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Dr. Duane Keller

Dentistry
Saint Louis, MO
47 years experience

Locations

Keller Professional Group

Saint Louis, MO

Address

3955 Bayless Ave Ste 100, Saint Louis, MO
Directions

My office hours

Saturday: Closed
Show more

Practice website

Fax

3146383900

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.

Specialties
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 18-year-old male asked:
Dr. Duane Keller
47 years experience
Lowered posture???: It may be that you have a lowered tongue posture. Normally your tongue should go to the top of your mouth, but sometimes a person has a lowered postu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Duane Keller
47 years experience
Depends: A gum infection is a serious problem and it will depend upon how much damage has occurred to the support for your teeth. Check with your dentist to s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Duane Keller
47 years experience
Check w dentist: You will need to contact your dentist or ENT to check out the problems. Spasms are muscle problems and you will need to find out why the spasms occur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Duane Keller
47 years experience
Your probably right: The upper quadrant is a dynamic functional and structural entity. A dysfunction in one region causes compromises in another region. Treating just pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Duane Keller
47 years experience
Probably not: I would check with a dermatologist for the cheek problems. An orthopedist would be appropriate for the other limb problems. Doubt this is related to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Duane Keller
47 years experience
Check your joints: Many people with sleep problems also have an associated TMJ problem. If you have noise in your joints, or if you have an inability to open (3 fingers... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Duane Keller
47 years experience
Possible, but...: A nerve disorder can have multiple causes. It is possible that a structural, vascular or neurological problem can be related, but you will need to se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Duane Keller
47 years experience
Get it investigated: A normal joint is painless, noiseless and has a full range of motion. Your joint does not sound normal and the pain is an indication you probably hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Duane Keller
47 years experience
Treatments necessary: Decay, infected teeth and gums do not stay just in the mouth. The infection can go to your sinus, or anywhere via your blood stream. The infection i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Duane Keller
47 years experience
Find and Rx cause: A joint does not usually go bad without reasons. Find out why your TMJ and associated structures are compromised, then you can begin to find ways to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Duane Keller
47 years experience
Find the causes: Medications side effects can be a dry mouth. Ask your dentist for someone in your area that treats these type of problems and get professional help t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Duane Keller
47 years experience
What is causing them: Headaches are often from the muscles of the head and face region and too often are related to problems with the joints, muscles and bite. Put your fi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Duane Keller
47 years experience
Rx first opinion 2nd: You may wish to try brushing your tongue gently with a tooth brush with or without toothpaste. You can also consider a mild hydrogen peroxide or simi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Duane Keller
47 years experience
Yes and ...: A relationship exists between how your teeth fit together, how your joints and muscles are able to function, how the head works with the neck and oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Duane Keller
47 years experience
Problems still: Swelling is the tissue response to an injury or infection. I would check with your dentist to see which of these exists. The clicking indicates you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Duane Keller
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.
A 22-year-old member asked:
Dr. Duane Keller
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.
A 21-year-old member asked:
Dr. Duane Keller
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.
A 39-year-old member asked:
Dr. Duane Keller
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.
A 47-year-old member asked:
Dr. Duane Keller
47 years experience
Stability: You have to find the most stable jaw and upper quadrant relationship first. Then you can determine how to maintain this relationship with a final den... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Duane Keller
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.
A 31-year-old member asked:
Dr. Duane Keller
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.
A 32-year-old member asked:
Dr. Duane Keller
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.
A 38-year-old member asked:
Dr. Duane Keller
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.
A 31-year-old male asked:
Dr. Duane Keller
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.
A 54-year-old female asked:
Dr. Duane Keller
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.
A 42-year-old member asked:
Dr. Duane Keller
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.
A 38-year-old member asked:
Dr. Duane Keller
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.
A 47-year-old member asked:
Dr. Duane Keller
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.
A 38-year-old member asked:
Dr. Duane Keller
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.
A member asked:
Dr. Duane Keller
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.
A 28-year-old female asked:
Dr. Duane Keller
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.
A 35-year-old member asked:
Dr. Duane Keller
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.
A 46-year-old member asked:
Dr. Duane Keller
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.
A male asked:
Dr. Duane Keller
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.
A 33-year-old member asked:
Dr. Duane Keller
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.
A 28-year-old male asked:
Dr. Duane Keller
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.
A 18-year-old female asked:
Dr. Duane Keller
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.
A 25-year-old female asked:
Dr. Duane Keller
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.
A 31-year-old member asked:
Dr. Duane Keller
47 years experience
Treat the cause: Pain is an indication something is wrong. Using pills to override the pain without finding the cause is not going to resolve why you have pain. Put ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Duane Keller
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.
A member asked:
Dr. Duane Keller
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.
A 59-year-old male asked:
Dr. Duane Keller
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.
A 20-year-old male asked:
Dr. Duane Keller
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.
A 31-year-old member asked:
Dr. Duane Keller
47 years experience
It may depend: There are multiple factors that related to TMJ problems. Is your joint functioning normally, or is it dislocated (click/pop). Is your bite where it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Duane Keller
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.
A 40-year-old member asked:
Dr. Duane Keller
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.
A 32-year-old male asked:
Dr. Duane Keller
47 years experience
Blood vessels?: If the dots are red they may be capillaries that are showing through. These sometimes occur, but can also be related to things like exposure to exces... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Duane Keller
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.
A female asked:
Dr. Duane Keller
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.

Testimonials
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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