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Emergency Dentist Scottsdale

Life is not meant to be lived locked up in a closet. “You only live once” is more than just a catchy phrase but the thing with
being adventurous and outdoorsy is that accidents happen and when they do not everyone knows how to deal with them.

Among many other emergencies, a dental health crisis is one of the most common ones, especially among children who tend to spend a huge chunk of their days in the playground either dangling down from those monkey bars or wheezing past you on the backyard swing sets.

Unfortunately, amidst all the fun and play some land themselves with a broken tooth or a damaged gum instead of ending up with just a few scrapes on the knees. Knowing what to do when the crisis strikes can make all the difference between saving the tooth or losing it forever. But what to do when the office hours are over. Most of the times the damage requires immediate attention and cannot be put off to the next day.

You don’t need to worry anymore because My Scottsdale Dentist and Dr. Steve Poulos specialize in Emergency Dental Care and are there to cater to your needs 24/7. Seeking emergency dental care in Scottsdale, AZ can now assist parents in finding out the root cause of the problem and save their child from a permanently damaged smile.

Dr. Steven Poulos, having been a part of this field for the past twenty years knows exactly what he is doing so rest assured that you or your child are in the hands of an expert. Both Dr. Steven H. Poulos and Dr. Sid Stevens have seen their fair share of playground mishaps and have an in-depth knowledge about dental emergencies. Amongst many issues, pulp damage seems to be the most frequent one, whose treatment, if delayed can impede tooth growth and may even result in tooth loss.

No doubt, there are numerous medicaments available to dentists today but mineral trioxide aggregate is very effective at repairing pulp chamber and root damage and can also be used during surgical procedures like apicoectomy, to treat endodontic infections and inflammation. That’s why it’s routinely used by Dr. Poulos and Dr. Stevens during emergency dental care in Scottsdale, AZ.

Depending on the severity of the damage, Dr. Poulos, and Dr. Stevens may need the need to monitor the progress for varying time periods which can extend up to a year to ensure the best possible dental outcome. Both our doctors are extremely dedicated to their work and their patients and are always there to help parents and children recover from playground accidents. We have simple solutions that are usually quick and easy. We have numerous methods to control discomfort including Nitrous Oxide and Oral Sedation.

To get to know Dr. Poulos and Dr. Stevens better and to benefit from their unparalleled expertise feel free to contact us at My Scottsdale Dentist today(480.614.1122).

When is Cosmetic Dentistry Right for You? Finding a Dentist in Scottsdale, AZ

When is Cosmetic Dentistry Right for You? Finding a Dentist in Scottsdale, AZ

There is a common misconception that cosmetic dentistry in Scottsdale is only considered for aesthetic reasons, but there are a number of circumstances that Cosmetic Dentistry in Scottsdale | My Scottsdale Dentistmake cosmetic dentistry beneficial for everyone’s overall health. In fact studies have shown that straighter teeth leads to healthier teeth for many reasons. At My Scottsdale Dentist, Dr. Steven Poulos and Dr. Sid Stevens are committed to educating people on what cosmetic dentistry in Scottsdale would provide for a lifetime of healthier, whiter, and overall better teeth.  Three additional benefits to cosmetic dentistry include avoiding tooth decay, better gum health and benefits for digestion!

1.  Avoid Tooth Decay

Cavities and tooth decay are caused from bacteria in the mouth that eventually causes damage to the structure of the actual tooth. Spaces and gaps between the teeth can lead to more food trapped in the teeth, which runs the risk of unnecessary decay. With the assistance of braces or retainers, teeth can be made straighter which means they are easier to clean, and as a by-product, will be healthier.

2.  Healthier Gums

Any plaque build up can cause tooth decay and damage the gums.  This can lead to gum loss that causes a recession of tissue along the gum line. In some cases teeth bonding, veneers or gum grafts might be beneficial to conserve the health of the entire mouth by preventing further recession or damage to the gum line.

3. Improved Digestion

According to Total Health Magazine, the nutrition value in the food you eat, as well as how effective the food is chewed, has a large effect on how the body is able to digest it.  By having misaligned teeth or even a toothache, proper chewing might have an impact on how well the food can be processed.  By addressing issues that are causing the teeth discomfort, the possibility of poorly processed food can be avoided.

Therefore, to obtain a healthier (and happier) smile in the this year contact My Scottsdale Dentist based in Scottsdale, AZ.

Is Tooth Whitening in Scottsdale Actually Safe?

Although everyone loves a white smile, many people who undergo tooth whitening procedures wonder if it is damaging their teeth- they worry it is weakeningTooth Whitening in Scottsdale | My Scottsdale Dentist or degrading the structure of the tooth.

 How Does Tooth Whitening Work?

A professional tooth whitening in Scottsdale treatment uses a hydrogen peroxide agent that bleaches the enamel of the teeth. Most at-home tooth whitening kits use similar compounds but at lower concentrations. At-home chemicals are applied to the teeth for longer periods than the stronger solutions used in a one-hour professional whitening session.

Side Effects

Known side effects of tooth whitening include temporary tooth sensitivity. If the bleaching agent was allowed to get onto the soft tissues of the mouth (much more common with at-home kits) then these tissues may become irritated. Both the tooth sensitivity and tissue irritation go away after a few days.


The American Dental Association (ADA) says that having a professional tooth whitening or using an ADA-approved home kit is considered to be safe. The ADA does admit that the safety of repeated unsupervised use of home kits is unknown. The ADA urges individuals who want whiter teeth to consult their dentist about the pros and cons of doing so, and to discuss the best approach. Patients with crowns, bridges and implants should definitely discuss the safety of exposing these materials to whitening agents with their dentist before proceeding.


In 2006, the Cochrane Collaboration conducted an independent review of tooth whitening. At that time, no study followed up patients for more than a month after the procedure. The only short-time side effects reported were tooth sensitivity and gum irritation.

In 2011, a review of the evidence reported that tooth whitening did not erode or damage tooth enamel. This review included a number of laboratory studies of teeth. They found that tooth enamel could be eroded by tooth bleaching agents but only under extreme conditions invented in the laboratory that have little relevance to actual tooth whitening. Studies performed of actual living teeth being whitened suggested that there is a slight softening of the tooth enamel for about a week after a whitening procedure. During this week, it might be best to avoid using a very abrasive type of toothpaste.


So there is no need to worry- if done as directed, tooth whitening is safe both in the short-term and in the long-term. There will be some temporary changes in the sensitivity and structure of the tooth, but this will pass harmlessly after a few days. The idea that tooth-whitening is weakening or eroding away the tooth is unfounded.

It is, however, best to consult Dr. Steven Poulos or Dr. Sid Stevens before proceeding with tooth whitening in Scottsdale. Dental work may not respond to whitening agents in the same way that natural teeth do. And some types of tooth discoloration simply do not respond to tooth whitening. At My Scottsdale Dentist we can examine your teeth and provide professional yet friendly advice on the best way to improve your smile.

If you’re unhappy with the way your teeth look, contact us today for an appointment.

How do Dental Implants Work?

How do Dental Implants Work?

A dental implant is a way to create a prosthetic tooth. There are many ways to create prosthetic teeth without implants such as removable dentures and Dental Implants in Scottsdale  | My Scottsdale Dentistbridges. However, for a truly natural look and feel an implant is the best solution. Dental implants in Scotttsdale can be used to replace one tooth, several teeth, or all of the teeth.

Endosteal Implants

Endosteal implants are placed into the jawbone. They usually consist of a titanium screw that is inserted into the bone. The bone is then allowed to grow into and around the screw. During the bone healing process a temporary crown is placed on the implant. Once the implant has healed, a permanent crown is used to replace the temporary crown.

Endosteal implants sound complicated, but most individuals can return to work the day after placement of the implant. The temporary crown functions reasonably well during the healing process (which can take several months). The permanent crown is custom-build to match the patient’s other teeth, to provide the most cosmetically pleasing result possible.

Subperiosteal Implants

Subperiosteal implants are placed under the gum on top of the jawbone. They are usually only used with patients who lack sufficient bone in their jaw to hold endosteal implants. Patients who lack bone can undergo procedures to try to build sufficient bone to hold an endosteal implant, but this can be a complicated and time-consuming procedure that does not always work (see next section).

A subperiosteal implant is a sort of metal cage that rests over the jawbone underneath the soft tissue of the gum. A little metal post sticks up for attachment of the crowns. Subperiosteal implants are most often used to restore multiple missing teeth in the upper jaw. The bone in the upper jaw tends to be more porous and less likely to be able to support endosteal implants than the lower jaw.

Because the implant has to be custom-designed to each patient’s jaw, these implants are more expensive than endosteal implants. The implantation procedure requires a more extensive surgical procedure to insert the metal structure underneath the gum tissue.

Bone Augmentation

Many individuals lack sufficient bone in their jaw to support an endosteal implant. Causes of insufficient bone include gum disease, loss of teeth some time prior to the attempt to place implants, and injuries to the face.

Bone grafts are the most common way to try to re-build the jawbone. Bone taken from other parts of the body or from donors is implanted under the gumline in a simple surgical procedure. Patients can usually return to work the day after the procedure, but need to take special precautions with oral hygiene while the grafts heal. It usually takes several months for the grafts to fully integrate into the bone. After the bone heals, endosteal implants are inserted.

Transosteal Implants

Transosteal implants are metal pins that go all the way through the jawbone and are anchored underneath the jawbone with a metal plate. They are placed much like endosteal implants, but require a much more invasive surgical procedure with an incision in the skin under the jaw. Transosteal implants are almost never used today. When they are used, they are only used on the lower jaw for patients with very limited bone structure.

Intramucosal Implants

These implants are placed to hold removable dentures more firmly in the mouth. They are inserted into the upper jaw on the outside of the gums. They look kind of like little silver bumps. The dentures snap into them to improve denture fit and chewing power.

Endosteal implants are the easiest and cheapest option. They also provide the best cosmetic results. Endosteal implants do require good bone for placement. The best way to ensure good bone is present is to replace the missing tooth (or teeth) as soon as possible after it is lost or extracted.

If you’re about to lose a tooth, or lost one recently, don’t delay. Contact us to make an appointment with Dr. Steven Poulos or Dr. Sid Stevens to discuss the possibility of getting dental implants in Scottsdale at My Scottsdale Dentist.

Sedation Dentistry

Sedation Dentistry

Dental anxiety may have debilitating effects for numerous people.

A new study by Case Western Reserve University showed that dental anxiety could cause a person to flinch even after a cotton swab makes minimal contact with his or her gums. Many other people don’t even bother to visit the dentist based on their anxiety.

The only way to combat this issue, in many cases, is to come up with new methods of sedation. Moderate sedation allows the patient to be conscious by suppressing the brain’s reaction to pain and stress while still enabling the person to communicate with the dentist.

Madhavi Setty, DDS, recently wanted to find out more about how dental specialties use sedation. The study appears in the Journal of Endodontics.

The information comes from a study of 84 people who received care and sedation during a visit to a Case Western Reserve dental clinic in endodontics, periodontics and oral surgery between 2010 and 2012. The patient’s age, sex and other medical conditions were taken into account. The patients ranged between 8 and 88 and 63 percent were women.

More than half of the patients required moderation sedation to calm anxiety. The study also showed 15 percent feared needles, 15 percent feared local anesthesia failures and 8 percent feared an issue with a severe gag reflex and claustrophobia from the rubber dam.

An issue for sedating anxious patients is that not all endodontists are qualified to administer it. Many endodontic programs don’t teach these procedures.

The Department of Endodontics at Case Western Reserve just introduced training for moderation sedation last year. The endodontic training abides by the guidelines of the Ohio State Dental Board and the American Dental Association. The rules and guidelines are required to qualify for the necessary certification to administer sedation.

Gum Health May Have Gotten Worse as Time Passed

Gum Health May Have Gotten Worse as Time Passed

Ancient Romans knew how to take care of their gums.

Researchers from King’s College London determined that only 5 percent of Romans suffered from gum disease while 30 percent of people today encounter that problem. Based on archaeological studies, the researchers concluded that the Roman lifestyle led to much healthier gums.

Dental issues, however, were still a problem during this time period. Abscesses and infections were quite common.

Today, smoking, type 2 diabetes and the food and drinks people consume lead to a higher risk of gum disease.

To reach the conclusion, researchers studied 300 skulls that were from 200 to 400 AD. The skulls were from people who were estimated to be 20 to 40 years old.

In the world today, one of three people will show signs of major gum disease, which is much higher than it was for the ancient Romans. The result of the study was surprising based on the abundance of dental infections and abscesses those people dealt with.

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Afraid of the Dentist? Let Sedation Dentistry in Scottsdale, AZ qualm your fears

Afraid of the Dentist? Let Sedation Dentistry in Scottsdale, AZ qualm your fears

Sedation Dentistry, Scottsdale, AZ

For those with a fear of dental work,sedation dentistry is the ideal solution. If you live in Scottsdale, AZ and find yourself with a fear of the dentist, we might be able to help. Dental phobias are one of the most common phobias out there, and you’re not alone. Millions of people suffer when they see a needle or hear the whine of the dental drill. For some, the fear is overpowering, and the result might be years between dental visits. If this is you, don’t worry. There are several methods of sedation dentistry available to help qualm your dental fears, and you might not even remember the procedure when all is said and done! Whether it’s oral anti-anxiety meds, nitrous oxide, or IV sedation, there is a level of sedation dentistry in Scottsdale that fits everyone’s comfort level.

Nitrous oxide, or laughing gas, can be used for sedation dentistry for patients who don’t require much sedation, don’t tolerate benzodiazepenes well, or are getting a simple procedure such as a cleaning or a filling. Nitrous oxide causes a feeling of well-being and relaxation. Nitrous oxide also makes time seem like it’s going by faster, so the dental visit appears to take less time. Once the nitrous oxide is taken away, it usually wears off within ten to fifteen minutes, which means that patients spend less time recovering after the procedure.

If nitrous oxide doesn’t relax you during a simple procedure or need a more in-depth procedure such as a crown, you may be given a pill called triazolam. Triazolam is in a class of drugs called benzodiazepenes. These types of drugs are used to relax patients and put them in a state of ease, so the dentist can do their dental work. For many patients, this is all that is required, and the dental visit can be performed in comfort.

For more in-depth procedures, IV sedation might be used. For IV sedation, a catheter is placed into a vein in your arm or hand and a dental anesthesiologist will inject you with a drug that causes you to feel sleepy. Although you may still be awake, you won’t be conscious and won’t remember anything after the drug wears off.

If you experience dental phobia, the best thing to do is to talk to Dr. Steve Poulos. Sedation dentistry can make you more comfortable with the procedure, and the dentists at My Scottsdale Dentist can work with you to find the level of sedation most comfortable for you and your needs. Don’t be afraid to talk to the dentists at My Scottsdale Dentist, because comfort might be just a conversation away.

For more information about sedation dentistry in Scottsdale,  contact us  today.

6 Tips to Help Kids Overcome Fear of Dentists

Is your child scared of going to the dentist? Follow this advice to help your little one relax before the next dental checkup.

  • – Provide the dentist with a list of any medical conditions your child has or medications he takes. Keep your pediatrician’s phone number handy, too, in case the dentists at My Scottsdale Dentist needs additional health information.
  • – If your child has a sucking habit, be it thumb, pacifier, or bottle, let your Scottsdale dentist know, as it may affect your child’s teeth and jaw. Also, be aware that sleeping with a bottle of milk or juice can cause tooth decay. “During sleep, liquids in the mouth — which are full of sugar and bacteria — pool around the teeth and erode them,” says Dr. Poulos.
  • Talk to your child about what’s going to happen. Practice brushing with your child beforehand, too, so she will be used to having a toothbrush in her mouth.

What to Expect

1. Meeting and Greeting


  1. “To make sure your child feels comfortable, formally introduce him to the dentist on his first visit,” says Steven Poulos, D.D.S. A good children’s dentist will explain each step of the checkup with your child, show him the tools he’ll be using, and assure him that he can sit on Mommy’s or Daddy’s lap and stop any procedure if he’s nervous.


2. Learning the Facts

Using models, an oversize brush, and “cavity creep” finger  puppets , the dentists at My Scottsdale Dentist will show your child how to brush with your help. “A dentist may also explain how the cavity creeps come out at night to harm teeth and how eating nutritious meals and drinking plenty of water keeps teeth healthy,” says Dr. Poulos. He’ll also use this time to address your questions and concerns.

3. Mastering the Machinery

Because the spitting cup may make some scary sucking noises, the dentist will show your child how it works and how to spit into it properly. Then he’ll put on a mask and gloves to count your child’s teeth, using the model — or you — to demonstrate before putting his fingers in your childs mouth.

4. Cleaning and Polishing

Next, the Scottsdale Kids dentist will polish your child’s teeth with a rotary toothbrush. “Make sure the staff provides him with goggles or  sunglasses  to protect his eyes in case a tool slips or toothpaste sprays,” says Dr. Poulos. Letting the child see and hear the brush before it’s placed in his mouth helps put him at ease.

5. Finishing Touches

As with the other procedures he performs, your North Scottsdale dentist will show your child how the sucking straw works before he uses it to remove extra toothpaste and saliva. As a final step, the dentist may apply a coat of topical fluoride. “I always ask the parent if it’s okay to use fluoride,” says Dr. Poulos, “but the research shows that periodic fluoride treatments prevent decay.” A child should not eat or drink for 30 minutes after a treatment.

 6. Picking a Prize

Stickers, finger puppets, crayons, key chains — the more varied the grab bag, the better. “Prizes are a wonderful way to get kids to think the dentist’s office is a fun place,” says Dr. Poulos. You may want to let your child pick a prize during the cleaning if he seems nervous. But if he gets genuinely upset, “he may not be ready for his first visit,” says Dr. Poulos. “In that case, cut it short and try again in a few months.”

Follow these tips to put your child on the road to a bright, healthy smile! Call us today at  480-614-1122