Many people in the Phoenix area have had silver fillings placed into their teeth because they had "cavities". These silver fillings are called amalgams. Amalgam fills the space where the decay in the tooth has been removed.

However, over time, the amalgam corrodes and leaks which blackens the silver, and many times the tooth. This is easily seen as soon as a patient opens his or her mouth and is usually a source of embarrassment for the patient.

At Peggy Myers and Associates we can provide you with composite fillings that are made of a porcelain-like material that actually bonds to the tooth for a tight seal. They are strong and stain-resistant, and they are color-matched to the natural tooth, making them "invisible".

Composite fillings also lack the sensitivity that is often associated with silver amalgam fillings. They are especially suited for smaller cavities and for patients who may be allergic to metal fillings.

Please don't hesitate to call Peggy Myers and Associates at (602) 861-0505 with any questions you may have about the benefits of replacing silver amalgam fillings with invisible composite fillings.

For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth. The only other alternative was gold and that was too expensive for most folks.

Now there is a new and economical way to restore teeth in the Phoenix area using tooth-colored resin fillings. The resin is made up of glass particles in a plastic matrix. Dr. Myers bonds the putty-like material to the tooth with a high-intensity light. This hardens the material and allows it to be shaped and polished for immediate use.

Once completed, the tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings. Resin restorations can range from $150 to $350 per tooth.

Please call our office at Peggy Myers and Associates with any questions you may have about the benefits of resin restorations.

Tooth bleaching involves the placement of a bleaching solution on the teeth to eliminate stains and discoloration. The solution is held in place by a custom-made, see-through tray that fits over the teeth - much like a mouthpiece worn by a professional boxer.

Bleaching is a safe, effective and relatively easy means of producing a whiter smile.

Two bleaching methods are available at Peggy Myers and Associates: Power Bleaching with a Laser, done at our office, and At-Home-Bleaching, which provides for home use (not to be confused with over-the-counter bleaching products available in local Phoenix area drug stores).

The difference between the two is the strength of the whitening agent and the time it takes to get effective results. Power bleaching usually takes three to six visits, while home bleaching may take up to four weeks of regular use.

Sensitive teeth, or those that are chipped, eroded or weakened by cavities, should be repaired or protected before they are bleached.

Please don't hesitate to call Peggy Myers and Associates at (602) 861-0505 with any questions you may have about the benefits of tooth whitening or tooth bleaching for a whiter smile.

For over 100 years, dentistry has restored teeth primarily with a material made of mercury and silver. It has done its job well, although we have had to live with its weaknesses. Those weaknesses consist of cracking teeth due to expansion of the material, and restorations turning black as the silver in the material corrodes.

Now we have many ways to provide tooth-colored restorations at Peggy Myers and Associates. We can use adhesives to bond tooth parts that look and act like teeth. We can provide a bright, healthy and strong smile with these exciting new techniques in adhesion dentistry.

Please don't hesitate to call us at (602) 861-0505 if you believe you would benefit from these advancements. Together with Dr. Myers, we can help bring a smile back to your face.

Bonding by Dr. Myers is typically painless and can yield dramatic results in a single office visit. Essentially, bonding hides any natural flaws through the placement of a thin plastic coating on the front surface of the teeth.

After treating the tooth surface, Dr. Myers applies a puttylike bonding material that is then sculpted, shaped and colored to suit your needs. A high-intensity light causes the plastic to harden after which the new surface is smoothed and polished.

Bonding can lighten stains, close gaps and even alter crooked or malformed teeth. At Peggy Myers and Associates we can even utilize it to change the shape or color of a single tooth or if necessary to remake your entire smile.

Please call our office at (602) 861-0505 for a cosmetic consultation.

The appearance of the teeth has a dramatic effect on both the person's attractiveness to others and on their own self-image and self-esteem. Studies have shown that a person's appearance will have a strong effect on their social and career success, by influencing how others perceive them.

While the appearance of the teeth is one of the most important contributors to facial beauty, it is also probably the most often neglected when improvements to appearance are sought. A person with low self-esteem connected to their facial appearance, can often be greatly helped by cosmetic dental procedures.

Dental make-overs at Peggy Myers and Associates have become more common, less invasive, and more effective in correcting deformities and cosmetic dental problems. The effect of these procedures can be nothing short of dramatic both in terms of appearance and also in terms of correcting, at least partially, personality deficiencies caused by poor self-image. Ugly teeth are no longer a matter of fate; they are now becoming a matter of choice.

Please call our office at Peggy Myers and Associates with any questions you may have about the benefits of a dental make-over with Dr. Myers.

When teeth require significant changes in their shape or contour, veneers may be the answer. By placing veneers, small or misshapen teeth can be built up to regain a more natural appearance, spaces between teeth can be closed by making the teeth wider and teeth that are too short can be lengthened.

The veneer is actually a thin piece of porcelain similar in size to a fingernail. Once it is "bonded" onto the tooth it becomes extremely strong. Dr. Myers also blends the veneer in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a regular tooth.

At Peggy Myers and Associates we can use porcelain veneers to change the shape and color of a single tooth or if necessary, revamp an entire smile. Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding.

Please call us at (602) 861-0505 for consultation. You may ask Dr. Myers or any of our professional team questions you have about the benefits of porcelain veneers.

A Crown for a Tooth

Teeth are often restored with fillings of silver or composite plastics. These materials can often accomplish the aim of replacing the part of the tooth that has been lost in a strong and good-looking manner.

However, there comes a point where the damage to the tooth has removed too much structure to hold a filling. The restoration must be done by a technique that will attach to the remaining tooth, stand up under heavier use and meet more elaborate cosmetic requirements.

The crown is the dental restoration that can strengthen and restore the entire top of a tooth. The crown can also be part of the attachment of a fixed bridge for the replacement of teeth. The tooth is strengthened because it is covered from the outside with a casting of metal or ceramic that will wrap up and splint the tooth.

The chewing of the tooth can be improved because it can be reshaped to match more efficiently with the opposing teeth. A crown can improve cosmetics by the use of modern ceramic processes that produce translucency and color that is more natural than has ever been possible.

Please call our office at (602) 861-0505 for a cosmetic consultation.

Tooth-colored "resin" fillings

For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth. The only other alternative was gold and that was too expensive for most folks.

Now, at Peggy Myers and Associates, there is a new and economical way to restore teeth using tooth-colored resin fillings. The resin is made up of glass particles in a plastic matrix. Dr. Myers bonds the putty-like material to the tooth with a high-intensity light. This hardens the material and allows it to be shaped and polished for immediate use.

Once completed by Dr. Myers, your tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings. Resin restorations can range from $150 to $350 per tooth.

Please call us at Peggy Myers and Associates with any questions you may have about the benefits of resin restorations.

If you are missing one or more teeth, you'll want replacements that are as natural as possible. If dentures don't work for you, you may consider dental implants. Unlike dentures, which can be removed, implants are permanently anchored into the jaw itself.

Usually Dr. Myers feels you are a good candidate for implants if you have jawbone ridges that are in good shape and healthy oral tissues. When the implant device is inserted into the jaw, a chemical and mechanical bond is formed. The jawbone actually grows into the implant.

With implants, Dr. Myers can get you a perfect fit, and they will look and feel as good as (or better than!) your original teeth.

Losing a tooth by accident or by extraction is not the end of the matter. When a tooth is missing, the resulting gap will allow nearby teeth to tilt or drift from their normal position, and the teeth above the gap will move downward.

Aside from the obvious cosmetic problem, the changed positions of these teeth can lead to severe bite problems causing jaw pain and headaches.

Missing teeth should be replaced to keep other teeth in their normal position. This can be done by Dr. Myers with a fixed bridge or a dental implant. Both of these treatments offer a good functional and cosmetic result.

Please call our office at (602) 861-0505 with any questions you may have about the benefits of replacing missing teeth with bridges or dental implants.

A dental implant is a titanium metal replacement for a root of a tooth that is surgically implanted in the jawbone.

As the body heals for approximately two to six months after the surgery, the bone around the implant fuses to the implant through a process called osseointegration.

After the healing phase is complete, the implants are used to anchor crowns, bridges, or dentures.

Dental implants are the most natural replacement for a missing tooth. For more information call us at (602) 861-0505.

At Peggy Myers and Associates we begin with a thorough evaluation of the patient's medical and dental history, and a full clinical examination of the entire mouth and missing tooth area. The clinical exam should also include specific X-rays.

After assessing the patient, a comprehensive treatment plan can be devised. From that point, implants are surgically placed in the jawbone under local anesthesia.

The length of the healing time is based on the quality and quantity of bone, as well as the type of implant placed. After adequate healing is allowed to occur, the implant can be used to support a crown, bridge, or denture.

For more answers about dental implants call us at (602) 861-0505.

This is a question that should be determined during the treatment plan. A good rule-of-thumb is to place one implant for each tooth replaced.

Other decisive factors for the number of implants needed for success is the quality and quantity of the patient's bone. Equally as important are the existing anatomy of the bone and the financial resources of the patient. (At Peggy Myers and Associates we try not to let money get in the way of good dentistry.)

Placing enough implants to restore teeth is vitally important to the long-term success of the restoration. Simply stated, the most costly mistake is to have an implant fail because not enough implants are placed to support the teeth. If the number of implants is limited due to financial constraints of the patient, then the implant treatment should be avoided or the type of restoration must be altered.

For more answers about dental implants call us at (602) 861-0505.

"Well, you know Doc, it's just a back tooth. No one will see it so I'll just get rid of it. It's not going to make a difference." Unfortunately we hear this type of comment at Peggy Myers and Associates more often than you would think.

The plain truth is that it will make a difference. At Peggy Myers and Associates we know the loss of just a single tooth can set a course that can destroy an entire mouth. "Well, if that's true, tell me more. I sure don't want to lose the front ones that I smile with."

Dr. Myers often answers with an explanation that teeth will drift and tip into a space that is created by missing teeth. Just like two gears of a car that are not properly aligned, pretty soon you've got a whole lot of problems.

"Well, I don't like that. What can I do?" If it sounds like I've heard this conversation a few times, you're right. If I'm going to keep a patient happy, I need to provide options at this point.

One of the options we often discuss at Peggy Myers and Associates would be a dental implant. This is the replacement of a tooth with a false root that is surgically placed. Dr. Myers then carefully constructs a dental crown to replace the missing tooth, to prevent teeth from shifting and thereby causing further tooth loss.

If you have any questions about missing teeth and possible implant treatment, please call our office at (602) 861-0505.

When getting dental implants, you should select a dentist or dental team with in-depth knowledge and prior experience with all aspects of the treatment. At Peggy Myers and Associates we have this expertise.

It is also important to know that implant treatment consists of two components: a surgical phase and a restorative phase.

Traditionally, a dental surgeon, like an oral surgeon or a periodontist, performs the surgical component. A general dentist, or prosthodontist and laboratory technician performs the restorative component. However, as implant dentistry has become more sophisticated, sometimes a dentist who specializes in restorative dentistry conducts the entire procedure.

Call us at (602) 861-0505 for more information about dental implants and if they are right for you.

"Dr. Myers, how long has dental implant technology been available and what is the success rate?"

The technology has been around for decades. In fact, some patients in the Phoenix area have had dental implants for more than 40 years.

Hundreds of thousands of dental implants have been inserted with more than a 90% success rate. All other metal implants in the body (including hips and knees) are the result of the dental implant technology.

Call us at (602) 861-0505 for more information about dental implants and if they are right for you.

Yes, several types are available. The American Dental Association considers both the endosteal and the subperiosteal implants to be acceptable.

An important factor for selection is to determine whether your jawbone can adequately support the implant. Most dental implants placed today are endosteal root form fixtures (similar to a man-made tooth root).

Call us at (602) 861-0505 for more information about dental implants and if they are right for you.

"Dr. Myers, what can be done for a single missing tooth?"

In the case of a single missing tooth, a dental implant can be placed in the jawbone area of the missing tooth. The implant will serve as a replacement for a tooth root and an individual crown. The total apparatus is referred to as a single-tooth implant crown.

Once in place, the implant crown will look, feel, and function like a natural tooth. They are cleaned and flossed just like natural teeth, and best of all, they do not require any special tools to clean around them like bridges. Although dental implants will not decay, they require impeccable oral hygiene.

Call us at (602) 861-0505 for more information about dental implants and if they are right for you.

Once you've experienced sedation dentistry in Phoenix with Dr. Myers, you'll probably never be afraid to go to the dentist again.

You'll be sedated just enough to be unaware of the treatment. You'll wake up refreshed, with little or no memory of what was accomplished. Because you are completely comfortable, Dr. Myers can do years of dental treatments in one or two visits.

Dr. Myers can replace crowns or dentures, restore sore gums to good health, whiten yellow or stained teeth, fix a chipped tooth, and more. People with very busy schedules can get the dental care they need, easily and quickly.

Imagine being able to smile with confidence and chew your food without pain. No wonder so many patients say: "Thank you, Dr. Myers. Sedation dentistry changed my life."

To visit a top sedation dentist in Phoenix, call (602) 861-0505 today!

People who have…

• High fear
• Traumatic dental experiences
• Difficulty getting numb
• A bad gag reflex
• Very sensitive teeth
• Complex dental problems
• Limited time to complete dental care

People who…

• Hate needles and shots
• Hate the noises, smells and taste associated with dental care
• Are afraid or embarrassed about their teeth

Will I feel any pain?

Most patients feel no discomfort whatsoever during their treatment and feel surprisingly good afterwards.

Will I be unconscious?

No, you will be in a deeply relaxed state, and you will be responsive.

Will I be monitored?

Yes, one of our team is always with you and your vital signs are monitored during the entire visit. You are never alone.

How long will I be relaxing?

Depending on your needs, from two to six hours.

Will someone need to accompany me?

Yes, due to the sedative effects of the medication, you will need someone to drive you to our office and home again.

It Really Works! You really can relax through your dental appointment.

It Is Safe! You take a small pill prior to treatment, no intravenous tubes or needles.

You will have little or no memory of the experience. You probably won't remember any sounds or smells.

You will relax for up to five to six hours after taking the pill. The time you are relaxing will vary depending on your needed treatment.

Complex dental treatments that often require six to eight appointments, can be done in as little as one! All while you relax.

People who have difficulty getting numb will find that relax dentistry eliminates this problem.

Sedation dentistry is a safe way to reduce the fatigue of extended dental treatment requiring long visits.

You are given a small pill to take an hour prior to your dental appointment. Your companion will accompany you to the office. By the time you arrive, you will be very drowsy.

When you arrive in our office, you will be escorted into the comfort room, covered with a thick, warm blanket and placed on a monitor to watch your vital signs. After you are comfortable, Dr. Myers and the experienced clinical team at Peggy Myers and Associates will take care of your dental needs.

When your treatment is completed, your companion will return you home to finish your comfortable, relaxing day.

Many people don't see a dentist on a regular basis. They go only when they feel they have a problem. At Peggy Myers and Associates we call this "crisis treatment" as opposed to "preventive treatment".

While these patients may feel they are saving money, it usually ends up costing much more in both dollars and time. The reason for this is that most dental problems don't have any symptoms until they reach the advanced stages.

An example is tooth decay. At Peggy Myers and Associates we hear all the time, "Nothing hurts... I don't have any problems". But tooth decay doesn't hurt! Until, that is, it gets close to the nerve of the tooth.

Then a root canal and crown are usually necessary, instead of the small filling, which could have been placed several years ago when the cavity was small. Dr. Myers can usually detect a cavity 3-4 years before it may develop any symptoms. It is not uncommon to see a patient with a tremendous cavity and they have never felt a thing!

Diets low in certain nutrients reduce resistance to oral and dental infections, that is, periodontal disease (gum disease) and decay. Dr. Myers feels a healthy immune system is essential to controlling periodontal disease.

Counseling in the Four Basic Food groups will improve dental health and general health. The consumption of sugar, especially in sticky forms or in a baby bottle while sleeping, contributes to the rapid development of dental decay.

The trace nutrient fluoride, may not be adequately supplied by bottle or municipal water supplies throughout the Phoenix area. Supplementation with oral tablets and topical application will reduce the incidence of dental decay by more than 60%.

Together, a balanced diet, daily use of fluoride, effective brushing, and sensible eating habits can reduce the risk of, or even prevent, infectious dental disease.

Please don't hesitate to call Peggy Myers and Associates at (602) 861-0505 if you need more information on diet or fluoride supplementation and its relationship to dental health.

Fluoride has been a great benefit to patients of all ages in helping prevent dental decay. Regular brushing and flossing lowers the chance of developing "cavities."

At Peggy Myers and Associates we know that the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.

To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100% in the Phoenix area and nation wide.

The American Dental Association recommends, and Dr. Myers agrees, that sealants be placed as soon as the first adult back teeth come in at age 6 or 7. Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.

Please call Peggy Myers and Associates with any questions you may have about the benefits using a sealant in preventing dental decay.

One of the easiest problems to spot is a build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth.

Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.

Another potential problem, which is easy to spot, is missing teeth. Many patients Dr. Myers sees assume that if they are still able to eat, they are O.K.

But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.

At Peggy Myers and Associates our focus is in the treatment of problems such as these. Call our office at (602) 861-0505 for the care you need.

Dr. Myers feels that while bad breath might be a symptom of some other disorder, it most likely stems from dental decay and periodontitis.

Periodontitis is a disease affecting gums and bone that support the teeth, and it results from inadequate tooth brushing and flossing. In this disease, the irritated gums pull away from the teeth and form pockets between the teeth and the gums. These pockets fill with bacteria and pus which give off a foul odor.

Patients with bad breath need a complete dental evaluation by Dr. Myers. If gum disease and/or dental decay is diagnosed, it can be treated readily. The patient will no longer have an infection in his or her mouth, and he or she will no longer have the embarrassment of bad breath.

Please call our office at (602) 861-0505 if you have questions regarding halitosis.

Fluoride has been a great benefit to patients of all ages in helping prevent dental decay. Regular brushing and flossing lowers the chance of developing "cavities."

At Peggy Myers and Associates we know that the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.

To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100% in the Phoenix area and nation wide.

The American Dental Association recommends, and Dr. Myers agrees, that sealants be placed as soon as the first adult back teeth come in at age 6 or 7. Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.

Please call Peggy Myers and Associates with any questions you may have about the benefits using a sealant in preventing dental decay.

Dr. Myers, why should you wear a mouthguard?"

While mouthguards are not mandatory equipment in all sports, their worth is indisputable. Mouthguards cushion blows to the face and neck. A mouthguard should be part of every athlete's gear, no matter the sport. Even adults or weekend athletes need to protect their smile and preserve their health.

Do: At Peggy Myers and Associates we feel you should wear a mouthguard at all times when playing sports. Wear a mouthguard custom-fitted by your dentist, especially if you wear bridges or braces.

Don't: Wear removable appliances like retainers when playing sports.

There are two types of mouthguards:

Custom-made: Designed by a dentist and made on a cast of your teeth. These cause very little interference with speaking or breathing. They provide the best protection and fit over braces and fixed bridges. They also cost more.

Ready-made: Purchased at most sporting goods stores. They are the least expensive, the least effective, and least comfortable.

Please call our office if you would like to "play it safe!" and wear a comfortable mouthguard and protect your teeth.

For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth. The only other alternative was gold and that was too expensive for most folks.

Now there is a new and economical way to restore teeth in the Phoenix area using tooth-colored resin fillings. The resin is made up of glass particles in a plastic matrix. Dr. Myers bonds the putty-like material to the tooth with a high-intensity light. This hardens the material and allows it to be shaped and polished for immediate use.

Once completed, the tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings. Resin restorations can range from $150 to $350 per tooth.

Please call our office at Peggy Myers and Associates with any questions you may have about the benefits of resin restorations.

For over 100 years, dentistry has restored teeth primarily with a material made of mercury and silver. It has done its job well, although we have had to live with its weaknesses. Those weaknesses consist of cracking teeth due to expansion of the material, and restorations turning black as the silver in the material corrodes.

Now we have many ways to provide tooth-colored restorations at Peggy Myers and Associates. We can use adhesives to bond tooth parts that look and act like teeth. We can provide a bright, healthy and strong smile with these exciting new techniques in adhesion dentistry.

Please don't hesitate to call us at (602) 861-0505 if you believe you would benefit from these advancements. Together with Dr. Myers, we can help bring a smile back to your face.

Teeth are often restored with fillings of silver or composite plastics. These materials can often accomplish the aim of replacing the part of the tooth that has been lost in a strong and good-looking manner.

However, there comes a point where the damage to the tooth has removed too much structure to hold a filling. The restoration must be done by a technique that will attach to the remaining tooth, stand up under heavier use and meet more elaborate cosmetic requirements.

The crown is the dental restoration that can strengthen and restore the entire top of a tooth. The crown can also be part of the attachment of a fixed bridge for the replacement of teeth. The tooth is strengthened because it is covered from the outside with a casting of metal or ceramic that will wrap up and splint the tooth.

The chewing of the tooth can be improved because it can be reshaped to match more efficiently with the opposing teeth. A crown can improve cosmetics by the use of modern ceramic processes that produce translucency and color that is more natural than has ever been possible.

Please call our office at (602) 861-0505 for a cosmetic consultation.

The crown serves two important functions. First, it restores the appearance of your teeth and your face. If your tooth is severely decayed or cracked, the dentist will need to restore it prior to preparing a cap. Teeth also support the muscles in our faces, so anything less than a full tooth may affect the way you look.

Second, a crown will be the same size and shape as the natural tooth. As a result, it will keep your jaw and bite aligned; it will also make sure that other teeth don't shift locations or take on a greater share of the work of biting and chewing.

For more information on dental crowns, call Dr. Myers at (602) 861-0505.

At Peggy Myers and Associates our dental crowns are most often made of gold or porcelain. Crowns also can be made of stainless steel, but those crowns are often temporary and not designed for long-term wear.

Porcelain crowns usually are built on a metal base, which fits snugly over the natural tooth. We will choose a porcelain that matches the color of your natural teeth.

Porcelain crowns usually are so carefully matched in color, they cannot be distinguished from your natural teeth. Many people choose porcelain crowns for their cosmetic appearance and the confidence it gives them.

New materials are now available that allow the use of "all-ceramic" crowns in some cases. They have a beautiful life-like appearance and short-term studies support their success, with long-term trials ongoing.

Crowns also can be made of all gold. Some people prefer not to use gold because it stands out from the other teeth in appearance. At the same time, if the crown is on a back molar, some people feel the cosmetic issue is not a big one. At Peggy Myers and Associates we will discuss the types of materials available if we recommend a crown.

Call us at (602) 861-0505 for a complete evaluation of your cosmetic needs.

An Ounce of Prevention Is Still the Rule!

Once your crown is in place, make sure the area is brushed well and that you floss below the gum line. While the crown protects your remaining tooth from further decay, you must protect the base of the crown from bacterial growth and gum disease.

Regular brushing and flossing as you would your natural teeth will ensure that your crown will be in place for years to come!

Dental crowns that reflect light with a natural healthy glow are now available at Peggy Myers and Associates.

Knowing the Proper First Aid

If the tooth is loose, even extremely so, but is still attached in any way, leave it in place; do not remove it.

If it is out of its socket completely and unattached, but still in the victim's mouth, it is best to have the person hold it there, if possible, until Dr. Myers can attempt re-implantation.

If it is out of the mouth, do not let it dry out. Handle it as little as possible. Do not attempt to disinfect the tooth, or scrub it, or remove any tissue attached to it. Call our office at (602) 861-0505 immediately.

If it is recovered from the ground or other soiled area, rinse it off in lukewarm water. Preserve it in milk until Dr. Myers can examine it. If milk is not available, lukewarm water will suffice.

Time out of the socket is critical in the long-term success of re-implantation. After 30 minutes, the success potential begins to decline. However, re-implantation by Dr. Myers is still possible after several hours, so the attempt can still be made even if the tooth has been out for a long period.

Call us at (602) 861-0505 so Dr. Myers can be prepared to help you as soon as possible.

In 1960, the average maximum benefit paid by insurance carriers was $1,000 per year in the Phoenix area. Currently the average is still approximately $1,000 per year.

Can this be true? Yes! An ever-increasing number of patients cannot gain access to needed dental services because the maximums have not even kept pace with inflation. Is there a solution? Absolutely. A Blueprint and Direct Reimbursement for the Phoenix, Paradise Valley and Glendale area.

A "Blueprint" is a complete and full treatment plan prepared by Dr. Myers, customized to your wants and needs, that will allow you to phase in ideal treatment over a period of time leading to the ultimate goal of ORAL HEALTH.

A "Direct Reimbursement" dental benefit is a simple reimbursement system that preserves your right to choose treatment with minimal paperwork and no preliminary authorizations. Employers in the Phoenix, Paradise Valley and Glendale area who select this alternative benefit plan can save money and purchase plans that provide cost-effective services for employees.

"Dr. Myers, what are dentures?"

Dentures are removable prosthetic devices designed to replace missing teeth.

"What are partial dentures, Dr. Myers?"

Partial dentures are dentures that replace only a few missing teeth.

"What are complete dentures?"

Complete dentures are dentures that replace a complete set of missing teeth.

"Dr. Myers, what is the difference between conventional dentures and immediate dentures?"

Conventional dentures are dentures that are made and placed after the remaining teeth are removed and the tissues have healed. Immediate dentures are dentures that are placed immediately after the removal of the remaining teeth.

"What is an over-denture?"

An over-denture is a denture that fits over a small number of remaining natural teeth or implants.

For more information about how we at Peggy Myers and Associates can help you with denture problems, call us at (602) 861-0505, we will be happy to talk with you.

"Dr. Myers, what are partial dentures?"

Partial dentures are dentures that replace only a few missing teeth.

"How do you wear a removable partial denture, Dr. Myers?"

Removable partial dentures are attached to your natural teeth with metal clasps or devices called precision attachments.

"How long will it take to get used to wearing a partial denture?"

Your partial denture may feel awkward or bulky for the first few weeks, but your mouth will eventually get used to it.

"Dr. Myers, how long should you wear a partial denture?"

Initially, you may want to wear your partial denture all the time. Your dentist will give you specific instructions on how long it should be worn and when it should be removed. Generally, your mouth tissues need to rest so it is advisable that you take out your partial denture at least 15 minutes per day.

"Will the partial denture change the way you speak?"

Your partial denture may help your speech. It can be difficult to speak clearly when you are missing teeth. However, it also will take time to get used to it.

For more information about how we at Peggy Myers and Associates can help you with denture questions, call us at (602) 861-0505, we will be happy to talk with you.

"Dr. Myers, what do dentures feel like?"

For a few weeks, new dentures will feel awkward until you become accustomed to them. They might feel loose until the cheek and tongue muscles learn to hold them in position. It is not unusual to feel minor irritation or soreness. The patient needs to see his or her dentist for regular fit adjustments to relieve any sore areas.

"Do dentures need to be replaced?"

At Peggy Myers and Associates we find that dentures will need to be relined, remade, or rebased due to normal wear over a period of time and normal shrinkage of your gums and bones.

"Are you able to eat with dentures, Dr. Myers?"

Eating with dentures will take a little practice. You should start with soft foods that are cut into small pieces. As you become used to chewing, you can return to your normal diet.

"Dr. Myers, are there foods you should avoid if you wear dentures?"

There are only a few eating restrictions for denture wearers. Avoid biting down directly on crunchy or hard foods, like whole apples, hard pretzels, crusty bread, or large sandwiches. They can break because of the angle where the denture comes into contact with the hard surface.

Biting is limited only by the stability of the dentures themselves. Insufficient bone structure (shrunken bone ridges covered by gum tissue), old or worn dentures, and a dry mouth decrease stability. Call us at Peggy Myers and Associates to evaluate your personal situation.

"If you wear dentures, are dental adhesives necessary?"

Today's dentures have been significantly improved through advances in both dental and materials technologies. As a result, dentures that fit properly usually do not require adhesives to secure the dentures. When you are just getting used to dentures, adhesives may be advised, but otherwise should not be necessary.

At Peggy Myers and Associates we feel a loose denture is a sign that it doesn't fit your mouth correctly. When first getting used to dentures, you may notice them slipping when you laugh, smile, or cough, which is caused by air getting under the base and moving it. The more you wear dentures, the better you will be able to control their movements in these situations.

If your mouth has insufficient bone structure, dentures will be more difficult to retain. Dental implants may be advisable. These are placed in the bone and retain the denture with small, precision attachments.

For more information about how we at Peggy Myers and Associates can help you with dentures, call us at (602) 861-0505, we will be happy to talk with you.

"Dr. Myers, how do you clean your dentures?"

When cleaning your dentures, you should first rinse away loose food particles thoroughly. Then moisten your toothbrush and apply denture cleanser. Brush every surface, scrubbing gently to avoid damage.

"How many times a day does the denture need to be cleaned?"

The denture needs to be cleaned two to three times daily.

"What is good oral hygiene when you have full dentures, Dr. Myers?"

In addition to taking care of your dentures, taking care of your mouth also is vital if you wear full dentures. This includes brushing your gums, tongue, and palate every morning with a soft-bristled brush before inserting your dentures. This stimulates your tissues and helps remove plaque.

For more information about how we at Peggy Myers and Associates can help you with dentures, call us at (602) 861-0505, we will be happy to talk with you.

"What should you do if your dentures crack or break?"

Call your dentist immediately. Normally, dentures can be repaired quickly, often on the same day at Peggy Myers and Associates. Damaged dentures can cause additional oral health problems, so see your dentist right away. Never attempt to repair dentures yourself. They require professional repair and adjustment.

"Dr. Myers, why can't you fix dentures that break with glue?"

Glues often contain harmful chemicals and are not effective in the proper repair of dentures.

For more information about how we at Peggy Myers and Associates can help you with denture problems, call us at (602) 861-0505, we will be happy to talk with you.

Dry mouth problem is common in the Phoenix area. The lack of adequate saliva is more than bothersome for three out of every ten Americans.

When the natural flow of saliva is reduced, you can experience trouble swallowing, pain throughout oral tissues and, nearly always, a short-cut to dental caries and gum disease. The tongue sticks, food doesn't have much taste, and digestion suffers. (For more details call us at (602) 861-0505.)

Dr. Myers knows that Xerostomia, or dry mouth syndrome, can come with aging, or often as a side effect of many medications. Half of cancer patients undergoing chemotherapy experience an extreme form of xerostomia, with critical effects on their dental health. At Peggy Myers and Associates we can help provide relief in the form of prescriptions for dry mouth toothpaste, special saliva-producing chewing gum, or saliva substitute solutions.

For more information regarding Xerostomia and methods of treatment, please call our office at (602) 861-0505.

Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a "normal" side effect of being pregnant. However Dr. Myers feels that dental disease, which is an infection of the teeth and/or gums, is not "normal" for any patient.

There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease.

Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for "junk foods" and inadequate oral hygiene pose an increased threat to the teeth and gums.

Pregnant women in the Phoenix area are advised to schedule a dental evaluation and receive preventive dental care at Peggy Myers and Associates. Personalized oral hygiene instruction by Dr. Myers will be given to fight disease and promote overall good health for the mother and her baby.

Please call us at (602) 861-0505 to schedule a complete examination.

The American Dental Association says that over 75-80% of all adults, even in the Phoenix, Paradise Valley and Glendale area, have or will have some form of gum disease.

Gum disease, or more correctly called "periodontal disease", is a bacterial infection in the gums and supporting structures of the teeth. It can be divided into several categories.

The first stage is called "gingivitis" and is characterized by gum tissue that is red, puffy, and bleeds easily when touched with a toothbrush, floss or dental instrument.

The second, third, and fourth stages are initial, moderate, and advanced "periodontal disease", respectively. These stages are different from gingivitis because the infection has destroyed the bone supporting the teeth, causing eventual tooth loss. At Peggy Myers and Associates the treatment is more involved at these stages, usually consisting of a special cleaning with anesthesia and sometimes gum surgery.

Please call Peggy Myers and Associates at (602) 861-0505 for a complete evaluation of your potential gum disease.

Dr. Myers strongly recommends a thorough dental examination for presence of tooth and gum infection is recommended prior to joint replacement.

Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population.

Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection until they visit Peggy Myers and Associates. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

Candidates for joint replacements who have not been seen by Dr. Myers in over a year should consider a thorough dental evaluation of their teeth and gums before surgery.

Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

If you have any questions about infection in joint replacements, please call our office at (602) 861-0505.

Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed.

Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.

Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe. At Peggy Myers and Associates effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible.

Early detection by Dr. Myers and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done.

Some signs of periodontal disease are: bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, mobility of teeth.

Call our office at (602) 861-0505 to schedule exam for periodontal disease today.

One of the easiest problems to spot is a build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth.

Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.

Another potential problem, which is easy to spot, is missing teeth. Many patients Dr. Myers sees assume that if they are still able to eat, they are O.K.

But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.

At Peggy Myers and Associates our focus is in the treatment of problems such as these. Call our office at (602) 861-0505 for the care you need.

Dr. Myers feels that prevention is an overused word in our vocabulary but we all know it works. You see it in what you do every day. Who wouldn't rather prevent a crisis than manage one?

In the Phoenix area awareness of gum and underlying bone disease is very low. Only 50% of the population visits a dentist on a regular basis. Of that 50%, 80% have some degree of gum and bone disease. It is an epidemic. Were this any other disease, we would be calling on the CDC for immediate action!

Please feel free to call Peggy Myers and Associates at (602) 861-0505 for complete details on how we can help you detect and prevent gum disease.

Gingivitis is the most common periodontal disease, affecting 90% of the population, including our local Phoenix area community. It is an infection of the gums caused by bacteria that form plaque.

In small amounts (when it is newly formed), plaque is invisible and relatively harmless. But when left to accumulate, it increases in volume and the proportion of harmful bacteria grows.

These bacteria release toxins that result in inflammation of the gum tissue. Eventually, the plaque hardens and forms hard deposits called calculus or tartar.

If not properly treated, gingivitis may progress to periodontitis, a periodontal disease in which there is loss of the bone that supports the teeth.

Dr. Myers strongly recommends a thorough dental examination for presence of tooth and gum infection is recommended prior to joint replacement.

Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population.

Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection until they visit Peggy Myers and Associates. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

Candidates for joint replacements who have not been seen by Dr. Myers in over a year should consider a thorough dental evaluation of their teeth and gums before surgery.

Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

If you have any questions about infection in joint replacements, please call our office at (602) 861-0505.

A recent survey of dental patients in the Phoenix area and nation wide showed that patient protection was #1 on their list of concerns about dental care. Some patients have even quit going to the dentist because of their fears.

Fortunately, trips to Dr. Myers' office have never been safer. The case in Florida where the patient was apparently infected with the AIDS virus by her dentist is the only such case out of tens of millions of dental treatments performed since the introduction of the virus. The Center for Disease Control still does not know the method of infection.

However, even one case is too many. At Peggy Myers and Associates we have responded by adopting "universal (or standard) precautions". These involve sterilizing all instruments in dry-heat ovens or steam autoclaves to kill any bacteria. Disposable items are used whenever possible.

The chance of contracting an infection in the dental chair is extremely remote, but the chance of losing one's teeth because of lack of proper dental care is extremely likely.

If you have any concerns, please call us at (602) 861-0505 today.

Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a "normal" side effect of being pregnant. However Dr. Myers feels that dental disease, which is an infection of the teeth and/or gums, is not "normal" for any patient.

There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease.

Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for "junk foods" and inadequate oral hygiene pose an increased threat to the teeth and gums.

Pregnant women in the Phoenix area are advised to schedule a dental evaluation and receive preventive dental care at Peggy Myers and Associates. Personalized oral hygiene instruction by Dr. Myers will be given to fight disease and promote overall good health for the mother and her baby.

Please call us at (602) 861-0505 to schedule a complete examination.

Each year about 400,000 people (including many in the Phoenix, Paradise Valley and Glendale areas) with cancer develop treatment-related complications in the mouth ranging from lesions to chronic dry mouth to bone disintegration. If serious, these complications can be life threatening. While many are unavoidable, some can be prevented or minimized by Dr. Myers.

Dr. Myers recommends that whenever possible, a pre-therapy dental evaluation with a full set of mouth x-rays be performed. Any decay, gum disease and abscesses should be treated, if time permits, prior to chemotherapy and/or radiation therapy.

Even patients who have no pain or dental disorders need a thorough cleaning. Our goal at Peggy Myers and Associates is to have the patient's mouth in optimal health prior to beginning anti-cancer therapy.

If you have questions regarding cancer treatment and your dental health, please call our office at (602) 861-0505.

Many people don't see a dentist on a regular basis. They go only when they feel they have a problem. At Peggy Myers and Associates we call this "crisis treatment" as opposed to "preventive treatment".

While these patients may feel they are saving money, it usually ends up costing much more in both dollars and time. The reason for this is that most dental problems don't have any symptoms until they reach the advanced stages.

An example is tooth decay. At Peggy Myers and Associates we hear all the time, "Nothing hurts... I don't have any problems". But tooth decay doesn't hurt! Until, that is, it gets close to the nerve of the tooth.

Then a root canal and crown are usually necessary, instead of the small filling, which could have been placed several years ago when the cavity was small. Dr. Myers can usually detect a cavity 3-4 years before it may develop any symptoms. It is not uncommon to see a patient with a tremendous cavity and they have never felt a thing!

Fluoride has been a great benefit to patients of all ages in helping prevent dental decay. Regular brushing and flossing lowers the chance of developing "cavities."

At Peggy Myers and Associates we know that the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.

To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100% in the Phoenix area and nation wide.

The American Dental Association recommends, and Dr. Myers agrees, that sealants be placed as soon as the first adult back teeth come in at age 6 or 7. Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.

Please call Peggy Myers and Associates with any questions you may have about the benefits using a sealant in preventing dental decay.

Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a "normal" side effect of being pregnant. However Dr. Myers feels that dental disease, which is an infection of the teeth and/or gums, is not "normal" for any patient.

There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease.

Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for "junk foods" and inadequate oral hygiene pose an increased threat to the teeth and gums.

Pregnant women in the Phoenix area are advised to schedule a dental evaluation and receive preventive dental care at Peggy Myers and Associates. Personalized oral hygiene instruction by Dr. Myers will be given to fight disease and promote overall good health for the mother and her baby.

Please call us at (602) 861-0505 to schedule a complete examination.

Diets low in certain nutrients reduce resistance to oral and dental infections, that is, periodontal disease (gum disease) and decay. Dr. Myers feels a healthy immune system is essential to controlling periodontal disease.

Counseling in the Four Basic Food groups will improve dental health and general health. The consumption of sugar, especially in sticky forms or in a baby bottle while sleeping, contributes to the rapid development of dental decay.

The trace nutrient fluoride, may not be adequately supplied by bottle or municipal water supplies throughout the Phoenix area. Supplementation with oral tablets and topical application will reduce the incidence of dental decay by more than 60%.

Together, a balanced diet, daily use of fluoride, effective brushing, and sensible eating habits can reduce the risk of, or even prevent, infectious dental disease.

Please don't hesitate to call Peggy Myers and Associates at (602) 861-0505 if you need more information on diet or fluoride supplementation and its relationship to dental health.

More seniors today in the Phoenix area have retained their own teeth, avoiding the trauma of removable dentures. Many are on medications creating dryness of the mouth as a side effect.

Without the natural benefit of saliva to decrease bacterial action, Dr. Myers is seeing an increase of cavities on the root surfaces of these patients.

Anyone on a medication causing a dry mouth effect should be encouraged to visit Peggy Myers and Associates for regular dental cleanings and topical fluoride rinses.

For more information regarding dental problems of the elderly, please call our Peggy Myers and Associates at (602) 861-0505.

Dr. Myers strongly recommends a thorough dental examination for presence of tooth and gum infection is recommended prior to joint replacement.

Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population.

Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection until they visit Peggy Myers and Associates. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

Candidates for joint replacements who have not been seen by Dr. Myers in over a year should consider a thorough dental evaluation of their teeth and gums before surgery.

Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

If you have any questions about infection in joint replacements, please call our office at (602) 861-0505.

In the past, even in the Phoenix area, the loss of teeth (edentulism) was dismissed as a natural part of the aging process, and dentures were considered a normal sign of old age.

While such ignorance is rapidly becoming a thing of the past in Phoenix, there is still not a general awareness of the seriousness of edentulism.

Multiple tooth loss is most commonly caused by periodontal disease, i.e. gum and bone disease. At Peggy Myers and Associates we know that periodontal disease has a high statistical correlation with chronic debilitating disease, such as diabetes, cardiovascular disease and arthritis.

So it is not very surprising that studies now show a shortened life expectancy by as much as 10 years for persons who have lost their natural teeth, when compared to those who have kept their teeth.

In addition to longevity, quality-of-life differences are just as significant. The functional efficiency of dentures has been measured to be only 20% of that of natural teeth. Dr. Myers feels that there cannot be any doubt that nutritional deficiencies will be much more prevalent in those without their natural teeth.

Loss of teeth often causes a feeling of loss of wholeness and a sense of deterioration and aging. Given these factors, we feel at Peggy Myers and Associates that preservation of the natural teeth is integral to whole-person wellness.

"Dr. Myers, why should you wear a mouthguard?"

While mouthguards are not mandatory equipment in all sports, their worth is indisputable. Mouthguards cushion blows to the face and neck. A mouthguard should be part of every athlete's gear, no matter the sport. Even adults or weekend athletes need to protect their smile and preserve their health.

Do: At Peggy Myers and Associates we feel you should wear a mouthguard at all times when playing sports. Wear a mouthguard custom-fitted by your dentist, especially if you wear bridges or braces.

Don't: Wear removable appliances like retainers when playing sports.

There are two types of mouthguards:

Custom-made: Designed by a dentist and made on a cast of your teeth. These cause very little interference with speaking or breathing. They provide the best protection and fit over braces and fixed bridges. They also cost more.

Ready-made: Purchased at most sporting goods stores. They are the least expensive, the least effective, and least comfortable.

Please call our office if you would like to "play it safe!" and wear a comfortable mouthguard and protect your teeth.

Dr. Myers feels that good habits of effective daily brushing, diet, and use of fluoride will help the aging person adapt to changing conditions. Reduced salivary flow and addition of medications will affect oral health dramatically.

Changes of the teeth and gums:

Dr. Myers has noted that teeth will darken because of long-term exposure to plaque and changes in the dentin within the tooth. The gums may recede and uncover the roots. Exposed roots will be darker than the enamel part of the tooth and are prone to decay. Fillings can decay and darken, too, as they weaken over time.

"Dry Mouth" may develop: Saliva is useful to lubricate, wash away plaque, and neutralize the acid produced by plaque. Flow of saliva can be reduced by a medical disorder or be a side effect of antihistamine, decongestants, pain killers or diuretics.

The build-up of plaque will accelerate tooth decay. There will also be more gum infection which will cause a loss of bone support for the teeth. Poorly-fitting or poorly-cleaned dentures, illness, and some medications increase the severity of the problem.

For more information regarding dental problems of the elderly, please call Peggy Myers and Associates at (602) 861-0505 today.

Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed.

Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.

Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe. At Peggy Myers and Associates effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible.

Early detection by Dr. Myers and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done.

Some signs of periodontal disease are: bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, mobility of teeth.

Call our office at (602) 861-0505 to schedule exam for periodontal disease today.

One of the easiest problems to spot is a build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth.

Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.

Another potential problem, which is easy to spot, is missing teeth. Many patients Dr. Myers sees assume that if they are still able to eat, they are O.K.

But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.

At Peggy Myers and Associates our focus is in the treatment of problems such as these. Call our office at (602) 861-0505 for the care you need.

A root canal procedure limits the infection and keeps it from destroying the tooth. During the root canal treatment procedure, the dentist removes the inflamed or infected tissue, carefully cleans, disinfects, and shapes the root canal space inside the tooth, and then fills and seals this space.

It may take one or more appointments to complete the procedure. A protective restoration should be placed after root canal treatment has been completed in order to restore the tooth to function and help prevent tooth fracture.

At Peggy Myers and Associates we think of a root canal as washing the invasive bacteria out of the root, filling it with a biocompatible material that soothes the area, then sealing it back up again. Top it off with a solid filling or a crown, and you're as good as new.

That means you get to keep your tooth. And that's a good thing.

For more information about how we at Peggy Myers and Associates can help you with your root canal problems, call us at (602) 861-0505, we will be happy to talk with you.

Many people flinch when their dentists tell them they need root canal therapy. While dentists are sympathetic to fears of pain, at Peggy Myers and Associates we also want you to know that root canal therapy has three purposes:

• Stop the toothache
• Prevent bacteria and pain from spreading into the jaw
• Maintain the original tooth instead of replacing it with a denture or bridge

The root canal is actually a channel that runs from the root of the tooth, which connects to the bone, up to the top surface of the tooth. The canal contains blood vessels, nerves, and the complex cells that make up the living tissue inside the tooth. This lifeline inside the tooth is called the pulp.

When a tooth is decayed or cracked, bacteria can get to the pulp. The acid from the bacteria irritates the pulp and it becomes inflamed; it's the same process you watch when other parts of your body become infected. When the pulp tissue becomes inflamed, it's harder for blood to flow to the tissue, and the resulting pressure creates pain inside your tooth.

For more information about how we at Peggy Myers and Associates can help you with your root canal problems, call us at (602) 861-0505, we will be happy to talk with you.

"Dr. Myers, what are the most common symptoms of endodontic (root canal) disease?"

Endodontic disease can manifest itself with a wide variety and combination of symptoms. Common symptoms of endodontic disease include:

• Lingering sensitivity to cold liquids.
• Lingering sensitivity to hot liquids.
• Sensitivity to sweets.
• Pain to biting pressure.
• Pain that is referred from a tooth to another area, such as the neck, temple, or the ear.
• Spontaneous toothache, such as that experienced while reading a magazine, watching television, etc.
• Constant or intermittent pain.
• Severe pain.
• Throbbing pain.
• Pain that may occur in response to atmospheric pressure changes, such as when flying or scuba diving.
• Pain that may occur in response to postural changes, such as when going from a standing to a reclining position.
• Swelling.

If you have any of these symptoms, it would be wise to visit us at Peggy Myers and Associates because you might have root canal disease or another dental problem. Some of these symptoms may also be attributable to decay, defective fillings, periodontal diseases, cracked teeth, or other tooth or bite-related problems. On other occasions, the symptoms may even be caused by disorders that are not related to the teeth.

For more information about how we at Peggy Myers and Associates can help you with your root canal problems, call us at (602) 861-0505, we will be happy to talk with you.

Burning mouth usually occurs in individuals over 50, but can affect others as well. There are several reasons why it occurs.

Denture problems: a new denture, or one that doesn't fit well, can irritate your entire mouth.

Reduced salivary gland function: Dr. Myers knows that this will cause the mouth to become dry, inviting oral discomfort, difficulty eating or swallowing, loss of taste, and a burning mouth. Salivary gland dysfunction sometimes comes with age. But there are saliva substitutes and rinses at Peggy Myers and Associates that we can prescribe to protect your oral tissues, and soothe burning sensations.

Medications: these often dry the mouth (side effects)

Vitamin deficiency: there is some evidence linking burning mouth syndrome to Vitamin B deficiency.

Candida infections: this is a common oral fungus, usually apparent to the eye but sometimes undetectable. At Peggy Myers and Associates we can prescribe a topical anti-fungal agent that can help the problem.

Call us at (602) 861-0505 for more information on how we can help you with burning mouth.

Dry mouth problem is common in the Phoenix area. The lack of adequate saliva is more than bothersome for three out of every ten Americans.

When the natural flow of saliva is reduced, you can experience trouble swallowing, pain throughout oral tissues and, nearly always, a short-cut to dental caries and gum disease. The tongue sticks, food doesn't have much taste, and digestion suffers. (For more details call us at (602) 861-0505.)

Dr. Myers knows that Xerostomia, or dry mouth syndrome, can come with aging, or often as a side effect of many medications. Half of cancer patients undergoing chemotherapy experience an extreme form of xerostomia, with critical effects on their dental health. At Peggy Myers and Associates we can help provide relief in the form of prescriptions for dry mouth toothpaste, special saliva-producing chewing gum, or saliva substitute solutions.

For more information regarding Xerostomia and methods of treatment, please call our office at (602) 861-0505.

Each year about 400,000 people (including many in the Phoenix, Paradise Valley and Glendale areas) with cancer develop treatment-related complications in the mouth ranging from lesions to chronic dry mouth to bone disintegration. If serious, these complications can be life threatening. While many are unavoidable, some can be prevented or minimized by Dr. Myers.

Dr. Myers recommends that whenever possible, a pre-therapy dental evaluation with a full set of mouth x-rays be performed. Any decay, gum disease and abscesses should be treated, if time permits, prior to chemotherapy and/or radiation therapy.

Even patients who have no pain or dental disorders need a thorough cleaning. Our goal at Peggy Myers and Associates is to have the patient's mouth in optimal health prior to beginning anti-cancer therapy.

If you have questions regarding cancer treatment and your dental health, please call our office at (602) 861-0505.

Many denture wearers in the Phoenix area breathe a sigh of relief when they get their first pair of dentures because they think their dental problems are over. What they soon realize, however, is that have just traded some old problems for new ones.

Even the best dentures can't compete with natural teeth in ability to chew food efficiently and comfortably. As the years go by, the supporting ridges that remain after teeth have been removed gradually change and get smaller.

Dr. Myers believes that for most patients, their dentures need to be "relined" or "refitted" every 2-4 years so that the denture will conform to the changing ridge.

A large change in weight can also alter the shape of the mouth, causing changes in the fit.

If you have questions about your dentures, please call Peggy Myers and Associates at (602) 861-0505 for answers.

Dr. Myers feels that good habits of effective daily brushing, diet, and use of fluoride will help the aging person adapt to changing conditions. Reduced salivary flow and addition of medications will affect oral health dramatically.

Changes of the teeth and gums:

Dr. Myers has noted that teeth will darken because of long-term exposure to plaque and changes in the dentin within the tooth. The gums may recede and uncover the roots. Exposed roots will be darker than the enamel part of the tooth and are prone to decay. Fillings can decay and darken, too, as they weaken over time.

"Dry Mouth" may develop: Saliva is useful to lubricate, wash away plaque, and neutralize the acid produced by plaque. Flow of saliva can be reduced by a medical disorder or be a side effect of antihistamine, decongestants, pain killers or diuretics.

The build-up of plaque will accelerate tooth decay. There will also be more gum infection which will cause a loss of bone support for the teeth. Poorly-fitting or poorly-cleaned dentures, illness, and some medications increase the severity of the problem.

For more information regarding dental problems of the elderly, please call Peggy Myers and Associates at (602) 861-0505 today.

In the past, the loss of teeth was dismissed as a natural part of the aging process in the Phoenix, Paradise Valley and Glendale community area, and dentures were considered a normal sign of old age. While such ignorance is rapidly becoming a thing of the past, there is still not a general awareness of the seriousness of edentulism.

Multiple tooth loss is most commonly caused by periodontal disease, i.e. gum and bone disease. Periodontal disease has a high statistical correlation with chronic debilitating disease, such as diabetes, cardiovascular disease and arthritis.

So, it is not very surprising that studies now show a shortened life expectancy by as much as 10 years for persons nationally, and in the Phoenix area, who have lost their natural teeth, when compared to those who have kept their teeth.

"Well, you know Doc, it's just a back tooth. No one will see it so I'll just get rid of it. It's not going to make a difference." Unfortunately we hear this type of comment at Peggy Myers and Associates more often than you would think.

The plain truth is that it will make a difference. At Peggy Myers and Associates we know the loss of just a single tooth can set a course that can destroy an entire mouth. "Well, if that's true, tell me more. I sure don't want to lose the front ones that I smile with."

Dr. Myers often answers with an explanation that teeth will drift and tip into a space that is created by missing teeth. Just like two gears of a car that are not properly aligned, pretty soon you've got a whole lot of problems.

"Well, I don't like that. What can I do?" If it sounds like I've heard this conversation a few times, you're right. If I'm going to keep a patient happy, I need to provide options at this point.

One of the options we often discuss at Peggy Myers and Associates would be a dental implant. This is the replacement of a tooth with a false root that is surgically placed. Dr. Myers then carefully constructs a dental crown to replace the missing tooth, to prevent teeth from shifting and thereby causing further tooth loss.

If you have any questions about missing teeth and possible implant treatment, please call our office at (602) 861-0505.

The exact cause of the disorder is unknown. Some factors are related to an improper bite, injury, arthritis, severe stress, or a combination of factors. Clenching or grinding teeth, a condition called bruxism, may develop from stress or as part of a sleep disorder.

This can tire muscles and create painful spasms, causing even more pain. Repeated muscle problems may affect the joints, resulting in tissue damage, muscle tenderness, and more spasm, perpetuating a cycle of pain.

For more information about how we can help you with TMJ problems, call us at (602) 861-0505, we will be happy to help you.

• Jaw pain or soreness, more noticeable in the morning or afternoon
• Jaw pain while chewing, biting, or yawning
• Earache without an infection, sometimes spreading into the face
• Soreness in front of the ear
• A clicking or grinding noise while opening and closing your mouth
• Difficulty opening and closing your mouth
• A stiff jaw when eating, talking, or yawning
• Sensitive teeth without any signs of dental problems
• Aching on the side of the head and neck pain
• A burning sensation in the mouth/tongue
• Grinding of your teeth
• Restricted range of jaw movement or "locking" of the jaw in an open or closed position

A thorough dental examination is the first step toward finding a solution. Depending on the diagnosis, treatments may include reshaping teeth, bite guards, and muscle relaxants.

Call us at (602) 861-0505 for more information about TMJ and jaw pain.

Proper diagnosis is critical to make sure you receive treatment for your particular condition. At Peggy Myers and Associates we will only recommend treatment after conducting a thorough health history, clinical exam, taking appropriate X-rays, and perhaps confirming the condition through other diagnostic tests.

At Peggy Myers and Associates we may prescribe a multiple-phase treatment plan. Only minor corrective treatment may be needed. Treatment may be simple or require more steps for alleviating the condition, depending on the degree of severity. Some of these treatments include:

• Taking a non-aspirin pain reliever or prescription medications such as muscle relaxants, analgesics, or anti-inflammatory drugs
• Eating soft foods
• Avoiding chewing gum
• Applying moist heat or ice
• Physical therapy
• Teaching relaxation techniques to control muscle tension
• Stress management training techniques
• Posture training
• Wearing bite plates to eliminate the harmful effects of clenching or grinding the teeth, and a better positioning of the jaws
• Adjusting the bite, known as "occlusal equilibration" involving removing interferences when the teeth touch
• Replacement of defective restorations that prevent the jaws from meeting properly
• Orthodontics, to put the teeth in proper position
• Surgery

In most cases we treat at Peggy Myers and Associates, the symptoms related to TMJ disorders can be successfully treated to reduce or eliminate your discomfort. Postponement of treatment usually results in more damage to the joint, muscles, or teeth.

For more information about how we can help you with TMJ problems, call us at (602) 861-0505, we will be happy to help you.

One out of every 10 Americans suffers from chronic headaches, and they spend over half a billion dollars every year for over-the-counter medications to relieve their pain. They never imagine that their headaches may be caused by TMJ, and that their pain is the result of a bad bite.

At Peggy Myers and Associates we know a bad bite can put your jaw-to-skull relationship out of alignment.

When this happens, TMJ symptoms occur. This cluster of symptoms can include: headaches, earaches, ear ringing, loud jaw clicking, even stiffness and pain in the jaw, neck, shoulders and back. This cluster has puzzled doctors in the past. Now we can put a name to it: TMJ.

According to recent studies, more than 40 million Americans (including many in the Phoenix, Paradise Valley & Glendale areas) suffer with TMJ (Temporomandibular Joint Dysfunction) or MPD (Myofascial Pain Dysfunction). The good news is that we at Peggy Myers and Associates are taking the lead in finding solutions.

If you, or someone you love, suffer from the symptoms of TMJ, set up an appointment by calling us at (602) 861-0505 soon. You may find that TMJ is the missing piece in the puzzle -- and, that the treatment works!

Advanced dental techniques now available at Peggy Myers and Associates can provide you with exciting, new options for enhancing your smile. Revolutionary methods are now available for bleaching teeth to make smiles sparkle!

Teeth bleaching or whitening lightens the color of teeth whether darkened from age, coffee, tea or tobacco. Its brightening effects can last up to five years after the treatment depending on your personal habits, such as smoking or drinking coffee or tea.

Bleaching has a higher than 90% success rate at Peggy Myers and Associates. Bleaching is tough on stains but gentle on your teeth! Results vary depending on several factors such as teeth stained from smoking; from taking certain medications such as tetracycline during tooth development; or from fluorosis, a condition occurring in the presence of too much fluoride.

Bleaching will not lighten fillings or artificial materials used in dental repair as for crowns, porcelain veneers, etc. Dr. Myers may discourage treatment if you have sensitive teeth, periodontal disease, teeth with worn enamel or if you're pregnant or breast-feeding.

Depending on the bleaching treatment selected, some are performed in the dental office using an in-office bleaching system such as laser bleaching. These methods lighten teeth instantly. The same results may be obtained through dentist-supervised at-home bleaching, but take longer to achieve.

Some bleaching systems, which bleach your teeth while you sleep, work in 10 to 14 days (or more accurately nights)! Others bleach your teeth from two to four hours a day requiring three to six weeks to complete.

Also it's important to know that certain types of stain respond better to different types of whitening materials. In such cases, your dentist may recommend one method over the other.

Dr. Myers will first examine your teeth and gums and discuss the procedure best suited to your individual needs. Any cavities or gum problems must be treated before bleaching can begin.

The in-office method generally takes one to three hours and results in an immediate noticeable change.

For the at-home method, special molds will be made of your teeth at Peggy Myers and Associates, these are used to make custom-fitting flexible trays holding the bleaching gel comfortably in your mouth.

When you get your bleaching trays at Peggy Myers and Associates, you'll receive instructions about wearing them. These must be carefully followed. Only the materials provided by the dentist can be safely used.

After completing the treatment, your teeth will be checked by Dr. Myers to discuss the results.

Smile. Your teeth will radiate a bright new look!

Research over the last five years has proven bleaching to be both safe and effective. The American Dental Association's seal of approval has been given to a wide range of tooth whitening products.

Generally, the only side effect from treatment may be some sensitivity to hot and cold foods. If this occurs, sensitivity normally disappears within 48 hours.

Please don't hesitate to call Peggy Myers and Associates at (602) 861-0505 with any questions you may have about the benefits of tooth whitening or tooth bleaching for a whiter smile.

The major advantage of the composite veneer is treatment time. If composite is used, the veneers can be done in one appointment. The dentist will actually make the veneer directly on the prepared tooth.

The veneer is then smoothed and polished to look like your natural teeth. Since it takes only one appointment, you can leave Peggy Myers and Associates with a brand new smile.

One of the disadvantages of composite veneers is that they are not as strong as the porcelain veneer and therefore are more prone to fracture. However, if a fracture does occur, they can be easily repaired by Dr. Myers because the same material that was used initially to make the veneer can be added in the same manner to fix it.

Another disadvantage is that the color, although stable, is not as stable as the same porcelain veneer restoration. This means that over time the veneers may get darker or turn yellow. Eventually this change in color can warrant the replacement of the veneers.

If you have any questions regarding composite veneers, please feel free to call our office at (602) 861-0505.

A porcelain veneer requires a longer treatment time. At the first appointment, your teeth are prepared and an impression is made of them. Temporary veneers are made out of plastic and placed on your teeth. They are used to protect your teeth while the real porcelain veneer is being fabricated. You can also use them to evaluate the look and feel of your teeth so that any changes you desire can be incorporated into your real veneers.

At the second appointment, Dr. Myers removes the temporary veneers and bonds the porcelain veneer to your teeth. Once the dental veneers are cemented, color alteration is no longer possible. Dental cement is applied between the dental veneers and tooth.

Although they are thin, a porcelain veneer is much stronger than the composite veneer, so the risk of fracture as compared with composite veneers is much less. However, if a fracture does occur, repairing it is more difficult and may result in the veneer having to be remade.

In general, the porcelain veneer can be used in a greater variety of situations with a higher level of predictability. Since they are made outside the mouth, the shape and color can be easier to control, thus enhancing the final result.

Once teeth have been veneered, they will require periodic treatment and regular visits to Peggy Myers and Associates. The result is a beautiful and long lasting smile you will love.

Please call Peggy Myers and Associates at (602) 861-0505 with any questions or concerns regarding veneers.

There are many situations that arise that lend themselves to treatment with veneers.

One indication is for restoring teeth with discoloration that have been unaffected by the more conventional tooth whitening approaches, such as bleaching. Some examples of this are teeth that have severe tetracycline (an antibiotic) staining or discoloration from a previous injury to the tooth. Veneers are considerably more durable and stain-resistant than bonding.

If you have any questions about veneers for discolored teeth, please call Peggy Myers and Associates at (602) 861-0505.

When teeth require significant changes in their shape or contour, veneers may be the answer. By placing veneers, small or misshapen teeth can be built up to regain a more natural appearance, spaces between teeth can be closed by making the teeth wider and teeth that are too short can be lengthened.

The veneer is actually a thin piece of porcelain similar in size to a fingernail. Once it is "bonded" onto the tooth it becomes extremely strong. Dr. Myers also blends the veneer in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a regular tooth.

At Peggy Myers and Associates we can use porcelain veneers to change the shape and color of a single tooth or if necessary, revamp an entire smile. Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding.

Please call us at (602) 861-0505 for consultation. You may ask Dr. Myers or any of our professional team questions you have about the benefits of porcelain veneers.

Wisdom Teeth usually appear in young adults between the ages of 15 and 25. Some wisdom teeth will grow in normally; others are "impacted." An impacted wisdom tooth allows no room for the rest of your teeth to grow. Dr. Myers uses X-rays to evaluate whether your wisdom teeth have any chance of coming in properly and can advise you on the best time to have wisdom tooth removal.

When there is no room for wisdom teeth to come in properly or when the teeth haven't reached their permanent location by age 25, then they're considered to be impacted wisdom teeth. Dr. Myers recommends removing the tooth early, before wisdom tooth and other dental complications can develop.

For more information about wisdom tooth removal in Phoenix, contact Peggy Myers and Associates today.

Wisdom teeth usually appear in young adults between the ages of 15 and 25. Some wisdom teeth will grow in normally; others are "impacted." An impacted wisdom tooth allows no room for the rest of your teeth to grow. Dr. Myers uses X-rays to evaluate whether your wisdom teeth have any chance of coming in properly and can advise you on the best time to have wisdom tooth removal.

When there is no room for wisdom teeth to come in properly or when the teeth haven't reached their permanent location by age 25, then they're considered to be impacted wisdom teeth. Dr. Myers recommends removing the tooth early, before wisdom tooth and other dental complications can develop.

For more information about wisdom tooth removal in Phoenix, contact Peggy Myers and Associates today.

Dr. Myers can provide guidance whether you're a candidate for wisdom teeth removal (extraction). The bottom line is that wisdom teeth most often don't fit well in our mouths and they can cause other teeth to move or lead to gum disease or bone problems. Ask Dr. Myers to make an evaluation and suggest the best course of action!

Partially visible wisdom teeth in Phoenix are susceptible to bacteria that can cause wisdom tooth infection. Cysts and tumors can grow on a trapped wisdom tooth, causing irritation and some pain as well as diseases of the gums.

Another problem we often see at Peggy Myers and Associates occurs when the second molar, the last tooth before the wisdom tooth, is damaged as the wisdom tooth grows in without enough room.

The younger the patient, the easier the healing will be, which is another reason not to wait before removing impacted wisdom teeth. At Peggy Myers and Associates this oral surgery is often performed in the office under anesthesia, providing patients with maximum comfort while keeping the procedure efficient and cost-effective. Local anesthetic (such as novocaine) is always used, but you may opt for additional comfort with nitrous oxide ("laughing gas"), IV sedation (twilight sleep) or deep sedation (general anesthesia.)

Call Peggy Myers and Associates at (602) 861-0505 for more information about partially visible wisdom teeth in Phoenix.

After oral surgery, it is important to follow all the instructions provided by Dr. Myers. Here are some guidelines to speed your recovery and healing.

"Dr. Myers, how do I care for my mouth after wisdom tooth removal?"

To limit bleeding after oral surgery, Dr. Myers may place a gauze pack on the wisdom tooth extraction site. This should be left in place for 30 to 45 minutes after leaving the office. Bite down on the gauze, but don't "chew" on it. Bleeding might continue after the pack is removed. If it does, we recommend you follow these instructions:

• Form a thick pad from clean gauze; dampen it and place the pad directly on the wisdom tooth extraction site.
• Apply some pressure by firmly biting on it for about 30 minutes.
• Replace the pad with a clean one if it becomes soaked with blood.
• If heavy bleeding continues, call your oral surgeon.
• Avoid sucking on the wisdom tooth extraction site.

For more information, contact Peggy Myers and Associates at (602) 861-0505.