Understanding Tooth Loss: Common Risk Factors and How to Protect Your Smile

By: Dr. Elizabeth Eggert

No one wants to lose their teeth. Unfortunately, many people lose at least one adult tooth in a lifetime for a variety of reasons. But, seeing as it can impact both oral health and quality of life, it is helpful to understand the factors that contribute to tooth loss in order to adopt proactive strategies that help you maintain a healthy smile for years to come.

Let’s explore the common risk factors associated with tooth loss, as well as some practical tips on preventing tooth loss. We’ll also take a look at the various treatment options available at Eggert Family Dentistry to restore and replace missing teeth.

What Is Tooth Loss?

Tooth loss refers to the condition in which a person loses one or more of their natural teeth. Tooth loss can have significant effects on a person’s oral health, as well as their ability to bite, chew, and speak properly. It can also impact one’s self-esteem and overall quality of life. Treating and preventing tooth loss is important not only for maintaining a healthy smile, but also for preserving oral function and overall well-being.

Common Causes and Risk Factors of Tooth Loss

  • Gum Disease: Gum disease, also known as periodontal disease, is a common risk factor for tooth loss. When plaque and tartar build up along the gum line, bacteria can infect the gums, leading to inflammation and loss of the supporting bony structures for the teeth, eventually causing tooth loss if left untreated.
  • Cavities (Tooth Decay): Untreated tooth decay can result in cavities, which, when left untreated, can progress and reach the inner layers of the tooth. Severe tooth decay can cause tooth infection or abscess, leading to tooth loss.
  • Teeth Grinding: The habit of grinding or clenching teeth, known as bruxism, can exert excessive pressure on the teeth, leading to enamel wear, fractures, and tooth loss over time.
  • Injury or Trauma: Accidents, sports injuries, or other forms of trauma to the mouth can cause immediate tooth loss, or damage that may eventually lead to tooth loss if not promptly treated.
  • Dry Mouth: Saliva plays an important role in neutralizing acids, remineralizing teeth, and washing away bacteria. Not having enough saliva in the mouth increases the risk of tooth decay and gum disease, which can ultimately lead to tooth loss.
  • Diabetes: Poor blood sugar caused by uncontrolled diabetes weakens the immune system. A weak immune system will find it harder to fight off infections of the gums, accelerating gum disease and potentially leading to tooth loss.
  • Smoking: Tobacco use significantly increases the risk of gum disease by reducing blood flow to the gums, making smokers more susceptible to tooth loss.

How to Prevent Tooth Loss

Hygiene Habits

Make sure you brush and floss and floss your teeth regularly. That means brushing at least twice a day and flossing at least once a day. Additionally, make sure you’re maintaining a regular schedule of dental appointments with Eggert Family Dentistry so Dr. Jeff Eggert and Dr. Elizabeth Eggert can monitor your oral health.

Lifestyle Choices

It should come as no surprise that you need to avoid tobacco consumption in all forms if you want to have a healthy mouth. Other lifestyle changes might include wearing a night guard for bruxism, consuming fewer sugary/acidic foods and drinks, and talking to your medical doctor about treatments for diabetes or high blood pressure to make sure your overall health is being taken care of.

Protective Measures for Sports

If you or a loved one engage in any kind of contact sports, mouth guards are a must. A properly fitted mouthguard can protect your teeth from trauma and prevent tooth loss if an accident happens. Additionally, if your sport allows it, wear a helmet! [DO WE HAVE A PREVIOUS MOUTHGUARD BLOG YOU COULD LINK HERE?]

Treating Tooth Loss

Thanks to modern dentistry, tooth loss doesn’t have to be permanent! At Eggert Family Dentistry, we can recreate the look and feel of your natural teeth using implants or dentures.

Implants are anchored in the bone and they help preserve bone mass in the jaw. Once they are established, you can care for them just as you would your normal teeth, with brushing and flossing. The feel of chewing and speaking will all feel completely familiar. Implants are built to last a lifetime, and they almost always do.

Bridges use the neighboring teeth as anchors to fill in a “tooth” where the natural tooth is missing. Bridges can be a good option if the neighboring teeth also need reconstruction or if the bone isn’t healthy enough for an implant.

Dentures or Partial Dentures are another solution and can be less expensive than implants, however, they may need to be replaced multiple times in a lifetime as the shape of the jaw, mouth and adjacent teeth change over time.

Suffering from Tooth Loss?

If you’re experiencing tooth loss, booking an appointment with Eggert Family Dentistry can be the first step towards restoring your smile. With our compassionate care and expertise, Dr. Jeff Eggert or Dr. Elizabeth Eggert will evaluate your oral health and determine the best treatment options for you. Whether it’s dental implants, bridges, dentures, or other restorative solutions, we can tailor a treatment plan to meet your unique needs. Give us a call today at (651) 482-8412!

Full Mouth Reconstruction: The Importance of Treatment Planning

By: Dr. Elizabeth Eggert

Whether you’re dealing with extensive tooth loss from injury or aging or severe tooth decay, if you have an array of dental issues that have been causing you problems, you may be a candidate for a full mouth reconstruction. 

A full mouth reconstruction is a comprehensive dental treatment that involves restoring or replacing all of the teeth in a patient’s mouth. This process usually includes a combination of restorative, cosmetic, and orthodontic or surgical procedures to address a variety of dental problems, such as missing teeth, tooth decay, gum disease, and bite issues. 

As with all complex processes, it’s imperative to plan your course of action ahead of time if you want the best outcome. For a full mouth reconstruction, Eggert Family Dentistry provides quality treatment planning which involves careful assessments, diagnosis, and treatment. 

Let’s take a look at the importance of treatment planning for a full mouth reconstruction:

1. Getting an Accurate Diagnosis and Assessment

Treatment planning for a full mouth reconstruction starts with a comprehensive dental examination as part of our Records Process. The Records Process includes gathering x-rays, photographs, and impressions of the teeth and gums. The examination will allow Dr. Jeff Eggert and Dr. Elizabeth Eggert to take note of any bite issues, jaw problems, or esthetic concerns. With this information, we can then make an accurate diagnosis that will help us develop a treatment plan that meets your specific needs and goals.

2. Creating a Customized Treatment Plan That Meets Your Unique Needs

Because every patient’s dental needs and goals are unique, there’s no one-size-fits-all approach to a treatment plan for a full mouth reconstruction. A customized treatment plan will be developed based on your dental assessments and preferences. 

At this stage, Dr. Jeff Eggert or Dr. Elizabeth Eggert will provide a detailed explanation of why we recommend a certain course of treatment and what it involves. This plan will outline the recommended procedures and expected timeline for completion. We will review the entire treatment plan with you, including follow-up visits, and provide you with instructions to support your treatment plan at home. During this stage, we may also create a dental mock-up, or a 3-D model of your smile that will show you the expected outcome of your treatment.

3. Taking A Comprehensive Approach to Treatment

A full mouth reconstruction typically involves multiple dental procedures, such as dental implantscrowns, bridges, and veneers. Oftentimes, ways to improve the bite, like splint therapy or orthodontics may also be indicated. Dr. Jeff Eggert or Dr. Elizabeth Eggert will work to improve the overall look of your smile. The entire treatment will likely take multiple office visits. 

4. Minimizing Treatment Time and Cost

Treatment planning for a full mouth reconstruction is essential for minimizing treatment time and cost. By carefully outlining the procedures and optimizing their outcomes, we can reduce the number of visits needed and the duration of the treatment. Additionally, a detailed treatment plan will help you understand the cost of each procedure and plan accordingly, avoiding unexpected expenses.

5. Creating a Better Patient Experience

Treatment planning for a full mouth reconstruction is critical for ensuring a better patient experience. A comprehensive approach that addresses prior dental issues and meets all your goals will help minimize pain, discomfort, and anxiety during the treatment. Additionally, a detailed treatment plan will help you understand the process, prepare for the procedures, and have realistic expectations about the outcome.

Let the Experts at Eggert Family Dentistry Plan Your Treatment

At Eggert Family Dentistry, we understand that quality treatment planning is crucial for a successful full mouth reconstruction. If you’re considering a full mouth reconstruction, it’s essential to work with a qualified and experienced dentist who can develop a detailed treatment plan and guide you through the process. If you’re interested in talking to Dr. Jeff Eggert or Dr. Elizabeth Eggert about a full mouth reconstruction, contact us today or give us a call at 651.482.8412. We look forward to creating a plan to achieve your healthiest, most beautiful smile! 

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Advantages of the All-on-4® Treatment

By: Dr. Elizabeth Eggert

When our patients have many teeth that have been extracted or are severely jeopardized, Dr. Elizabeth and Dr. Jeff have an advanced, convenient and very natural solution to offer. It’s called All-on-4® treatment and it’s a simple, streamlined way to restore a full arch of teeth.

What do we mean by a full arch of teeth? This refers to a full set of teeth on the upper and/or lower jaw. Full dentures have traditionally been the solution for replacing all teeth of an arch, but advances in implants have enabled improved technology such as the All-on-4® technique.

All-on-4® treatment is kind of like a hybrid between implants and dentures. Instead of replacing each tooth individually by sinking an implant, we place four (possibly more) implants. These implants serve as the anchor for a single restoration unit which is basically a series of replacement teeth all attached in a row, like dentures.

This way, you get the best of both worlds. The simplicity of installing a series of consecutive teeth at once, like a denture, is combined with the convenient permanence of implants, not to mention rock-solid anchorage like you have from your natural teeth.

This means that you don’t have to worry about your restoration falling out or slipping, as can happen with dentures. Your restored mouth will function just like it was born to do. You can eat anything you like, and you simply brush, floss and clean your teeth as you would your natural teeth (although adding a Waterpik can be helpful).

Temporary Provisional Teeth

With this type of implant technique, we can usually install a temporary set of provisional teeth on the implants on the same day they are installed. This means you will leave our oral surgeon’s office with a smile you can be proud of right away. After the jaw bone integrates to the implants securely, we’ll swap out the temporary set for an even stronger and more life-like final set and you can expect decades of low-maintenance service from your restoration.

Why Choose the All-on-4® Treatment?

The All-on-4® technique has a lot of benefits. In addition to what we mentioned above, consider these factors:

  • Fewer implants are required when anchoring the All-on-4®. This means less time in the dental chair, less discomfort, and lower costs.
  • The four implants referred to in the name of the procedure refer to two implants secured perpendicularly to the jawbone and two implants secured at a 45-degree angle. Being placed at an angle gives these second two implants greater traction, so bone grafts are not typically necessary.
  • Loss of teeth and the accompanying reduction of jawbone stimulation can cause bone loss. That’s why some denture wearers have a sunken appearance to their cheeks. However, dental implants stimulate bone growth which helps preserve the integrity of your jaw bone for a more youthful appearance.

The All-on-4® dental implant technique is a long-term solution that will improve your smile and your oral function for many years to come.

If you’ve been dreading getting multiple implants, maybe an All-on-4® is the solution for you! Talk to Dr. Jeff or Dr. Elizabeth about your priorities in terms of dental reconstruction. We’ll be happy to talk through all your options to ensure that you choose the treatment that best suits your needs. Call us today at 651.482.8412 to schedule your next appointment.

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A Full Mouth Reconstruction – Mike’s Story

By: Dr. Elizabeth Eggert

How Did this Start?

Mike had been a long-term patient of Dr. Furey when Dr. Elizabeth took over his care in 2016. Up to that point, Mike had talked with Dr. Furey about the need to restore his mouth due to the severe erosion that was occurring throughout. Starting in 2016, his canines were starting to decay in addition to the erosion weakening the tooth structure. Mike was also starting to have pain on a lower left tooth due to an infection in his tooth. Mike’s case had a lot involved because we were not only dealing with erosion, but his bite and jaw anatomy have likely been contributing to the erosion on his teeth. This meant that the most predictable way to restore him back to health would involve jaw surgery and restoring all his teeth.

Mike had long been functioning with a deep bite meaning that his tongue and airway were working with space restrictions. It is thought that oftentimes deep bites will increase acid production in the mouth and be a source for erosion. Mike had previously been diagnosed with sleep apnea and had been using a CPAP machine for many years. Sleep apnea is often caused, at least in part, by a restricted airway.

What Did Mike Want?

Mike stated his goals for his teeth were “that they work and I don’t lose them.” He was noticing jagged edges and that his upper canines were especially worn. He thought the wear was due to the fact that he caught himself grinding his teeth during the day and night. He didn’t realize that the erosion may be part of a larger whole health issue. Mike had many options to consider and while he understood that jaw surgery may be the best way to improve his overall airway, in the end he decided against surgery. This meant that Mike needed to open up his deep bite and complete restorations on all of his teeth.

What Was Involved?

In order to open up Mike’s bite, a laboratory wax-up was completed. This helped create a “blueprint” of how the teeth would look with the new restorations. After Mike approved the wax-up, he started by getting his infected tooth extracted. This allowed some time for healing before an implant was placed in that same area. Mike’s progress was slowed up somewhat due to complications he had with his heart and having to undergo surgery, as well as the COVID shut-down, however, after 4 years, Mike was finally on his way to protecting his teeth with new restorations.

All of his teeth were worked on and prepared for crowns or veneers. Mike underwent preparations of the upper teeth one day and of the lower teeth another day. He spent time in temporary crowns and had to start getting used to his new bite. At first, he said “it feels kind of like a mouth full of marbles.” But, then as his muscle adjusted, he thought his bite felt good.

What Does Mike Think?

Before he started his treatment Mike stated he was “apprehensive about it.” The work in general made him apprehensive. It was a big decision, but he understood that his teeth were at severe risk if nothing was done. He did not want to “lose all those teeth.” Mike reports now he is “very happy with the results and I like them a lot!” He likes having the smooth surfaces of his new crowns rather than the rough, sharp edges from the erosive wear pattern on his natural teeth. He admits that he wishes he would have done the work sooner and that it hadn’t taken him so long to make a decision. If talking to someone considering getting this type of treatment done, he would tell them to “do it sooner than later. Be patient and follow the recommendations given by Dr. Elizabeth.”

Mike’s final results are an improvement in that he doesn’t have such a deep and restricted bite and the enamel that was eroded away has been replaced by strong porcelain. Unfortunately, without undergoing jaw surgery, Mike’s teeth will still be at risk due to jaw movements Mike makes to keep his airway more patent. Mike will still have to maintain his treatments for sleep apnea and he will likely still have dental work to do in the future should his teeth break down the road. Mike’s case is a good example of why we like to take time with kids and teenagers, making sure they are developing adequate room in the mouth for a good airway and skeletal structures, trying to prevent compromise before it occurs!

Full Mouth Reconstruction, Explained

FULL MOUTH RECONSTRUCTION, EXPLAINED

At Eggert Family Dentistry, our comprehensive approach means that we focus on your overall oral health. Instead of regarding your teeth in isolation, we take a holistic and comprehensive perspective on how your mouth functions as a whole, and how it functions in relation to your whole body.  

In some cases, patients exhibit a constellation of issues that are best resolved by a full mouth reconstruction. This typically is caused by trauma to the jaw or teeth, significant decay, long-term erosion from acid or tooth grinding, or long-term structural issues such as a misaligned bite. 

In these cases, restoring and rebuilding all of the teeth in both the upper and lower jaws may be the best strategy. 

A full mouth reconstruction is likely to involve a number of phases and specialties, including:

  • General or restorative dental procedures such as crowns, bridges, and veneers with Dr. Jeff or Dr. Elizabeth
  • Periodontal attention to the gums
  • Oral surgery
  • Orthodontics to address tooth movements and positions

What to Expect When Considering a Full Mouth Reconstruction

When you are considering a full mouth reconstruction, here’s what you can expect at Eggert Family dentistry. 

We’ll start by doing a detailed evaluation of your muscles, jaws and teeth, and their relationships with each other. We’ll talk about all health considerations relating to your mouth, including information about sleep and airway, and we’ll ask you about your esthetic goals. Next, Dr. Elizabeth or Dr. Jeff will take you on a tour of your mouth, explaining different treatment options. They’ll explain everything carefully and answer questions so you can make excellent decisions, and together we’ll come up with a treatment plan.

These are the kinds of procedures that are often part of a full mouth reconstruction:

  • Initial deep cleaning of your teeth and gums. 
  • Ensuring a stable bite so your restored teeth will not suffer undue wear. This might require orthodontics or a bite reprogramming orthotic/splint. Your occlusion, or how your teeth contact, must be addressed before we perform additional restorative procedures.
  • Tooth restorations, which can include porcelain veneers, crowns, inlays or onlays, bridges, and implants.

A Big Commitment with Big Rewards

A full mouth reconstruction is an ambitious endeavor with huge rewards. Many patients feel transformed when treatment concludes and they have an attractive smile and a healthy mouth, free of pain or discomfort. In many cases, even severe TMJ (temporomandibular joint disorder or TMD) pain can be relieved by the comprehensive approach and comprehensive reconstruction. 

This treatment is a long-term project, involving multiple visits, but Dr. Elizabeth and Dr. Jeff are happy to walk you through every aspect of your treatment plan, so you have a very clear idea of the timeline and what to expect. 

If you are experiencing ongoing pain or discomfort in your mouth or jaw, or if you want a new improved smile which you’re excited to share with people, or if your teeth are broken down and need to be rebuilt, please contact Dr. Jeff or Dr. Elizabeth at Eggert Family Dentistry, 651-482-8412. We love to help people experience the transformation in oral health and confidence that can accompany a full mouth reconstruction.

Full Mouth Reconstruction – Am I a Candidate?

By: Dr. Elizabeth Eggert

There are times when, even with diligent touch-up work throughout the years, a person could truly benefit from full mouth reconstruction. This reconstruction process involves restoring all the teeth in both the upper and lower jaw and oftentimes correcting the bite and healing the gums. At Eggert Family Dentistry, when we undertake full mouth reconstruction, we work closely with periodontists, oral surgeons, orthodontists and endodontists as needed to achieve optimal results for our patients.

Who is a candidate?

If you’ve experienced tooth loss, decay or trauma to your teeth, have teeth that are worn down from years of acid erosion or teeth grinding, jaw, muscle or head pain that stems from improper positioning of the jaw and ultimately want to improve the aesthetic of your teeth and regain your confident smile, you may be a candidate for full mouth reconstruction.

Some of the procedures involved

Each patient is different and maintains a unique set of dental challenges. On this account, each treatment plan is unique as well. However, all of our patients maintain one common goal: to achieve a healthy, comfortable and attractive smile.

At Eggert Family Dentistry, we start by thoroughly evaluating your specific dental situation. We inspect teeth, gums, muscles and the jaw. We do this through the use of impressions, photos and x-rays. Is your bite even or is it uneven and uncomfortable, causing wear and deterioration of your teeth? Which teeth are cracked, worn or in need of repair? Do you have any missing teeth? How about your gum health – is there any sign of periodontal disease?

Dr. Eggert then puts together a comprehensive “tour” of your mouth and walks you through different treatment options. If a full reconstruction is warranted, treatment may include procedures such as veneers, crowns, fillings, inlays, onlays, scaling and root planing, orthodontic attention for bite correction…the list goes on.

If you decide to proceed with a full reconstruction, Dr. Eggert will refer you to any specialists that will be involved in your case, confer with them on their findings and create a step-by-step treatment plan to correct all dental issues and accomplish your reconstruction.

The results

This process can take 12 months or more as it requires a series of appointments – often with a handful of dental professionals – but the results of full mouth reconstruction cannot be underestimated! Your investment in dental wellness will vastly improve your oral health and boost your self-confidence. You really can be comfortable in your own skin and have a smile you want to share!

Richard, one of our patients at Eggert Family Dentistry, is a testimony to the power of a reconstructed smile! Read his story here.

If you’re intrigued by the idea of full mouth reconstruction and think you may be a candidate, we would be happy to sit down with you and discuss your individual needs. We can be reached at 651.482.8412.

Hudson’s Composite Bonding Success Story: Congenitally Missing Teeth

By: Dr. Elizabeth Eggert

A wisdom tooth that never grew in is a good thing—one less tooth to remove! However, being a child with a missing front tooth is quite a different story. Teenage years are often difficult enough without having to worry about appearance. With the emotional roller coaster of being a teen, we need to give our children any excuse to smile!

A congenitally missing tooth is one of the most common dental developmental abnormalities. In fact, roughly 20 percent of adults have at least one tooth that never developed.

Why is that number so high? Well, we’ve all heard of that person who didn’t develop all, if any, wisdom teeth. If you take wisdom teeth out of the picture, the percentage of adults with congenitally missing teeth drops to only 5 percent. Other permanent teeth we see missing are second premolars, upper lateral incisors, and lower central incisors.

Hudson’s Success Story

Hudson Before
Hudson’s Smile Before

Hudson is a 17-year-old patient of ours who never developed his upper lateral incisors. Typically, implants are the treatment of choice to replace missing teeth like this. The golden rule for teenagers is to proceed with implant placement once skeletal growth is complete. Early implant placement, at a time of continuing growth, can lead to unaesthetic final results.

Hudson wore traditional braces to improve and even out the spacing to allow room for implants once skeletal growth is complete. But, what could be done now for Hudson?

Dr. Elizabeth recommended composite bonding, which should last many years and give Hudson a fixed option to replace the missing teeth and keep his teeth from shifting. To even out Hudson’s symmetry, resin composite bonding material was added to his six front teeth to create a natural-looking smile that he can confidently wear until it’s time for implants. Hudson loves his new smile!

Hudson After
Hudson’s Smile After

Don’t let missing teeth affect your confidence. Contact us today to discuss treatment options.

Hudson Before and After
Hudson’s Smile Before and After

How a Smile Impacts Confidence – Richard’s Story

By: Dr. Elizabeth Eggert

How did this start?

Richard came to us first as a new patient last winter needing comprehensive care and a restorative plan to fix teeth that were breaking down. At the time of his first exam, Richard had many teeth throughout his mouth that had lost fillings, fractured or cracked and he knew things were starting to break down. Dr. Elizabeth also noted a decent amount of decay contributing to the breakdown and we recommended Richard go through our records process so that she could delve deeper into underlying causes behind his lost fillings, cracked, and broken teeth.

Eggert 1

What did Richard want?

What did Richard want? Richard had noticed his teeth were starting to break down. He was losing fillings and his teeth were breaking. Prior to seeing Dr. Elizabeth, Richard would “patch” his teeth when things were broken, but he wanted to take a more comprehensive approach to prevent further damage. He wanted to have his teeth healthy again. Specifically, Richard wanted his teeth to function better for him long into the future. He had many broken teeth, decayed teeth, and wanted to know what he should do.

What was revealed during the records process?

Dr. Elizabeth used models, photos, and x-rays of Richard’s teeth along with our thorough muscle and joint evaluation results to present Richard with the current health of his teeth, gums, and the function of his jaw and muscles. The details of the records process revealed that in addition to the decay, the position of Richard’s teeth caused him to bite down unevenly. This was accelerating the breakdown of his teeth. This deterioration was negatively impacting both the esthetics and function of his teeth. It was hard to get Richard even to smile. Richard needed a full mouth reconstruction to rebuild what had broken down and bring his teeth back to a healthier state.

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What does Richard think?

“I think the process is amazing. You guys have been the most impressive part about this process – making something that isn’t pleasant a fun thing to do. I would most certainly recommend Dr. Elizabeth and her team if someone I knew was considering getting this done.”

Look at how Richard smiles more easily now. It is amazing how a smile can change your confidence!

Full Mouth Reconstruction – Tim’s Story

By: Dr. Elizabeth Eggert

How did Eggert Family Dentistry meet Tim?

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Before After

Tim came to us as an established patient at one of his routine exams. He was experiencing increasing tooth sensitivity and pain throughout his mouth. He had noticed his teeth had become shorter over the years. Dr. Elizabeth noted excessive wear throughout his mouth and recommended Tim go through Dr. Eggert’s records process so she could delve deeper into the underlying causes behind his cracking, breaking, and sensitive teeth.

What did Tim want?

Tim had noticed a lot more wear in the last decade and wanted healthy and comfortable teeth again. He also wanted better-looking teeth. Specifically, Tim wanted his teeth to be whiter, more even, and to function better. He had many worn teeth, and wanted a comprehensive plan for restoring them.

 What was revealed during the records process?

Dr. Elizabeth used models, photos, and x-rays of Tim’s teeth along with our thorough muscle and joint evaluation to present Tim with the current health of his teeth, gums, and the function of his jaw and muscles. The details of the records process revealed the position of Tim’s teeth caused multiple interferences. He was biting down unevenly, causing the breakdown of his teeth. Dr. Elizabeth was also suspicious of the severe acid erosion of Tim’s enamel. This deterioration was also negatively impacting both the look and function of his teeth. Tim needed a full mouth reconstruction to rebuild what had broken down. 

What does Tim think?

“I’m very happy with everything. The sensitivity is completely gone and they look great! It has changed my life because I don’t have to hurt, and of course you feel better when you have a nice smile. My wife and my mom both love them! I would tell anyone who was considering getting something like this done to do it, and I would tell them to come to Dr. Elizabeth Eggert.”