Vierthaler Brian D DDS
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Vierthaler Brian D DDS
Our treatments, our technology, our team - we work with the best of the best because we are committed to guiding you and your family toward lasting oral health and wellness. Dr. Vierthaler is a general dentist with advanced orthodontic training adminstered through the American Orthodontic Society.

Dr. Vierthaler treats both phase I and phase II orthodontic cases, as well as provides limited treatment for esthetics to enhance restorative dentistry.Since 1991 Dr. Twaddle has been involved with the surgical placement of dental implants. With over 3000 surgical placements, Dr. Twaddle has obtained Diplomate status in the International Congress of Oral Implantology.
Services
At Compass Dental we are passionate about maintaining a cutting-edge facility to better serve you. Other practices around don't come close to offering the advanced technology we have! Our technologies - like our Waterlase MD laser, E4D same-day crown technology, Trios intraoral scanner, iCAT 3D imaging and digital x-rays - aid us in delivering a more accurate diagnosis, a higher quality of care and an all-around better dental experience.
Compass Dental in Maryville, MO has provided personalized dental care to thousands of families. Our patients come from near and far to experience the warm, individualized care we provide. We pride ourselves in utilizing the most modern equipment and methods available. In order to provide nothing but the best to our patients, our office uses state-of-the-art technologies in all our procedures.
A dental cleaning is a professional cleaning you receive from a dentist or dental hygienist. Most dental cleanings take only 25 to 30 minutes. Cleanings should be performed every six months to prevent excessive plaque buildup. Plaque left untreated can lead to unhealthy gums and tooth decay. A routine dental cleaning should include scaling, root planing and polishing.
Good oral hygiene is a must, because the loss of a single tooth can have major impact on overall oral health and appearance. Although dentists will use every measure to prevent tooth loss, there are still some occasions when a tooth needs to be extracted.

The dentist may advise to have a tooth extracted after careful examination and treatment-often taking x-rays to understand the shape and position of the tooth and surrounding bone before extracting the tooth.Based on the degree of difficulty, a dentist may refer you to a specialist called an oral surgeon.
The gums, ligaments, and bone around the teeth form the foundation for one's teeth. All structures are also referred to as the periodontium. When the periodontium is not healthy, it jeopardizes the teeth just as a bad foundation would threaten the stability of a house.

Signs of unhealthy periodontium include: gums that are red and bleed easily, persistent bad breath, gums that are pulled away from the tooth, loose teeth, and changes in the position or bite of the teeth.Any of these may be a sign of a problem. With proper gum treatments, however, it may be possible to return gum tissue to a healthy state.
Reviews (8)
Nicole Falcone
Nicole Falcone
Apr 22, 2021
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Dr. Twaddle is the best! My Family started seeing him in the 80s! I have been going to him since I was like 3 or 5 year's old! Good Dentist!
Wanda Rauch Schmidt
Wanda Rauch Schmidt
Apr 12, 2021
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My sister recommended Dr. V...so glad I took her advise. Their office has such a friendly, laid-back atmosphere. Thank you Dr. V & Ms. Shelby!
Betsy Chapin
Betsy Chapin
Feb 19, 2021
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Absolutely love the service and complete care you get at Compass!!!! Highly recommend!!
Faddie Addie
Faddie Addie
Feb 18, 2021
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They staff are the most personable staff I have ever met. It isn’t like they are your family!
Julie Day
Julie Day
Dec 30, 2020
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The team here is great! My kids have never had a fear of going to the dentist, in big part to the environment Compass Dental creates. Staff and the doctors are all so friendly and all put you at ease! Thanks Compass Dental for being so awesome!
David Diggs
David Diggs
Oct 06, 2020
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Like the professional care I get. My teeth in best shape they have been in in years. And, I love the people. Make you feel like family.
Kathy Noble Steiner
Kathy Noble Steiner
Aug 27, 2020
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We receive awesome care each time we go. Everyone is so kind, professional, and approachable. My family will definitely be spreading the good word about Compass Dental!
Wendy Riley
Wendy Riley
May 07, 2020
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The staff and Dr. V are so friendly and caring. I highly recommend them.