Answers
27 Agrees
The number of answers this doctor has agreed with.
A 22-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Treat the cause: The first step is to figure out what are the causes and what are the effects. Joints do not go bad and muscles do not usually hurt without reasons. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
NO: A healthy joint is noiseless when it moves. If you have joint noise it usually means that something inside your joint is not working correctly. Thes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Possible dislocation: A joint that click or cracks may be dislocated or have some other problem within the joint. If you can open and it clicks and then bite on your front... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Expect problems: Removing the disc in your TMJ is not a good idea and should be avoided if possible. This procedure not only places the joint in a compromised positio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Treat the cause: Antibiotics are only good for treating some of the bacteria, but are not able to remove all of the bugs, so they regrow. You will need to find out wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A member asked:
Dr. Duane Kelleranswered
47 years experience
Try a different Rx: Your joints became dysfunctional because...
Find out the cause and then you will know better how to treat. Treating the joint problem (effect) wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
What is the cause: Normally a TMJ problem comes from micro or macro trauma to the joint. Orthodontic treatments should help support the best functional position of the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Treat the cause: Periodontal disease and decay are caused by bacteria. You will need to find a method like the perio protect method that can control the bacteria. If... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A member asked:
Dr. Duane Kelleranswered
47 years experience
Probable TMJ: It sounds like you may have a problem with your jaw joint and the muscles that move your jaw. Your best bet would be to check with your dentist if yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 54-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Dr. Wolford: If this were my family member i would see dr. Larry wolford in dallas, texas. I believe he is the best oral surgeon for these type of problems but re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Joints equal effects: Degenerative joint disease occurs when the structures are compromised for a variety of reasons. Simplistically, your jaw and bite are probably not co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Control the bacteria: Bacteria cause gingivitis and periodontitis. If you control the bacteria you don't have the disease. The perio protect method has been shown to kill... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Neck and TMJ issues: Put your elbow on the table with you hand up. Put your lower jaw on your hand so your jaw is supported by the table. Then open your mouth be rotatin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Treat the cause: Gum disease is an infection and the host (inflammation) response. Dr. Gordon recommended the perio protect method. I think this would be a great way... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Cartilage in joint: The TMJ has a fibrocartilagenous disc between the ball and socket. This can become misaligned, usually because the ball of the joint moves too far up... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Indicates a problem: A locked jaw indicates the joint is either displaced or dislocated and it usually will not fix itself. Conserative means (reversible) like a splint a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Unable to open: Most joint problems are a mechanical problem where the cartilage in the joint becomes displaced and gets in the way of opening. Left dislocated, the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Treat the cause: Gum disease is a bacterial infection that is very difficult to treat the way we have in the past. You might consider the perio protect method which u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
Joint displacement: The position of the ball of the lower jaw is determined when the teeth are brought together. The ball of the joint compresses the back of the cartila... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Treat the cause: A balance exists between how your teeth fit together, how the joints and muscles work. If your bite is causing muscle pain, you are probably not in t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
GET Help: A clicking joint means the joint is displaced or dislocated. This will not fix itself and letting it get worse is not a good idea. See your dentist ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Stability / function: A TMJ problem exists when the bite, joint, muscle function and head and neck relationships are compromised. Use a reversible diagnostic phase (splint... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Probably dislocated: The pterygoid does not cause a joint problem. The ball of the joint may be too far up and back in the socket, causing the cartilage to be distorted a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A member asked:
Dr. Duane Kelleranswered
47 years experience
Usually: Benign migratory glossitis (geographic tongue) is a benign disorder of unknown origin. The tongue "sheds" it's surface and this may be sensitive to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Find the causes: Joints do not go bad without causes. It will be necessary to find where you can function free of pain and then you will know where you will need to b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
Form and function: Orthodontics is moving the teeth so the occlusion functions at the best jaw joint, muscle and upper quadrant relationship so the structures can functi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Normal is comparison: A normal jaw movement is painless, noiseless, has full range of motion (at least 3 fingers between the teeth) that is a straight motion without deviat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Possibly a virus: Some of the simplex viruses are known to be related to canker sores. Check with you dentist as there are medications you can use if you find the area... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
Is it muscular?: It may be that you stressed the muscles a lot from weight lifting, but it could also be you overstressed some of the muscles by clenching too much. Y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
YES: A normal joint is painless, noiseless and has a full range of motion. When any of these are violated it usually means something is going wrong that w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A male asked:
Dr. Duane Kelleranswered
47 years experience
Probable yeast infec: The antibiotics may have killed the bacteria in your mouth and a fungus (yeast) may be taking over. If you are done with the penicillin use a tooth b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Infected: An abscessed tooth is an infected tooth. You need to see your dentist and see about the best way to get the infection under control.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
TMJ or muscle?: If the pain is under your chin it may be a muscle. Put your fingers where it is sore and open and close and move your tongue. It it is a muscle and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Not if small: A small temporary filling will not prevent invisalign, but i would think a permanent filling would be more appropriate. Check with your dentist.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Infection or TMJ: Pain is an indecation that something is wrong. It may be tht you have an infection (bacteria) or you may have a problem with you bite/muscle?Tmj. Ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
Yes: The bacteria that cause the infection around your teeth have a direct access into the blood stream and can cause problems elsewhere. I would recommen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Probably dislocated: A clicking or popping in your jaw joint usually indicates that it is dislocated. The noise if usually the cartilage slipping into and out of position... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
Forest or trees?: Most specialists are very trained in one field and know everything about that one area. They see very clearly through their telescope, but unfortunat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Depends: Usually Clindamycin is used to treat anaerobic (no oxygen) bacteria. You don't want to stay on any antibiotic for longer than prescribed. If you sti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Displaced/dislocated: Your jaw is either displaced (sprained) or probably dislocated. The clicking is when the cartilage slips into and out of place. If it click and you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 59-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
New versus Continued: Perio maintenance is a visit to check on the results of an on-going treatment. Scaling and root planing is the treatment where the hygienist or denti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Best Functional posi: Orthodontics should be done to the best upper quadrant functional position. If teeth have been removed, but treatments need to stabilize a different ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
Treat the Cause: Joints usually do not go bad on their own it is necessary to find the cause(s) that compromised the joint and address all of these issues in the trea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
? Joint?: If you cannot open wide enough to place three vertical fingers between your upper and lower teeth it may mean that your joint is displaced or dislocat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Duane Kelleranswered
47 years experience
Seek competent help: You should have someone check this out and the sooner the better. Lymph nodes do not become swollen without a reason and pain is an indication that s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 57-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
It may be muscular: Some people that have a TMJ problem (joint in the wrong position) will rest their bite on their tongue. They do this to find a position where the joi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
Yes if...: The important aspect is to find the best functional position for the jaw. If this is a forward position from the habitual bite then the treatments ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Duane Kelleranswered
47 years experience
See your doctor: If it is a gum problem you have a bacterial infections. Look on the internet or ask your doctor about the perio protect method as it has been shown t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 38-year-old male asked:
Dr. Duane Kelleranswered
47 years experience
Healing takes time: An implant takes up to 3 months before it is fully incorporated into the bone (sometimes longer). Placing any materials in this area that can cause p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A female asked:
Dr. Duane Kelleranswered
47 years experience
Inflammation = cause: The bacteria that cause gum diseaes can also get into your blood stream. These bacteria are reported in the literature to be found associated with st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
260
Thank you notes
Mar 19, 2015
Great Dentist!!
HealthTap member
Mar 30, 2015
Dr. Keller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Keller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Not sure why disc was displaced. Jaw locked again and had SSRO to increase joint space. Hasn't locked up again but is still painful and pops
HealthTap member
Thank you very much for your help, Dr. Keller!! I get what you are saying. I will make sure I ask what they are specifically testing for.
HealthTap member
Swelling has gone down a lot. Just curious about the "harder" area of swelling going down. It is sensitive if pressed on. But not like b4
Education & Training
Medical/Graduate school
Washington University, St. Louis MO
Graduated 1976MD
Awards
Leon J. Pinsker Award International Association for Orthodontics, 1992
Washington University School of Dental Medicine , Alumni Appreciation Award, 1986
Washington University, Alumni Appreciation Award, 2001
Affiliations
Academy of General Dentistry
American Academy of Head, Neck Facial Pain
American Association for Functional Orthodontics
Publications
A Multi-Functional Appliance
Keller Method of TMJ Orthodontics
Quantitative Radionuclide Scanning of the TM Joint
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