Tag: Oral Cancer

Over-the-Counter vs. Professional Teeth Whitening

The relatively low cost of teeth whitening combined with its track record of proven results makes it a popular choice. In 2018, over 40 million Americans whitened their teeth – either at home or professionally. But are all teeth whitening methods created equal? Let’s explore the facets of both so you can decide which method is right for you!

Over-the-Counter Teeth Whitening

Strips: Because hydrogen-peroxide coated strips can be purchased for under $40, they are a popular go-to for people who are looking for whiter teeth. However, the strips do not provide excellent coverage for the crevices of teeth and the part of the teeth along the gum line and in between the teeth may be missed. Extreme tooth sensitivity is common and they only whiten teeth from two to four shades.

Toothpaste/Mouthwash/Gum: While these are certainly the most affordable option, they are best used in combination with other methods as they only whiten teeth by removing surface stains and typically the results aren’t very noticeable.

Professional Teeth Whitening
At Eggert Family dentistry, we offer KöR Whitening Deep Bleaching, Zoom Whitening, at-home trays with Opalescence bleach, and convenient Opalescence Go!.

KöR Whitening Deep Bleaching: The most reliable and effective bleaching system on the market, KöR restores your teeth’s ability to absorb oxygen and can whiten teeth up to 16 shades! The oxygen from the whitening gel is absorbed deep into the tooth, dissolving stain molecules and changing how the tooth reflects light. Most people experience little or no sensitivity with this treatment.

Zoom Whitening: Zoom Whitening is performed in a single, two-hour appointment and lightens teeth anywhere from 4-10 shades! Professional whitening gel is applied to your teeth and activated by an LED light which helps the gel penetrate into the teeth. Follow-up includes sensitivity management with a special gel and at-home whitening trays.

At Eggert Family Dentistry, we also offer our patients professional, at-home bleaching trays that use carbamide peroxide bleach, a much more stable and higher concentration bleach than what is typically found in OTC hydrogen peroxide options.

Opalescence Go! is similar to some over-the-counter products, but at a higher concentration than most options and comes with a convenient tray and strip application process, helping to better address the nooks and crannies.

Prior to all of our whitening treatments, we will assess the best bleaching system for you during an office visit with Dr. Elizabeth or Dr. Jeff and a thorough professional cleaning with one of our hygienists.

If you’re interested in whitening your teeth and would help choosing the best route for you, Dr. Elizabeth Eggert or Dr. Jeff Eggert would be more than happy to speak with you. They can be reached at 651.482.8412.

Tooth Discoloration: Causes and Prevention

By: Dr. Elizabeth Eggert

Tooth discoloration can be an embarrassing situation that often leaves people feeling self-conscious and trying to stifle their smiles. Discoloration can be categorized as extrinsic or affecting only the surface of the tooth, intrinsic or affecting the inside of the tooth or age-related – discoloration that occurs as enamel wears away over time. Tooth discoloration can appear yellow, brown, grey, white, black or purple, depending on the cause. Let’s take a look at some culprits of tooth discoloration, how to remedy it and how it can be prevented.

Causes of tooth discoloration

There are several causes of tooth discoloration. A few of them include:

Foods: Highly pigmented foods such as tomato-based sauces, chocolate, berries and beets can cause yellow or brown discoloration.

Beverages: Beverages that contain tannins, such as coffee, tea and red wine can cause a yellow, brown or purple tinge.

Tobacco products: Cigarettes, cigars and chewing tobacco can result in brown or dark yellow teeth.

Aging: Tooth enamel wears away over time, exposing the inner layer of the tooth (called dentin) and leaves behind a yellow appearance.

Antibiotics: Tetracycline stains the enamel of unerupted teeth, resulting in a banded grey or brown appearance.

Injury: Blood flow can be cut off to a tooth, causing it to turn grey.

Teeth whitening

There are a couple of options when it comes to teeth-whitening.

Over-the-counter whitening: Options include whitening strips and toothpaste/mouthwash. These whitening options are thought to be affordable, however, results are subtle as teeth only whiten an average of 2 shades. Over-the-counter whitening strips can also result in significant tooth sensitivity. These methods are best used in combination with another professional whitening method.

Professional whitening: At Eggert Family Dentistry, we offer four whitening optinos – KöR Whitening Deep Bleaching, Zoom Whitening, at-home trays with Opalescence bleach, and Opalescence Go!:

        • With the KöR Whitening Deep Bleaching method, oxygen from the gel is absorbed into the tooth, produces little or no sensitivity and can whiten teeth up to 16 shades!
        • Zoom Whitening is performed in a single two-hour appointment and can lighten teeth anywhere from 4-10 shades. Follow-up care includes sensitivity management and whitening trays.
        • Dr. Elizabeth and Dr. Jeff Eggert also offer professional, at-home bleaching trays that use carbamide peroxide bleach, a much more stable and higher concentration bleach than what is typically found in OTC hydrogen peroxide options.
        • Opalescence Go! is similar to some over-the-counter products, but at a higher concentration than most options and comes with a convenient tray and strip application process, helping to better address the nooks and crannies.

Prevention

While not all teeth stains can be avoided, bruising and flossing after eating foods notorious for staining teeth can keep the pigment from attaching itself to the tooth. As a general rule, daily brushing, flossing and mouthwash help combat stains. Also, according to BMC Public Health, “Twenty-eight percent of smokers reported having moderate and severe levels of tooth discoloration compared to 15% in non-smokers.” Clearly, limiting or eliminating the use of tobacco products is another powerful step in warding off tooth discoloration.

Eggert Family Dentistry wants to help you keep your teeth pearly white! If you need to schedule a recare visit or would like to discuss teeth whitening options with us, give us a call at 651.482.8412.

I Want to Whiten My Teeth Professionally: What Are My Options?

By: Dr. Elizabeth Eggert

Have you been longing for whiter, brighter teeth? Make 2020 the year you pursue your dream! At Eggert Family Dentistry, we offer four effective teeth whitening methods – the Philips Zoom Whitening System, the KöR Whitening Deep Bleaching™ System, at-home custom trays using Opalescence Bleach, and Opalescence Go!. Read on to learn more about each method and decide which method is right for you.

Philips Zoom Whitening System

This is one excellent teeth whitening option we present to our patients.

  • One of the easiest and most effective teeth whitening options
  • Lightens teeth from 4-10 shades
  • Performed in a single two-hour appointment
  • At-home maintenance includes whitening trays and sensitivity management
  • Results are fast and visible, typically same day!

KöR Whitening Deep Bleaching™ System

This is another effective teeth whitening option we offer.

  • Restores teeth’s ability to absorb oxygen
  • Can lighten up to 16 shades
  • Bleaching trays are created in the KöR lab from impressions of your teeth for a perfect fit
  • We apply conditioner to your teeth to prep them for home bleaching
  • We “set” your shade in our office once your desired shade is reached
  • You can expect little-to-no sensitivity
  • With custom maintenance, results are permanent

At-Home Professionally Made Custom Bleaching Trays Using Opalescence Bleach

This is an especially popular option.

  • Can lighten 2-8 shades
  • Bleaching trays are created in our office from impressions of your teeth for a great fit
  • Appointments are fast to obtain the trays and with bleaching at home, most people see results in as little as 2 weeks
  • The bleach used is carbamide peroxide, a much more stable and higher concentration bleach than what is typically found in OTC hydrogen peroxide options
  • Maintenance is easy with bleach refill kits that we keep in stock for your convenience

Opalescence Go!

Our most economical professional option.

  • Can lighten 2-4 shades
  • Similar to some over-the-counter products, but at a higher concentration than most options
  • Comes with a convenient tray and strip application process
  • Kit is available to “Go!” with no other pre-operative steps needed

If you’re looking for a teeth whitening solution that is more effective than whitening toothpaste and over-the-counter whitening strips, Dr. Elizabeth or Dr. Jeff would love to talk with you. Give us a call at 651.482.8412!

HPV and Oral Cancer

By: Dr. Elizabeth Eggert

HPV, or Human Papilloma Virus, is the most common sexually transmitted disease in our country. There are more than 100 strains of HPV in existence and approximately 14 million new cases of HPV each year. While a person’s immune system can potentially fight it off, in many cases the symptoms persist. Most people have at least a basic knowledge of HPV but few people are aware that there’s a connection between HPV and oral cancer.

How does HPV cause oral cancer?

HPV is spread through various sexual practices including oral sex, but because HPV can be transmitted in saliva, even kissing can spread the virus. It can take many years for symptoms to show up, but HPV often leads to oral or oropharyngeal cancer. Oropharyngeal cancer is cancer that affects the mouth and throat. While there can be other causes of oropharyngeal cancer, HPV is thought to cause 70% of all cases in the U.S. Oropharyngeal cancer typically develops in the back of the throat and in the folds of the tonsils.

Signs and symptoms of oral cancer

There are a variety of things to watch for when it comes to detecting oral cancer. Some common signs and symptoms include:

  • Persistent sore throat
  • Persistent earache
  • Hoarseness
  • Unexplained weight loss
  • Swollen lymph nodes
  • Lumps or thickening tissues
  • Difficulty or discomfort moving the tongue, chewing and swallowing

Prevention

The best way to prevent oral cancer is by reducing your likelihood of contracting HPV strains that can lead to oral cancer. Preventative measures include abstinence, limiting your number of sexual partners, instituting the use of condoms during sexual intercourse and getting the HPV vaccine. It is recommended that children, both boys and girls, get the HPV vaccine (commonly known as Gardasil 9) around the age of 11 or 12, but anyone not previously vaccinated should consider the vaccine even up until age 26. It is also recognized that smoking can increase the chances of developing HPV because it reduces your immune system’s ability to fight infection and it damages cells in the mouth.

Early detection

Regular dental exams are crucial. If you have HPV, it’s important that you share this information with Dr. Elizabeth and Dr. Jeff so they can keep a close watch for early-stage evidence of oral cancer.

Oral Cancer Screening For Early Detection

By: Dr. Elizabeth Eggert

Oral cancer screenings are an important and valuable component of a visit to Eggert Family Dentistry. Identifying this disease in its early stages is crucial for successful treatment, and medical advances are increasing our ability to detect it early.

While certain lifestyle choices can significantly reduce the risk of oral cancer, over 25% of victims do not smoke and have no other risk factors.

Oral Cancer Is a Serious Issue

Oral cancer takes more lives than melanoma (skin cancer) or cervical cancer. One person dies every hour from oral cancer in the United States. In the United States we see about 49,700 new cases each year. Oral cancer represents approximately three percent of all cancers diagnosed in the nation. Globally, oral cancer is the 11th most common.

Oral cancer manifests in many ways, affecting any area of the oral cavity including the tongue, gum tissue, lips, cheek lining, and the hard or soft palate. Professional screening is essential because there are often no symptoms in the early stages, or symptoms may be subtle. Some symptoms may replicate that of toothaches, ear pain or minor sores.

Good Dental Hygiene and Regular Exams Help Early Detection

An excellent reason to prioritize dental hygiene is that having a healthy mouth free of sores or discomfort, makes it much easier to notice a red flag like a persistent sore which resists healing, or a change in surface texture. People with chronically inflamed and painful mouths will not be able to notice such a symptom.

Early detection is key to increasing survival rates. Finding tumors when they are small and haven’t spread enables more treatment options which may also be less invasive.

Having an experienced dentist, like Dr. Elizabeth or Dr. Jeff, screen your mouth for precancerous and cancerous conditions is a useful precaution, especially for patients with risk factors including tobacco use, heavy alcohol use, or exposure to HPV (human papilloma virus), the most common sexually transmitted infection which may be associated with genital warts.

Like with any cancer, early detection can greatly increase survival rates. Treatment is less invasive early on, and the likelihood of the cancer spreading or metastasizing is diminished.

Don’t Ignore Oral Symptoms

Patients should pay attention to any change of conditions in their oral cavity. Note any sores, lumps, changes in surface texture or painful areas. If they don’t resolve themselves within two to three weeks, book an appointment for an exam. Early detection can save lives. Call Eggert Family Dentistry at 651.482.8412.

Signs & Symptoms of Oral Cancer

By Dr. Elizabeth Eggert

When you open wide for your dental exam, you might think your teeth are the only focus of Dr. Elizabeth and Dr. Jeff.

Not true. Dental exams are also the first line of defense against oral cancer.
Oral cancers can develop in a variety of locations, including all parts of the tongue, the tissue lining the mouth and gums, and the area where the throat meets the back of the mouth.

Oral Cancer Risk Factors

Certain lifestyle choices increase the risk of developing oral cancer.
Tobacco use causes oral cancer as well as 15 other cancers, according to the Cancer Council. Tobacco consumption, via cigarette, e-cigarette, cigar, pipe or chewing tobacco, is known to increase cancer risk. While lung cancer may be the first dire consequence you associate with tobacco use, there are plenty of other ways smoking can kill you.

Heavy alcohol consumption, especially in combination with tobacco use, also increases cancer risk.

Sun exposure can cause cancer of the lip, so using a sunscreen lip balm is a good habit. Poor nutrition and consuming few vegetables and fruits may also play a role.

Oral cancer risk increases with age, occurring most often in people over the age of 40. Men are about twice as likely to contract it as women.

Lastly, human papilloma virus (specifically the HPV 16 type) is linked to oral cancers.

Oral Cancer Symptoms

The Oral Cancer Foundation recommends that anyone experiencing certain symptoms for more than two weeks should be evaluated by a dentist or a doctor. Symptoms include unusual surface changes in the mouth, lip, or throat. These might be a sore, lump, irritation, thick patch, or discolored (red or white) patches in the mouth. Other symptoms may be expressed in the jaw, including swelling or difficulty moving it. The tongue may be impacted with numbing, swelling or reduced mobility. Other red flags include a feeling that something is caught in your throat; pain in one ear; sudden tooth mobility; unusual bleeding; and airway obstruction.

Evaluation of Oral Cancer

When oral cancer is suspected, Dr. Elizabeth or Dr. Jeff will do a thorough visual exam and palpate the head, neck, oral, and throat regions. They will also review your medical, social, and familial history and inquire about lifestyle risk factors such as tobacco and alcohol usage.

If it seems necessary to refer you for a biopsy, it is possible to sometimes use diagnostic techniques that include the application of toluidine blue, which will bind to dysplastic or malignant cells. This simple, inexpensive and noninvasive substance can help determine appropriate biopsy sites and delineate margins for surgery.

Biopsies, generally performed under local anesthesia, will be submitted to a pathology lab and the tissue will be read under a microscope. Magnetic resonance imaging (MRI) may also be used to evaluate soft tissues and computed tomography (CT) may be used to detect lymph node metastasis and early bone invasion.

At Eggert Family Dentistry, we care about early detection for oral cancer, that is why you will find us looking at every recare exam for any signs or symptoms. We look forward to seeing you at your next recare visit. Call us today at 651.482.8412.

Oral Cancer: An Overview

By: Dr. Elizabeth Eggert

Did you know that your dental health professional can help with the early detection of oral cancer? That’s right! At Eggert Family Dentistry, we recognize that the treatments come from early detection. In fact, industry-wide, dental professionals detect 84% of early-onset oral cancer. In our office, we provide thorough oral cancer screenings at routine visits as part of our proactive approach to dentistry.

Oral cancer risk factors

Typically, patients who are diagnosed with oral cancer possess at least one of the following risk factors:

  • Over 40 years of age
  • Tobacco use
  • Heavy alcohol use
  • Prolonged sun exposure
  • HPV (Human Papilloma Virus)
  • Male
  • Unhealthy diet

However, it is increasingly common for people who don’t possess any common risk factors to be diagnosed with oral cancer. This reiterates the importance of routine screening!

Oral cancer symptoms

There are a variety of symptoms to watch for that are indicative of oral cancer. While some of these symptoms can be attributed to other causes, it’s wise to play it safe and make an appointment with Dr. Elizabeth or Dr. Jeff if you:

  • Experience numbness or pain when you bite down on your teeth
  • Find a lump in your mouth
  • Notice red or white patches in your mouth
  • Have spots in your mouth that frequently bleed and don’t heal well

If you are experiencing any of the above symptoms and if they have been present for more than two weeks, it’s best to make an appointment for an evaluation. Symptoms of herpes simplex and aphthous ulcerations, or canker sores, can mimic some oral cancer symptoms but resolve themselves in 10-14 days.

Oral cancer detection

When you undergo an oral cancer screening as part of your recare visit at Eggert Family Dentistry, Dr. Elizabeth or Dr. Jeff perform a systematic visual and palpation examination of your mouth’s soft tissues. We look closely at your tongue, the floor of your mouth and around the base of your tongue as well as at the inside of your cheeks, lips, and the roof of your mouth. We also carefully examine the lymph nodes around your mouth, neck, and throat.

Oral cancer treatment and prevention

If, upon examination, we suspect the presence of oral cancer, Dr. Elizabeth or Dr. Jeff will refer you for a biopsy of the area in question. If the biopsy comes back positive, the oral surgeon will delineate the best treatment plan for you. This can include any of the following: surgery to remove the cancer, radiation and/or chemotherapy. Mouth reconstruction may be necessary post-treatment depending on how much of your mouth is affected. Reconstruction may include skin, muscle or bone grafts or dental implants.

Healthy lifestyle habits including healthy eating, avoiding smoking and limiting alcohol consumption as well as daily brushing and flossing and routine recare visits are your best defenses against oral cancer. If you are concerned about oral cancer, we would be happy to perform a routine, early-detection exam. Come in for a recare visit today. Call us at 651.482.8412.