A New Smile with Porcelain Crowns – Mary’s Story

How did this start?
Mary had composite restorations on her upper front teeth that she had needed to have replaced several times since they were first done in the 1970’s. She noticed they were beginning to look discolored and wanted to have them replaced with something that would offer better long-term predictability. To find out her options, Mary went through the records process with Dr. Jeff. This process allows our doctors to determine the best course of treatment using models, x-rays, and photos of the patient’s teeth, gums, and bite.

What did she want?
While Mary was happy with the overall shade of her teeth, she had noticed some areas of discoloration that she wanted to correct. Mary was also concerned that her teeth appeared crowded and was hoping to improve their appearance.

What was involved?
Dr. Jeff recommended that Mary go through the records process so that he could asses the current health of the teeth and gums, and the function of her jaw and muscles. After the records were taken Dr. Jeff was able to formulate a treatment plan for Mary that would address her concerns with the appearance and position of her teeth, which he presented at her consult appointment. Dr. Jeff recommended Mary start with an orthodontic consult to learn about possible options for changing the position of her teeth to alleviate the crowding. Dr. Jeff explained that it would be ideal to move her teeth before doing any restorations on her upper teeth as it would allow him to be more conservative when preparing the teeth and would offer better long-term predictability. He then recommended Mary replace her existing composite restorations on her upper front teeth with porcelain crowns, as they would be stronger and more durable than composites and would give her teeth the consistent shade she desired.

After a lot of consideration, Mary decided to move forward with restoring her front teeth without doing orthodontics. Mary was not interested in taking the time it would need to move her teeth and she felt she could be happy with her results using restorations alone to improve her smile. Before starting her treatment, Dr. Jeff worked with a local lab to fabricate a wax mock-up of Mary’s new teeth to show her what they would look like. Mary was very happy with how they looked with the mock-up, and over the course of two appointments, Dr. Jeff prepared and restored her teeth with the final porcelain crowns.

What does she think?
Mary is excited to say that she likes her teeth much better now that she had them re-done. She thought the procedures were fast and professional. She would recommend the procedures to anyone as she notes “It wasn’t as bad as I was afraid it would be.” Mary loved working with our team and feels more confident with her brighter, straighter smile! Congratulations Mary! We love working with patients like you!

If you’ve been thinking about improving your smile, contact us today to learn more about what we can do for you!

Stress, Anxiety and Your Oral Health

By: Dr. Elizabeth Eggert

It’s estimated that 40 million Americans battle an anxiety disorder, the effects of which can be debilitating. Anxiety can cause panic attacks, headaches, depression, muscle aches, fatigue…the list goes on. What most of us don’t consider, however, is the effect that anxiety can have on our oral health.

Common oral side effects

Bruxism: Stress and anxiety cause tension in the jaw which can lead to teeth grinding. If you suspect you’re grinding your teeth, speak with Dr. Elizabeth or Dr. Jeff about a night guard to help protect your teeth from stress-related wear and tear.

TMD: When you experience stress or anxiety, you may clench your teeth and jaw. This tension causes stress on the temporomandibular joints which can cause temporomandibular disorder or TMD. At times, TMD can also be related to sleep and how you are (or are not!) sleeping. We have the ability to help you recognize signs and symptoms that your sleep may be broken or unhealthy. As with bruxism, Dr. Elizabeth or Dr. Jeff will likely recommend some kind of in-the-mouth appliance to ease jaw discomfort and protect these joints from wear. Learn more about TMD in one of our recent posts here!

Dry mouth: Many anti-anxiety medications, while effective at relieving anxiety, can reduce the production of saliva, leading to dry mouth. Without adequate saliva, it’s difficult for your mouth to rinse out food debris and plaque which can lead to tooth decay and gum disease. It’s especially important to keep your mouth lubricated by sucking on sugar-free candy, chewing sugar-free gum and drinking plenty of water. Also, if you struggle with dry mouth, it’s especially important to brush and floss regularly as well as rinse with antibacterial and fluoridated mouthwash. Talk with us at your next recare visit as there are products we can recommend to help your dry mouth.

Lichen planus: Among other symptoms, stress can increase systemic inflammation. Inflammation increases the likelihood of developing mouth ulcers and white, lacy lines in the cheeks, known as lichen planus. This condition can cause a painful, burning sensation in the mouth and left untreated, has been linked to mouth cancer. Although it cannot be eliminated, you can reduce the symptoms of this bothersome condition in a number of ways. Learn more!

Cavities and gum disease: People who experience anxiety are more prone to dental phobia and therefore, oftentimes, avoid regular dental visits. When this occurs, oral health deteriorates and the instance of cavities and gum disease skyrockets. If you struggle with dental phobia, speak with Dr. Elizabeth and Dr. Jeff. They would love to explain our dental comforts and discuss how we can partner with you to make your visits as easy as possible!

Cold sores: Although the herpes simplex virus must be present for cold sores to develop, stress and anxiety can trigger an outbreak. It’s important to treat cold sores with an over-the-counter cream immediately to reduce the chances of spreading the virus to others.

Take charge of your oral health

Therapy, medications and regular exercise are just a few ways to reduce stress and anxiety before they wreak havoc on your oral health.

At Eggert Family Dentistry, we know that your mental health affects your oral health and we believe that they are both equally important components of overall wellness. If you’re concerned that your oral health is being compromised on account of stress or anxiety in your life, we recommend making an appointment with your primary physician as well as with Dr. Elizabeth or Dr. Jeff at 651.482.8412.

Learn more about the connection between mental health and oral health here!