General Treatment

Your office is now on the forefront of Preventive Dentistry. We are able to evaluate your risk of getting cavities with the CAMBRA Caries Risk Assessment...Not only that but we can offer you different Fluorides that may actually reverse many beginning cavities that we see on your radiographs. For instance, if we find you to be at high risk, we will suggest an application of a special Fluoride varnish when you visit the office, and also get you started on home care self-application using a new high-Fluoride toothpaste!

Not only are we working to stay current with modern research, but your office is now certified by the ICOI (International Congress of Oral Implantologists) to provide oral implant care for your friends and family, including implant-retained dentures!  This increases chewing function from about 20% with a regular denture  to almost 85% with such an overdenture, providing greatly improved nutrition and esthetics for the user.

The TAP appliance, for those who suffer with sleep apnea and snoring, positions the lower jaw forward during sleep and opens the airway for better sleep in most patients.

DENTAL IMPLANTS: What are dental implants?

Dental implants can be compared to screws that are implanted in the jawbone to permanently secure crowns or lock-in loose dentures. Dental implants are a relatively simple procedure, and we do offer sedation for our patients who request it.

Why would I need dental implants?

We offer dental implants to our patients who have lost one or more teeth, and those missing teeth are affecting their bite (how they chew), and/or their pattern of speech (this is very common with missing front teeth).

What are they made of?

Though there are hundreds of dental implant manufacturers, the actual implant itself is almost always composed of titanium. Titanium is a very hard metal that is biocompatible with human bone- that means that the bone will grow around the implant quickly with a very low rate of rejection. Titanium doesn't rust, doesn't corrode, and is stronger than steel, so you can expect that it will hold your crowns and/or dentures in place without much difficulty.

How long is the procedure?

The actual implantation takes a single office visit, but it takes between 3 to 6 months before we can fit the crown or dentures to the implant. We wait because it takes 3 months for the bone of the lower jaw to grow around the implant (osseointegration), and 6 months for the bone of the upper jaw to grow around the implant. Osseointegration is important because once the bone has integrated the implant it has a very solid foundation for crowns and dentures.

How long do dental implants last?

Typically, failure or rejection of the implant will take place within the first 6 months, if it will happen at all. Once the first 6 months passes, the implant itself can last forever depending on the conditions in the mouth, the oral hygiene of the patient, if the patient has a family history of bone loss, or if the patient has diabetes. These things can all extend or shorten the life of the implant, crown, or dentures.

Emergencies such as tooth trauma are best handled by orthodontic joining or "splinting" of the tooth that has been knocked loose. But in the meantime, put the tooth in milk or even in your mouth to keep it moist with saliva. Don't try to scrape it clean, only wash it off first.  Head to the emergency room where they can replant it into place (if you are brave, you can put it there yourself, but make sure that the emergency room is where you go soon as possible) !


Fillings | Root Canals | Tooth Extractions | Crowns & Bridges | Laser Dentistry

Our practice can provide a wide range of dental services. We do, however, refer for oral surgical and endodontic procedures because of the high quality of specialists represented in this geographic area.. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular checkups and continued home oral health routines. We use a laser cavity detector to monitor beginning caries.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in techniques, technologies and by maintaining their scheduled dental exams.





The concept of a "filling" is replacing and restoring your tooth structure that is damaged due to decay or fracture with a material. We will replace old, broken-down amalgam/metal fillings that contain traces of mercury with white fillings (composites) to restore your smile and teeth to a more natural look and feel.

With today's advancements, no longer will you have to suffer the embarrassment of unsightly and unhealthy silver/mercury fillings or metal margins of the past. Eliminate the dark, black appearance in your teeth with new-age, state-of-the-art, tooth-colored resin or porcelain materials.

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Root Canal

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.

A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.


  • The patient undergoes anesthesia.
  • A dental dam is used to isolate the tooth.
  • The tooth is opened to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned, including any cracks and canals.
  • With special tools, the doctor reshapes the canals.
  • The tooth is filled again with cutting edge biocompatible filling material.
  • A temporary covering is used to cover the access opening.
  • Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.

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Tooth Extractions

Your third molars are more commonly called "wisdom teeth." Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases, the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.


To potentially stave off this result, an extraction of one, several or all of the wisdom teeth may be advised.  Ask our staff for more information regarding tooth extractions if you feel you may need one.

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Crowns and Bridges


A crown is a permanent covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.

The treatment plan for a patient receiving a crown involves:

  1. Numbing the tooth to remove the decay in or around it.
  2. Re-sculpturing the tooth to provide an ideal fit for the crown.
  3. Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
  4. Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the permanent custom-made crown is being created.
  5. Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
  6. After ensuring that the crown has the proper look and fit, the dentist cements it into place.

This process generally consists of a minimum of 2-3 visits over a three to four week period.

Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.



A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

  • Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
  • Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are three main types of bridges, namely:

  • Fixed bridge- this is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.
  • The "Maryland" bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
  • The Cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.

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Laser Dentistry

We use Waterlase laser dentistry in our practice for hard and soft tissue procedures. The lasers used are narrow beams of light energy that can penetrate the tissue, producing the ability to vaporize, remove or shape soft tissues such as the gums, cheeks and tongue. It can also penetrate hard tissue and remove decay.

Laser dentistry can be used to correct many problems from uncovering partially erupted wisdom teeth to removing lip pulls in orthodontic patients. Lasers can also obtain small tissue samples in biopsy procedures to detect lesions or potential tumors in the mouth. Dr. Hoyle has been certified by Biolase in use of the Waterlase since 2003.

Using laser dentistry as opposed to other forms of surgery does have its advantages. Lasers can control the amount of bleeding during the treatment and can sometimes remove gum tissue without causing bleeding. In laser dentistry, there may also be less swelling and pain following the surgery as the laser can seal blood vessels and nerve endings.

Our office is now certified by the ICOI (International Congress of Oral Implantologists) to provide oral implant care for your friends and family, including implant-retained overdenture construction. The laser can be a great help in making implant placement quicker and easier.

Laser Dentistry: Advanced Cosmetic and Restorative Dental Care in Chapel Hill
Dr. David E. Hoyle is committed to the wellness of his patients. Since 2003, he has been using laser dentistry technology at his Chapel Hill practice to enhance the appearance and health of smiles. His training and certification to use dental lasers has benefited patients whether they require a cosmetic, restorative, or general dentistry treatment.

What Is Laser Dentistry?
Laser dentistry refers to the use of lasers in dental care. This means the use of diagnostic lasers as well as the use of lasers that contour and reshape the structures in the mouth.

The Benefits Of Laser Dentistry
There are many benefits to laser dentistry. Since dental lasers are safe and extremely precise, there is often no need for shots or anesthetic. Patients report less discomfort during dental procedures and no pain after a procedure is performed. Since less prep time is required, treatments are quicker without sacrificing quality. Patients may also notice smoother and faster recovery times.

This improved accuracy is a testament to the effectiveness of laser dentistry. Not only does laser dentistry eliminate the guesswork of the past, it also reduces the possibility of unintended trauma to a tooth. This all translates into better dental health in the near future as well as the long run.

Best of all, laser dentistry comes at no additional cost to patients.

Waterlase® Laser Dentistry
The Waterlase® is an FDA-approved dental laser used for various soft tissue and hard tissue dental treatments. It’s much safer than traditional dental drills and much more accurate as well. .

DIAGNOdent® Laser Cavity Detection
DIAGNOdent® is a diagnostic laser that helps identify tooth decay and cavities. Dr. Hoyle uses DIAGNOdent® in combination with traditional diagnostic techniques, improving his ability to identify cavities by 90%.

Learn More About Laser Dentistry In Chapel Hill
Laser dentistry is a real step forward in dental care. Many patients have already experienced its advantages, and we invite you to experience these benefits as well. To schedule a consultation, contact our Chapel Hill laser dentistry practice today. Dr. Hoyle and the rest of his team look forward to meeting you in person.


At David E. Hoyle, D.D.S., Chapel Hill Dentist, we are dedicated to improving the appearance of your smile and improving your overall dental health. We can achieve both of those goals through implant dentistry. Dental implants at our Chapel Hill area office are a fine option if you are missing one tooth or multiple teeth. They are able to support dental crowns, dental bridges, or full dentures just as securely as your natural tooth roots.

Enhancing Your Appearance And Dental Health
Dental implants are artificial tooth roots that are anchored into your jawbone and gum tissue. Offering stability, functionality, and a seamless blend with your existing teeth, dental implants can have a major impact on the overall quality of your smile.

At David E. Hoyle, D.D.S., some of the options you can consider include:

Single-tooth dental implants
Multi-tooth dental implants
Mini-dental implants
Learn more about implant dentistry and why you should get dental implants.

Before And After Photos Of Dental Implants
It’s important to us here at David E. Hoyle, D.D.S. that you understand just how big a difference dental implants can make in your life. We’re sure that once you see this smile gallery, which is in the formative stage, you’ll know just how great dental implants are.

Financing Options And Payment Plans For Implant Dentistry
Some patients may face a financial burden when paying for dental treatment that they need. Here at David E. Hoyle, D.D.S., we want to make sure your dental health isn’t dictated by the cost of treatment or financial hardships. We’re happy to offer patients various installment payment plans and financing options. A healthy, attractive smile is well within your reach as well as your budget.

Learn about your financing options and payment plans for dental implants.

Visit Our Office in Chapel Hill For Dental Implants
We encourage you to visit David E. Hoyle, D.D.S. today so you can learn how dental implants and restorative dentistry can benefit you. We will use the latest techniques and technologies available at our disposal to ensure that your smile looks great and your dental health is the best it can be. To schedule an appointment, contact our practice for dental implants near Chapel Hill today.

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