Valley Neighborhood Dental Center is a Palmer based family dentist practice that treats patients of all ages. We are committed to delivering the highest quality dental care and do so using advanced dental equipment. We are a cosmetic dentist that offers services like checkups, teeth cleaning, crowns, veneers and more.

Dr. Josh Giauque finds joy in creating with his hands and sees each clinical case as a unique merging of science and art. He believes that healthcare is founded in prevention and in the cultivation of healthy habits. Dentistry runs in his family. In 1975 his Father opened his practice in Salt Lake City, where his Brother now operates Giauque Family Dental.

Dr. Josh has a diverse resume, ranging from Ski & Snowboard Instructor, to Virology Lab Technologist, to Dentist with a Masters in Public Health. He has been involved in several humanitarian efforts, including a 2 year mission in NorthEast Brazil.

Staying active is important to Dr. Josh and influences his approach to healthcare. You will often hear him encourage patients to exercise regularly and eat healthy and nutritious foods. When he is not in the office, Josh enjoys recreating outdoors with his family. He can regularly be found on the snow, riding singletrack, or chasing fish with his fly pole.

Dr. Rex Malcom was born and raised in Georgia, not far from Atlanta. He began his professional career as a Pharmacist after graduating with a Doctor of Pharmacy degree from the University of Georgia. During pharmacy school, he completed an externship with the Indian Health Service in Sitka. His time there created a strong desire to return to Alaska. After marrying his wife Angela in 1999, and a few years practicing pharmacy in Georgia and South Carolina, his young family decided to make the move to Anchorage. His son was 10 months old at the time.

After 7 years in Anchorage, and with a new daughter, Dr. Malcom made the decision to pursue a long time goal of returning to school to be a dentist. Along with his family, he moved to Kentucky to attend the University of Louisville where he received a top-rated dental education. Upon completing dental school, he returned to Alaska where he is delighted to be practicing.

Dr. Malcom loves practicing dentistry. He enjoys the ability to improve the oral health of patients as well as the esthetics of their smile. He is thrilled that he is able to combine his pharmacy background with the practice of dentistry when talking with patients about medications and health conditions that may be affected by their oral health. It is a passion of Dr. Malcoms to help people understand the connections between oral health and total body health and how the treatment of oral health may lead to improved overall health.

Dr. Malcom is well trained in many facets of dentistry including emergency dentistry, cosmetic dentistry, crown and bridge work, Invisalign, endodontics, removable prosthetics (dentures and partials), as well as implants, extractions, and fillings.

Away from the office Dr. Malcom and his family, like to take advantage of all of the outdoor opportunities that our great state offers. His activities often revolve around church, his familys remote cabin, and recreation sports where he is often found coaching his children.

Clear orthodontic aligners have been growing in popularity for many years. One of the most recognizable brands is Invisalign. Invisalign is a form of orthodontics that uses clear tray aligners to straighten the teeth instead of the traditional mouthful of metal wires and brackets.

Invisalign uses clear tray aligners instead of metal wires and brackets to straighten teeth. The aligners are constructed of a solid piece of plastic strong enough to shift the teeth and move them into the correct position. Every one or two weeks, the patient receives a new tray with an updated aligner. Each tray will feel slightly different as it shifts and moves the teeth.

The idea of using removable aligners to adjust the teeth is not a new concept. The idea was first introduced in the 1940s. Additional improvements were made through the decades, though the technology did not improve until the 1990s. The creators of Invisalign developed their mass-market system in 1999.

Once the aligners have been made, our staff will make sure they fit well, answer any questions, and go over the treatment plan. Patients will be expected to wear the aligners for 20 to 22 hours a day to get results. Regular checkups with Valley Neighborhood Dental Center will make sure treatment stays on track. Our staff will determine how often new aligners are needed.

After the desired results have been achieved, the patient may be expected to wear a retainer to maintain those results. This will prevent teeth from gradually shifting back to their initial position. Our doctor will provide specific instructions on how often a retainer will need to be worn.

Invisalign is not without its pros and cons. Thanks to the fact that they are next-to-invisible, both teens and adults can avoid the discomfort and self-consciousness of traditional metal braces. Many patients also appreciate that they can take Invisalign aligners out to eat, brush and floss, or for social situations.

However, since they are removable, they are more likely to be lost or broken. Patients also need to be careful about what they drink when their aligners are in. Anything but water should be avoided. Liquids can seep into the plastic and stay there until the aligner is removed. This can lead to staining of the aligner and even tooth decay.

It is essential to use and care for Invisalign aligners appropriately to have a good orthodontic outcome. For Invisalign to work, the aligners have to be worn for the recommended number of hours a day. Patients should try to limit the number of times they remove the aligners since it will not take long to exceed the time they can be left off.

Patients should always rinse the aligners when they are removed. Bacteria and plaque can easily attach to them, which can cause an unpleasant odor and sticky feeling on the teeth. Aligners should be cleaned with a clear and unscented antibacterial soap. If patients use toothpaste to clean the aligners, they should make sure that it is not a brand with whitening agents, as these can wear away the plastic.

Proper oral hygiene is essential at any time, but it is a bit easier when using Invisalign versus traditional braces. Food and plaque can get trapped in conventional braces' metal brackets and can be tough to brush. Since Invisalign aligners can be removed, it is simple to brush and floss and replace the aligners when finished.

Only a dentist can reasonably predict the length of the Invisalign treatment time. The severity of the condition, how well the patient adheres to the treatment plan, and age are all factors. On average, it takes less than two years to see results. The treatment time for teens is typically a little shorter than adults.

Following all the recommended guidelines will ensure patients do not extend the treatment time. Patients need to switch trays on schedule and talk to our staff if there are any concerns. If the aligners are not worn for the recommended time, the teeth may start to shift back to their original positions.

A. Invisalign is an orthodontic technique that uses clear, plastic aligners to straighten the teeth. The aligners are created from a custom mold of the patients mouth, and new aligner trays are provided at specific intervals as part of the treatment process. Valley Neighborhood Dental Center will develop the treatment plan and monitor the process.

A. Since Invisalign aligners are clear, patients can avoid the unsightly look of a mouth filled with metal brackets and wires. They are also more comfortable to wear and allow the patient fewer restrictions on foods they can eat. Since they are removable, it is easier to brush and floss your teeth.

A. Treatment, on average, takes less than two years but can vary depending on the patients specific concerns. Aligners must be worn for 20-22 hours a day to see results. If a patient does not wear the aligners for the recommended amount of time, treatment results will take longer.

A. Unlike traditional metal braces, Invisaligns clear aligners do not rub and poke at the soft tissues of the mouth. Patients can expect to feel some sensitivity for a day or two when a new set of aligners are put in. This means the teeth are shifting and the aligners are working. Any discomfort should go away quickly.

A. Aligners should be cleaned with a clear and unscented antibacterial soap or toothpaste. If using toothpaste, make sure it is not a brand with whitening agents, which can wear away the plastic. Always brush and floss after meals before putting the aligners back in the mouth. This helps keep food particles from getting stuck, which can lead to bacteria growth and bad breath.

A. If you eat with the aligners in place, make sure to avoid hard foods like raw carrots and sticky foods like gum. Hard and sticky candies should also be avoided. You will also want to avoid drinking anything other than water when the aligners are in place. Coffee and tea can stain the aligners, while soda has acidic properties that can break down the plastic.

By visiting us as soon as possible, our team can help get you the professional treatment you need. Instead of waiting around and allowing the symptoms to get worse, we can provide you with treatment options.

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