Open Late Dentistry and Orthodontics Dentist in Celina, TX


Quality, Custom Dental Implants To Support Your New Smile While Chewing

Meet Your Doctor

Dr Rouse Open Late Dentistry Orthodontics Dental Implants Cosmetic Dentistry Celina Prosper Frisco Mckinney Plano Tx Texas
Unlike Some Offices That Have a Specialist Place the Implant, and the Dentist Make the Dental Crown separately, Dr. Rouse Designs AND Places the Implant/Abutment/Crown, Taking Into Account Where Your Finished Crown Will End Up Before Even Beginning Your Dental Implant Surgery

"I believe Dental Implants are life-changing and can give patients back self-confidence by having a smile without spaces and teeth they can eat with." - Dr. Rouse

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    Implant Missing Space Celina Gunter Prosper TX Dr. Rouse Open Late Dentistry and Orthodontics

    Why Would I Need A DENTAL IMPLANT?

    Here Are The Top 4 Things That Happen When Your Tooth Breaks and a Replacement is NOT Put In / Reasons For A Dental Implant:

    1. The Tooth Behind the Space Tips Over – Teeth tend to move toward your midline if no tooth is in front of them. This leads to “mesial tipping” or your neighboring tooth.
    2. The Tooth Above the Space Drops Down, or Sinks – Extrusion, or a tooth drooping out of the socket occurs when a tooth does not have a partner. This frequently happens on upper molars that have sinuses pushing upper molars out of the socket when they expand from sinus pressure.
    3. The Bone Where the Tooth Was Removed “Melts” Away – Bone loss occurs following the first 6-12 months and even beyond you lose a tooth. The loss of bone, or “melting”, make it impossible for future implant placement without extensive bone grafting. That is why immediate implant placement is recommended if at all possible.
    4. Remaining Teeth in Your Mouth Must Do Extra Work – From the point you lose your tooth, that tooth AND the partnering tooth are essentially non-functional. When chewing food you are at greater risk for fracture of other naturally healthy teeth due to additional stress and load they are placed under.
    Dental Implant Abutment Crown Celina Tx Dr Rouse Open Late Dentistry And Orthodontics

    Real Patients...Real Results!

    The Journey to Your New Dental Implant

    STEP 1

    Implant Design/3D Models

    Our Team Gets to Work Planning Your Future Implant Placement Location/Dental Crown Design. We Print 3D Models In-House to Precisely Plan Where Your Dental Implant will go!

    STEP 1

    STEP 2

    Dental Implant Surgery

    We offer sedation for anxious patients and a list of amenities to make your Dental Implant Surgery as easy as possible.

    STEP 2

    Contact Us NOW to Get Started!

    Why Would I Choose a Dental Implant Vs. Dental Bridge Vs. Partial Denture?

    Here Are The Top 5 Reasons to Consider a Dental Implant When Your Tooth Breaks as a Replacement Over a Dental Bridge or Partial Denture:

    1. Ease of flossing – Dental Implant Crowns function almost as a Dental Crown on a natural tooth, with space for you to floss in front and behind them. This makes Dental Implant Crowns more analogous to natural teeth than Dental Bridges, from a maintenance point-of-view.
    2. Permanently Cemented – Once Your Dental Implant Crown is cemented, it does not require removal at night, like you would experience with a partial denture.
    3. Increased Chewing Efficiency  – A full denture is about 1/3 as efficient when chewing as a full set of natural teeth. A partial denture replacing one or multiple spaces is not as efficient at chewing or handling the force a fully-integrated Dental Implant has.
    4. Material Selection – Partial Dentures are made from acrylic teeth, whereas we can custom-fabricate your Dental Implant Crown out of similar Metal-Free “All-Porcelain” materials we use for Dental Crowns on Natural Teeth.
    5. Higher Levels of Bone and Gums with Dental Implants – By stimulating the bone to stay at higher levels with a Dental Implant, chances of recession on neighboring teeth go down. As bone levels go down after an extraction and a Dental Bridge or Partial Denture, so too your gum levels go with it.

    Why Choose Open Late Dentistry For My Dental Implant?


    26 268612 5 Gold Star Png 5 Gold Stars Png Png

    Being rated as one of the Best Dentists in Celina by Yelp and #1-Rated in Orthodontics by Yelp, Patients can trust be well-assured that they are receiving the highest ethical and conservative dental treatment in a warm and inviting atmosphere. Just See What Our Celina, TX Patients Are Saying About Why We Are the #1 Best in the Celina/Prosper/Gunter Area

    We Save You MONEY!

    Our Transparent Pricing For A Single Posterior Dental Implant (How Much for a Dental Implant)?

    By Using Our In-House Membership, we pass the savings along to our Dental Implant patients! 

    And with multiple financing options, we make it easy to say yes to getting the smile you’ve always dreamed about!

    Financing Options

    As Little as $292/Month with CARE CREDIT or
    0% Interest for 6 or 12 Months Available with Approval

    Promo PeriodMonthly PaymentsEst. Payoff PeriodAmount Financed
     6 Month$5846 Months$3,500
     12 Month$29212 Months$3,500
    A Implants

    We Save You TIME!

    Dr. Rouse and his team can extract a tooth and place a Dental Implant in as little as a single visit!

    Dr. Rouse is also a restoring dentist, making your Dental Crowns once your Dental Implant has healed. 

    The planning for the crown and the connector, known as the Dental Abutment, begins at the planning stage, before your surgery even begins, all in order to save you time in the dental chair.

    PRECISE Results

    Our Virtual Design Process

    Surgical Dental Implant Placement Prosper Celina Gunter Dr Rouse Open Late Dentistry And Orthodontics

    We work with our Dental Lab using our 3D Scanner In-House to take your bite into consideration with you Dental Implant Crown when considering where your teeth will end up so you avoid costly dental repairs after treatment is complete.

    A milled “Guide”, or stent with a precise hole, will be used to transfer exactly where your implant to go, avoiding crucial structures like your nerves and sinuses.

    This ensures your implant placement will not be left to chance.

    Our Surgical Stents are Custom Made To Make Sure Your Dental Implant Goes Precisely Where it was Planned!


    With Tons of Amenities and A Family-Friendly Environment, A Friendly Face Will Always Be There to Answer Your Questions About Treatment and Guide You Through the Process of Transforming Your Smile!

    We work with our Dental Lab using our 3D Scanner In-House to take your bite into consideration when making your Dental Restorations so you can avoid costly dental repairs after treatment is complete.


    Have issues along the way? We are right next door, Celina Neighbor! Once your toothache has subsided, we are next door for cleanings/checkups and future Preventative Care.


    3d Cbct Imaging Celina Prosper Open Late Dentistry And Orthodontics Dr Rouse 1 Jpg

    We use the Latest Technology to Diagnose and Treat Your Dental Needs As Accurately and Quickly as Possible!

    Medications for the Day of Implant Surgery


    ANTIBIOTICS-Amoxicillin (Unless Allergy)


    14 tablets

    1 tablet twice daily for 7 days

    Peridex (WE ALSO HAVE IN OFFICE) With HOCL 1:1 Ratio in a Syringe Provided By Us:

    1 bottle

    Apply to surgical site twice daily the day after surgery. DO NOT RINSE


    6 tablets

    1 tablet twice daily for 3 days



    28 tablets

    1 tablet twice daily (regardless of pain) for 3 days

    – Then one as needed for pain every 6 hours

    Caring for Your Dental Implant -
    Post Operative Care

    Aside from normal hygiene, it is best to completely leave the implant alone for the first 2 weeks after placement. 

    Due to the ability for implants to collect plaque and bacteria, it is important to keep the area clean and infection-free.

    You may want to limit foods to softer items and chew in an area away from the implant during the 10 to 12 week integration stage.

    Minimal bleeding is expected after implant surgery. Bleeding after surgery may continue for several hours.

    The best way to stop bleeding is to fold 2 pieces of damp gauze over the extraction site and gently bite for 30-60 minutes making sure pressure is being applied to the extraction site.

    You may be asked to return to the office for a 2 week follow-up appointment.

    Do not pull or cut any sutures yourself.

    Swelling – USE ICE! Swelling will not become apparent until 24 hours after surgery and will not reach its peak for 2-3 days.

    After this time, the swelling should decrease but may persist for 7-10 days.

    Swelling may be minimized by the immediate use of ice packs.

    Apply the ice packs to the outside of the face 20 minutes on and then 20 minutes off while awake for the first 24 hours.

    After 48 hours, begin use of a warm, moist compress to the cheek.

    Medication / Pain – Start Pain Medications early with OTC NSAIDS like Motrin/Ibuprofren/etc.

    If you do not have an allergy to non-steroidal anti-inflammatory medications (Ibuprofen, Motrin, Advil) we recommend taking this prior to the local anesthetic wearing off.

    Alternate Ibuprofen (3 tablets / 200mg each) and the Tylenol #3 medication every two hours, if prescribed, if needed.

    Once you feel like you can stop the narcotic, use Ibuprofen or Tylenol only, but take something for the first few days after surgery.

    You may also be prescribed an antibacterial mouth rinse which should be used twice daily in the first two weeks following implant surgery.

    All medications should not exceed the recommended dosage. All antibiotics should be taken to completion.

    Diet After I.V. sedation – Start with liquids.

    While numb, patients should avoid hot liquids or foods.

    Patients may have applesauce, pudding, or jello or smoothies. No straws to avoid losing a blood clot with a sucking motion for the first few days.

    Once numbness wears off patients can progress to solid foods, chewing away from the surgical sites.

    Oral Hygiene – Use a soft bristle toothbrush and toothpaste after meals and at bedtime.

    Should bleeding resume after brushing, repeat the use of gauze as described above.

    Do not rinse your mouth the day of surgery.

    Activity For the first 48 hours you should rest and relax with no physical activity.

    After 48 hours, you may resume activity as tolerated.

    Healing Bad breath is common and will disappear as healing occurs.

    Two to three days following surgery, white, possible hard tissue may be seen in the surgical site.

    This signifies normal, healing tissue.

    It’s not unusual to see the silver healing cap appear through gum tissue following procedure.

    Antibiotics If an antibiotic is prescribed, take the tablets or liquid as directed.

    Take the entire prescription until gone.

    Antibiotics can be given to help prevent infection.

    Make sure to call the office if a rash or other unfavorable reaction occurs.

    Foods to Drink and Eat While Numb AVOID carbonated beverages and hot liquids for 48 hours Drink:

    Eat: Water Applesauce Juice Jell-O Ice Chips Pudding Popsicles Yogurt Milkshake (no straw) Add Soft Foods When Numbness is Gone Mashed Potatoes Pasta Eggs Pancakes Creamed Cereals Soups (be careful-not too hot) Increase Diet as Tolerated Other Considerations Your surgeon will notify you and your dentist when your implant is ready for restoration; typically 10 to 12 weeks following implant placement.

    Caring For Your Implant and Permanent Dental Crown

    What is Peri-Implantitis?

    Peri-implantitis is literally “Inflammation around an implant”. If this is kept up, and not treated or removed, bone loss around the implant can occur. If enough bone loss occurs, implant failure is when the implant becomes a source of infection and must be removed.

    This comes from bacteria forming a wall around unhygienic dental implants called a “biofilm”. 

    All implants are sterilized when packaged but encounter the tissue and are introduced to your oral environment, including your bacteria.

    How long can a dental implant last? This is dependent on how well it is maintained and kept clean of this biofilm. 


    We list some of our favorite dental aids to help you in your journey below:

    Caring For Dental Implants Dr Rouse Open Late Dentistry Prosper Celina Frisco Mckinney

    TePe Makes Excellent Products For All Implants on

    Please Review the Graphic Above For Which Would Be Best For Your Situation

    Flossing Dental Implants Dr Rouse Open Late Dentistry Prosper Celina Frisco Mckinney

    Interproximal Brushes of Any Brand Should NOT Be Metal and Work in a Similar Fashion: To get in Between Multiple Implants or Around a Single Implant to Keep the Neck of the Implant Clean

    Waterpik Dental Implants Dr Rouse Open Late Dentistry Prosper Celina Frisco Mckinney

    If you purchase a Waterpik for your Dental Implant Care, please choose a smaller tip and point at a 45 degree angle to get down in the pocket of your gums.

    How Often Should I Get My Implant Cleaned at the Dentist?


    Glycin Dental Implants Dr Rouse Open Late Dentistry Prosper Celina Frisco Mckinney

    If you are experiencing slight loss of bone at 3 month intervals, we like to act early.

    Products like AirClean are professionally placed below the gum line to help clean areas you can not reach at home with Glycine.

    Additional Services Involving Implants

    What is a Sinus Lift?

    Above your upper molars and premolars (top back teeth) sit your maxillary sinuses. Similar to balloons, these inflate and deflate during different conditions. One of those is tooth loss. When an upper tooth is lost the bone the upper tooth is in can melt away and the sinus can take its place. This becomes a problem when placing an implant because a sinus is a space (i.e. not bone). 

    Our desire is to have a large enough surface area (length and width) for your dental implant that your bone can adequately integrate with it and start performing tasks like chewing as quickly as possible.

    With a Sinus Lift, the sinus is simultaneously pushed up and new bone grafting material (see below) is placed. Then, and only then, is the dental implant is placed in the space to ensure there is enough length and width for the dental implant to integrate.

    Post Op Instructions For Sinus Grafting

    Nose: Do not blow your nose for one week-gently wipe if necessary.

    Sneezing: If you must sneeze, do so with your mouth open to avoid any unnecessary pressure on
    the sinus area.

    Tobacco: Do not smoke or use smokeless tobacco. Smoking greatly inhibits healing, especially
    in the sinus graft.

    Straws: Do not take liquids in through a straw; this can cause pressure on the sinus and graft.

    Avoid stretching area: Do not lift or pull up on your lip to look at stitches; this may actually
    create damage and tear the stitches.

    Antibiotics: Take your antibiotics as directed and until finished.

    Other medications: If you feel congested you may need to use antihistamine. If you do, use
    over-the-counter medicine.

    Implants: Implants placed concurrently with Crestal/Internal Sinus Lifts will be re-evaluated at 6 weeks and 3 months for impression/placement of restoration if implant is integrated with your bone.

    What Do I Wear Until My Permanent Dental Implant Crown is Placed?

    What is an Essix Retainer?

    Essix Retainer Dental Implants Dr Rouse Celina Prosper Open Late Dentistry And Orthodontics

    Think of an Essix Retainer After an Implant As a Clear Retainer But With a Tooth inside.

    Material is Added and the retainer is worn while the tissue underneath heals after your extraction and/or implant placement. This is an alternative to a temporary implant crown placed at the time of implant surgery if we feel your bone is too soft or fragile for the implant to heal well.

    What is an Dental Flipper?

    Dental Implants Flipper Partial Dr Rouse Open Late Dentistry Prosper Celina Frisco Mckinney

    If you desire, we can fabricate a flipper to use while your dental implant integrates with your bone. This is typically done on back teeth and takes at least a couple of weeks for the lab to make.

    What is Dental Bone Grafting and Why Would I Need It?

    Bone Grafting – We offer bone grafting services in-house to help develop your future implant site by placing bone grafting material when removing a decayed or an unrestorable tooth so you do not have to seek treatment somewhere else.

    The best situation for an implant that will last a long time is to have enough supporting bone around it.

    Our standard of care is a 3D X-Ray to find out the area future implant will be placed and custom-plan the length, width, and type of dental implant you will need.

    We then know before ever performing the surgery where we would need to graft. This saves on cost and lets us know what type of graft is right for you.

    Most commonly performed in addition to tooth extraction, Dental Bone Grafting aids in the re-growth of new bone by providing a scaffolding into which material from the patient’s own body can grow and form a ridge for a future implant or help maintain the height of bone the patient had prior to extraction.

    Celina Tx Dental Bone Grafting For Implants Dr Rouse Jpg

    The best situation for an implant that will last a long time is to have enough supporting bone around it.

    Our standard of care is a 3D X-Ray to find out the area future implant will be placed and custom-plan the length, width, and type of dental implant you will need.

    We then know before ever performing the surgery where we would need to graft. This saves on cost and lets us know what type of graft is right for you.

    Most commonly performed in addition to tooth extraction, Dental Bone Grafting aids in the re-growth of new bone by providing a scaffolding into which material from the patient’s own body can grow and form a ridge for a future implant or help maintain the height of bone the patient had prior to extraction.

    Where Does Dental Bone Grafting Come From?

    Bone graft can come from several different sources including:

    • The Patient’s Own Donor Site (We Try To Avoid This At All Costs)

    • A Xenograft from a Bovine Source

    • An Allograft From A Lab

    The new bone growth strengthens the grafted area by forming a bridge between the existing bone and the graft material. Over time, new bone growth will replace much of the grafted material.

    Post Operative Care For Dental Bone Grafting

    After Care Instructions for Bone Grafts
    Your bone graft is made up of many particles. 

    You may find some small granules in your mouth
    for the first several days. This is normal. 

    The socket is over-packed to allow for the loss of a
    small amount of particles. 

    It is normal to have some of them come out of the graft site and into
    your mouth. The following can be done to minimize this:

    Rinsing/mouthwash: Do not vigorously rinse or spit for 3 to 5 days. Do not use any over-the-counter mouth wash during any part of the healing process. 

    You may rinse with warm salt water
    if desired or a prescription mouthwash if given. 

    If a partial denture or a flipper was placed in
    your mouth, be very careful removing and placing it while healing.
    Sutures: Most times the sutures that are placed are dissolvable sutures that will dissolve in 10-14
    Avoid pressure: Do not apply pressure with your tongue or fingers to the grafted area because
    the material is movable during the initial healing.
    Avoid pulling/poking area: Do not lift or pull the lip to look at the sutures; this can actually
    cause damage to the wound site and tear the sutures. Avoid poking the site with your tongue.
    Food: Avoid chewing hard foods on the graft sites. Chewing forces during the healing phase can
    disrupt the healing process around the graft.
    Smoking/Alcohol: It is highly recommended to discontinue smoking or alcohol for a minimum
    of one week after your procedure.
    Follow up (1 week): You should have an appointment for a one week post op visit. This allows
    us to evaluate how you are healing so that we can determine when your next phase can begin.

    Dental Implant F.A.Q.'s

    Costs for Dental Implants vary depending on location, number of visits necessary and what type of bone grafting would be necessary. Please contact our office for a consultation and dental x-ray!

    For cash patients, or patients not using insurance benefits, our transparent pricing for dental implants is listed above.

    We offer an all-inclusive cash price, including the dental implant, abutment and crown so patients don't feel nickle-and-dimed. Read the fine print from all providers and see what works best for you. 


    We want our patients to feel like they have individualized care with the latest technology, which does come at a cost, but yields better results in our dentist's opinion.

    We are a family dentist located in Celina, Texas (TX), serving patients of all ages from Prosper, Gunter, Aubrey, Frisco, Anna, and the surrounding areas. 

    Book Online or Call Us at (972) 885-9670. We look forward to hearing from you!

    Book Now!

    Angela Rushton

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