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You might have experienced painful morning headaches. Or have a partner or housemate who begged you to please keep those grinding noises down at night. Or perhaps you were unhappily surprised to find that your teeth had mysteriously become worn, loose, or cracked.

So you made an appointment at our West Chester office. And you learned that you needed a night guard designed to protect your teeth from the damage done by night time bruxism—that grinding and clenching which is hard on enamel, bad for teeth, and painful for jaws. Good work!

Your night guard prevents your teeth from making contact, saving teeth and enamel from injury. It distributes the pressure placed on your teeth, muscles, and bones when your jaws clench through the night. Bonus: it can reduce nocturnal noises caused by grinding.

Guards are available over-the-counter in general sizes, or a custom night guard can be created for you by Dr. Meuselbach. Custom guards are uniquely fitted to your teeth and jaw, and last longer than over-the-counter models. Whichever kind of appliance you choose, daily care is a must for a long and healthy partnership.

To make sure you get the best and longest use from your night guard, there are some easy steps to keep it in top shape when it’s off-duty.

• Keep It Clean

Plaque and bacteria can build up on your night guard just as they can on your tooth enamel. Rinse your guard in the morning and brush it gently. Ask Dr. Meuselbach about using toothpaste, because toothpastes, especially abrasive toothpastes, can scratch your appliance. And don’t forget to clean your case!

Every week, or as directed, your night guard will benefit from a more serious cleaning. Follow the instructions for your appliance, whether it’s using cleaning tablets, a soaking solution, or another recommended cleanser. Your dentist can suggest how, how long, and how often to treat your night guard to a deep cleaning, because using the wrong products or cleaning methods can damage it.

• Keep It Dry

Putting a damp night guard into a closed case, even a ventilated one, provides an ideal setting for bacteria growth. Before you put your guard away, give it time to air-dry on a clean surface.

• Keep It Safe

Once your guard is clean and dry, make sure it keeps its shape and stays intact by keeping it in its clean, dry case when you’re not using it. Night guards and their cases are no fans of sun, extreme heat, very hot water, or (gulp!) dishwashers. A misshapen, melted, or broken night guard should not be used. If your night guard is damaged, it’s time to call us.

Spending just a moment or two each day caring for your night guard will result in a long-lasting appliance and many hours of healthy and comfortable sleep. Your night guard is protecting you. Be sure to return the favor for a long and healthy dental partnership.

Did you know there are as many types of dental fillings as there are flavors of ice cream? Okay, maybe that’s an exaggeration. Still, when you visit the dentist with a cavity, there are many filling options. Most of us just sit in the chair, open our mouths, and let the dentist work his or her magic. But have you ever stopped to consider what the dentist is filling and restoring your decayed or broken tooth with?

Five types of dental fillings

There are five basic kinds of dental filing material. The dentist decides which type to use based on the degree of the decay, the cost of the material, and the type of dental insurance you have.

1. Dental amalgam, or silver fillings, have been used to fill cavities for more than 150 years. Dental amalgam is the most common type of dental filling. It's strong, durable, and less expensive than other types.
2. Composite fillings, or white fillings, are popular because the color matches the rest of your teeth. Composite fillings are a combination of resin and plastic. They are more aesthetically pleasing than silver fillings, but are also less durable.
3. Ceramic fillings are durable and visually appealing (tooth-colored), but they are expensive. They are made of porcelain and have been shown to be resistant to staining.
4. Glass ionomers are typically used on children whose teeth are still changing. Constructed from glass and acrylic, glass ionomers are designed to last fewer than five years. The benefit of these dental fillings is that they release fluoride, which protects the changing tooth from further decay.
5. Unless you’re a rock or movie star, gold fillings aren’t common. While a gold filling is durable, non-corrosive, and can last more than 15 years, it not only takes more than one dental visit to place, but, as you can imagine, it is expensive.

For more information about fillings, or to schedule an appointment with Dr. Meuselbach, please give us a call at our convenient West Chester office!

Dr. Meuselbach and our team at Robert Scott Meuselbach DDS understand that many of our patients have a fear of dentistry. You may be concerned about experiencing pain from sensitive teeth or routine procedures. General anxiety is also common. Do not put off visiting our West Chester office; we offer various types of sedation to take the pain and fear out of your dental procedure.

Nitrous Oxide Sedation

For many patients, nitrous oxide, combined with local anesthetics, will both provide pain relief and reduce anxiety. Nitrous oxide is beneficial because the dosage can be regulated during treatment and patients are normally capable of driving shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your procedure. You will not be able to drive yourself to the appointment. An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office that provides relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

If you experience higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide is started. This is also effective for reducing anxiety regarding the injection of local anesthetics. A liquid medication followed by nitrous oxide is beneficial for children. This combination can produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure is complete. An injection, pill, or liquid medication can be offered to reduce anxiety before intravenous sedation begins. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Do not hesitate to ask Dr. Meuselbach about receiving sedation or pain prevention when you visit. We will be glad to explain the options we have available and answer all your questions to ensure that your exam is pleasant for you.

As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our West Chester practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

• It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

• It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

• It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

• It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give Dr. Meuselbach a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!