Bruxism/Occlusal Guard

Are you clenching or grinding your teeth at night or during the day? Do you wake up with a sore jaw?  You may be experiencing what is called Bruxism and we have a solution for you.  Dr. Machen may recommend an appliance that can be worn during your sleep called an Occlusal Guard.  There are two different types of appliances that can be worn with the same successful results.

Bruxism/Occlusal Guard - Machen Family Dentistry

NTI

Bruxism/Occlusal Guard - Machen Family Dentistry

Traditional Occlusal Guard

 

Bruxism/Occlusal Guard - Machen Family Dentistry

Bruxism may also cause the following:

  • Cracked teeth
  • Grooved,  flattened, worn down teeth
  • Chipped enamel
  • Loose teeth
  • Headaches
  • Earaches
  • TMJ disorder

 

 

 

 

 

 

 

Many people clench or grind their teeth and are unaware of doing so.  If left untreated you may experience jaw muscle and joint problems even a tooth loose.  This is one of the many reasons why Dr. Machen recommends and performs a complete exam every six months on her patients.

Teeth Worn Flat Due to Grinding - Machen Family Dentistry in Idaho Falls

Teeth Worn Due to Grinding

Teeth Chipped Due to Grinding - Machen Family Dentistry in Idaho Falls

Teeth Chipped Due to Grinding

Teeth Worn Flat Due to Grinding - Machen Family Dentistry in Idaho Falls

Teeth Worn Flat Due to Grinding

Cleanings (Prophylaxis)

Prophylaxis - Machen Family DentistryAn Adult or Child teeth cleaning is also referred to as a prophylaxis. At Machen Family Dentistry we have two Registered Dental Hygienists. Our hygienists are trained to evaluate bone levels and evaluate if there is any infection of the gums or bone supporting the teeth. After assessing the health of the gums, and if diagnosing that the patient is healthy the hygienist then proceeds to the prophylaxis. Specific instruments are gently used to clean the hardened plaque build-up also known as calculus that is found on the teeth. The cavitron is an instrument that our hygienists often use to help efficiently and gently clean the teeth. It is an instrument that squirts water and vibrates which cleans off the calculus build-up. On a child prophylaxis the cavitron is not used, but light hand instrumenting is used to help clean off any build-up that may be starting.

Teeth Scaling in Idaho Falls - Machen Family Dentistry

Teeth Scaling

Teeth Polishing in Idaho Falls - Machen Family Dentistry

Teeth Polishing

 

After cleaning off the teeth, our hygienists polish and floss which helps clean off any excess plaque and leaves teeth feeling smooth and clean. For children we use a fluoride varnish which is painted on all surfaces of the teeth. This varnish helps fight cavities and strengthens the enamel of the teeth. Our hygienists are very gentle in their instrumenting and take special care in the concerns of the patients.

SRP Procedure - Machen Family Dentistry in Idaho Falls

Before

SRP Procedure - Machen Family Dentistry in Idaho Falls

After

Crowns

A crown is a tooth shaped cover (cap) that is placed over a tooth that has been prepared by the dentist.  A crown is needed when a tooth has had a significant amount of trauma or decay on the tooth.  A crown may be recommended for a tooth that has had a root canal, has greater than 50% of the tooth missing, or an entire cusp, a tooth with a significant crack or break, or is covering an implant.

There are quite a few different kinds of materials that a crown can be made of.

Crowns:

  • Porcelain Fused to Metal
  • All Ceramic
  • All Porcelain
  • Zirconia
  • Gold

Porcelain Fused to Metal is a crown that has an interior of metal that is covered by porcelain.  This crown can be matched in color to the surrounding teeth making it aesthetically pleasing.

An all Ceramic or all porcelain crowns are the most natural in tooth color and are great for front teeth.  They are also great for those who have an allergy to metals.

Zirconium Crowns fused to porcelain are so close to natural teeth that it is hard to tell the difference. Zirconium crowns are also very strong and can be used anywhere in the mouth. Full zirconium crowns may be recommended in patients that have a strong bite and a history of breaking teeth.

Gold crowns are ideal for capping teeth that are in the back of the mouth.  Gold is very long lasting and gentle to the teeth they bite against.  They will also not chip. Out of all of the different types of dental crowns, gold crowns probably have the greatest potential for lasting the longest even though they are not the most aesthetically pleasing.

Extractions and Third Molars

Extraction in dentistry means the removal of a tooth from the mouth.  Extractions are done for a variety of reasons :

  • severe tooth decay
  • infection
  • risk of infection
  • a broken tooth that is not able to be fixed
  • crowding (orthodontic needs)
  • gum disease
  • damaged tooth from trauma

As an adult having a tooth extracted is hardly cause for celebration, but at Machen Family Dentistry we will work to keep you as comfortable as possible.   Most extractions are easily completed in the office with the same type of numbing that is used for fillings.  However other sedation options are available.

 

Third Molars (Wisdom Teeth)

Extractions on third molars (wisdom teeth) that are impacted or appear to cause a future  problem will most likely be recommended to be extracted.  Wisdom teeth can also be extracted for  orthodontic purposes and/or to maintain good oral hygiene.  Third molars usually come in late teenage years to early twenties.  Some third molars don’t have room to come in and are blocked by other teeth.  This can cause the tooth to only come in half way leaving the gum tissues irritated, inflamed and possibly infected.  Some third molars never come in but can still cause issues by pushing against adjacent teeth under the bone causing crowding and shifting of other teeth.  Teeth that are not in the mouth but are impacted under the gums have a potential to cause a cyst to form around the tooth and can cause significant complications. 

Dr. Machen provides her patients with a comfortable and relaxing dental experience during extraction treatment.  We provide our patients with the choice of sedation or nitrous oxide (laughing gas).  Whichever the choice you make, we make sure that you leave our office having a great experience!

Pediatric Dentistry

At Machen Family Dentistry in Idaho Falls, ID we strive to make your child’s experience at the dentist positive, fun, friendly, and to let them know how special they are.  Dr. Machen was invited onto the Honors program in pediatric dentistry and completed advanced studies in pediatric dentistry.  She received the certificate of Merit from the American Academy of Pediatric dentistry and knows the importance of your child’s oral health care and making them feel comfortable coming to the dentist.

Your child’s first visit is their “Fun Visit” this is when we take the opportunity to introduce the different instruments, such as “Mr. Thirsty” and to get them familiar with the operatory room.  This allows them to explore and learn about what Dr. Machen does during a visit.

We focus on preventative and the oral health care for your child. Healthy baby teeth are fundamental to a child’s overall health and development.  Dr. Machen will counsel with the parents and advise them on how to assist their children to create healthy oral habits that will last them a life time.  We also teach your children how to care for their own teeth and the importance of oral hygiene.

Cavities in Baby Teeth in Idaho Falls - Machen Family Dentistry

Cavities in Baby Teeth


Options Available

~ Nitrous ( helps child relax and feel comfy during a procedure)

~ Complete sedation at Mt. View Surgical Center in Idaho Falls, ID

Sterilization

Here at Machen Family Dentistry we use the utmost care in our sterilization to ensure complete sterilization and disinfectant of all our instruments,and operatories.  We use state of the art sterilization machines to perform and complete these processes.

Teeth Whitening Basics

One of the first things you notice about people is their smile.  When you meet someone with a beautiful natural bright smile, it catches your attention.  Here at Machen Family Dentistry in Idaho Falls, ID we can help you achieve your best and brightest smile.  Whether you are self-conscious of your smile or just want to maintain your already white smile.  A professional whitening system is a great way to enhance your smile.

Tooth whitening with carbamide peroxide is a safe and effective way to brighten your smile.  Some of your concerns might be the sensitivity to the bleaching product to your teeth.  Dr. Machen recommends the Opalescence Whitening System which is has  a unique whitening formula creating less sensitivity.

During your visit at Machen Family Dentistry we will create your own custom made Bleaching trays that will fit all the contours of your teeth perfectly to give you the optimal results from your bleaching.  The process is quick and easy.  We will take impressions of your teeth using a dental impression material called alginate that is placed in a tray which is put in your mouth to create the exact impression of your teeth.  Then we will pour it into stone and fabricate your personal perfectly fitting bleaching tray which will minimize your exposure to the peroxide ingredients.

Dr. Machen is very experienced and knowledgeable in the field of tooth whitening.  In Missouri she led the legislation efforts to protect the public from unsafe teeth whitening procedures.  She did extensive research on the topic and the safety of peroxide solutions used for teeth whitening.  She presented this information at the Midwest Dental Conference in the spring of 2009 and she helped to write the bill that was eventually passed into law later that year.   She was recognized for her efforts by receiving a presidential citation from the president of the Missouri dental association.

 

Features

~ Whiten teeth fast, safe, and easy

~ Custom fabricated bleaching trays made in our office

~ Highly viscous gel stays in trays and on teeth

~ 20% Water in formula minimizes teeth dehydration

~ Potassium nitrate for lower sensitivity

~ Carbamide peroxide formula

~ Recommended application 30-60 min, but can be worn overnight

White Fillings (Composite Restorations)

Composite restorations are a plastic resin dental material used to restore tooth decay.  Composite resin dental fillings are commonly called “white fillings or tooth colored fillings”.  The composite material is a great choice for restoring teeth.  The composite resin dental fillings are strong, durable, and make for a very natural looking smile.

Crack in Tooth - Machen Family Dentistry in Idaho Falls

Before

Crack Restored with Composite Filling - Machen Family Dentistry in Idaho Falls

After

Leaky White Filling with Crack - Machen Family Dentistry in Idaho Falls

Before

Fixed Leaky White Filling with Crack - Machen Family Dentistry in Idaho Falls

After

Cavity Reduction Protocol

Cavities are caused by three main things: bacteria, a susceptible tooth, and a sugar source. We are attempting to control those factors so that we significantly reduce the cavities in your mouth. You have been prescribed Chlorhexidine and Sodium Fluoride gel.

The Chlorhexidine rinse is used to kill bacteria in your mouth. The Chlorhexidine rinse is to be used once daily for 2 weeks initially and then one week out of every four weeks after that. This is done preferably in the mornings. Swish with ½ ounce of the Chlorhexidine for one minute. Spit out the excess but do not rinse. Do not eat or drink for 30 minutes after swishing.

The Sodium Fluoride gel is used to strengthen and harden the teeth so cavities are more difficult to form. Place half an inch of Fluoride gel on your toothbrush. The Sodium Fluoride gel should be brushed on the teeth for one minute once daily. Spit out the excess but do not rinse. This is done preferably before bedtime. Do not eat or drink for 30 minutes after using the product. Please note that the products must not be used at the same time. They need to be separated by at least an hour.

To reduce the sugar, simply watch the amount of sugar intake and limit it as much as possible. Remember that it takes 20 minutes for a liquid sugar to clear the teeth and it takes 40 minutes for a sticky sugar to clear your teeth. It is recommended to continue using the products until you have a dental check up with a low cavity rate. Please call our office with any questions 208-552-0775.

Postoperative Instructions for Oral and Maxillofacial Surgery

General Instructions:

For the first 24 hours following surgery you should be as inactive as possible.  Use this day to care for your mouth and follow these instructions carefully.

  1. Keep the gauze firmly in place for 1-2 hours.  Do not change the gauze unless it is dislodged.  Frequent changing will only increase the bleeding.
  2. Do not rinse the mouth or spit for 24 hours.  After the first day, gentle rinsing with warm salt water and careful tooth brushing is important.
  3. For the first 2 days, limit your diet to mild liquids and soft foods:
  • Avoid carbonated beverages and alcohol
  • Avoid straws
  • Avoid “hot” liquids
  • Proper nourishment is important for healing.  Do not miss any meals.  Drink plenty of fluids.
  1. Do not smoke for 48 hours.
  2. Take pain medication as prescribed.  Following instructions for all medication accurately.
  3. Apply ice to the surgical area (30 minutes per hour) for 24 hours.  Then apply warm moist packs to reduce swelling starting the third day.
  4. Return to the clinic as requested.  If you have complications, please call the clinic or the emergency number listed.


You May Experience:

  1. PAIN

In the events you have some pain and the medicine prescribed for you does not give you relief, please contact the Machen Family Dentistry or, after clinic hours, use the emergency number.

  1. SWELLING

This may be from a number of causes but it is usually a natural reaction of the body to surgery on the oral cavity. If the swelling is extensive, accompanied by pain or continues to increase after the second day, please report to Machen Family Dentistry.

  1. BLEEDING

Cleanse your mouth with a gentle rinse of fresh water, then place folded gauze, over the area (do not use absorbent cotton).  Close your jaws tightly upon the gauze for at least 1-2 hours.  Do not become excited, but remain quiet with gauze in place. If the bleeding continues following removal of the gauze, please contact Machen Family Dentistry or, after office hours, call Dr. Machen on her cellular number 208-313-9908.  Often there is a slight ozzing of blood which when mixed with saliva may appear to be excessive bleeding.  Remain calm and treat as described in this paragraph.

  1. STIFFNESS

This, like the swelling is a natural reaction of your body to surgery.  You can help overcome the stiffness by opening your mouth very wide several times a day and applying moist heat to your jaw muscles.

  1. NUMBNESS

You may notice a persisting numb sensation following surgery of the oral cavity.  It is usually temporary in nature, and normal feeling will return; however, it is important that this numb feeling be reported to Dr. Machen.


Dry Socket Instructions:

Patients who follow their dentist’s “post-extraction” instructions will greatly reduce their chances of developing a dry socket.

In the event you do developed a dry socket, the dentist will placed a medicated dressing into the socket as treatment.

This dressing will help to ease and moderate the pain.