Dental  Surgery 

Do a self assessment

of your Oral Health 

Check yourself first so you can better discuss issues that Doctor Starkey might bring up and there will be less chance of you having an unpleasant surprise and you can bring a list of concerns based on your self evaluation to discuss with the Doctor at a consultation

Pain? Dental Emergency?!

Call 402.397.STAR 

Benefits of our Sedation Dental Center

      Master, College of Conscious Sedation American Dental Society of Anesthesiology 



Gum Disease Self Assessment

Gum disease tends to be asymptomatic as far as pain goes.

Unless it is ANUG aka Trench mouth.

Trench mouth because the soldiers in WW1 often suffered this disease. ANUG stands for acute necretizing ulcerative gingivitis. 

if your gums are hurting then you need to see MD or dentist right away. That usually means ANUG or an acute Abscess.

Generally gum disease signs that we are talking about that affects up to 70+ percent of the population. Do you have any of these symptoms?

  1. Bleeding gums
  2. Bad Breath
  3. Receding gums
  4. Black holes or triangles between the teeth.
  5. You are looking long in the tooth
  6. swollen gums
  7. scale build up on teeth
  8. Loose teeth
  9. Teeth that are shifting and moving
  10. Getting food stuck between teeth
  11. Red Margins of gum next to teeth
  12. Swelling of gums
  13. Drainage
  14. Bad Taste
  15. Bone loss?

Oral Cancer Screening self assessment

  1. A sore that does not go away after two weeks
  2. Inuradated or hard small round patch maybe with a hole in the middle of it.
  3. Swollen glands
  4. Your lip is an obvious place to look; if you are in sun a lot when you see a sore on your lip that is growing and not going away get to the doctor. While you are at it check the top of your ears and check the back of your neck
  5. Swelling along the side of the neck. 
  6. Take a paper towel and stick your tongue out. Grab you tongue and pull it down look in mirror: look for white patches or redness on palate and in throat. Pull your tongue from side to side and look for red roundish areas a few millimeters in diameter. Look under the tongue!
  7. Pull your lips out and look at the inside of your lips
  8. Look at your cheeks on the inside. is there white patches or red patches?

By the way when you brush your teeth you should brush your palate, your cheek inside of course, and top of tongue.

If you smoke and drink or have oral sexual relations then you should get to doctor to have them check. If you are young enough or you have kids, seriously consider HPV vaccine.

HPV caused oral cancer is over taking smoking/alcohol caused oral cancer partly because people do not smoke like they did in the past but they  do other stuff. The incidence of oral cancer is on the increase.

There are photos of oral cancer below; caution they are graphic.

Tooth loss leads to bone loss
Dental Implants, bone grafting, teeth in a day, mini implants, dentures

Star Sedation Dentistry   

Specializing in Total Dentistry

                     With Advanced Infusion Therapy                   To Rejuvenate the Mind & Body




Anesthesia for a pleasant escape

Systemic dentistry  for a better life

Michael A. Starkey, DDS MS and The Team


For Denture wearers

Assess whether it is time to have us take a look at them

and your mouth.

  1. Have you had an oral cancer screening in the past 12 months? If not start by doing a self screening using the above suggestions. It is advisable to see a dentist once a year or your MD for an oral cancer screening.
  2. Do you have to use denture adhesive? A little or a lot?
  3. When you close your mouth and bite together does it look like you have no teeth or is your face squished up?
  4. Or are there big creases in the corners of your mouth? If so that is a sign of of being over closed. It makes patients look older and allows germs and fungus to get in the corners of the mouth the result is red sore grooves. This is called "angular chelitis."
  5. Have you lost jaw bone? Or are the teeth worn down? The average denture wearer loses a millimeter of bone each year.
  6. How well can you chew with your dentures
  7. are the dentures stable?
  8. How old are the dentures?  It is advisable to have dentures replaced about every five years.
  9. Do you experience pain when biting? Can you see sore spots or white s;pots in your mouth? have them checked out.
Call us at 402.926.4848 for your next cleaning and check up