By: Dr. Elizabeth Eggert
How did this start?
Kathy has been a patient of Dr. Elizabeth Eggert for well over 10 years. When she came as a new patient, she started by seeking guidance about how to proceed with treatment recommended previously by her former dentist. She shared that her past dental experiences had not always been positive and that she was looking for a provider she could trust, someone who would take the time to understand her concerns and help her move forward with confidence.
At the time, Kathy told Dr. Elizabeth that she often had significant jaw discomfort related to her “TMJ” or temporomandibular joint. Pain at the TMJ is often referred to as TMD or temporomandibular joint dysfunction. This condition often involves the joints themselves, but can also be related to muscles or nerves, as well as alignment, sleep, airway, or mental health issues. Common symptoms include pain in the face, neck, and jaw, as well as clicking, popping, or even locking of the jaw. In Kathy’s case, she reported increasing jaw pain following prior dental work and had developed a habit of chewing primarily on one side to avoid discomfort.
TMD can be influenced by several factors, including stress, bruxism, joint injury, or underlying conditions such as Arthritis. Kathy’s dental history was complex, involving multiple restorations, including crowns, bridges, and root canal treatments, all of which required careful evaluation as part of her comprehensive care plan.

What was recommended?
Initially, Kathy wasn’t looking for a comprehensive plan, and she was able to manage her TMD, so Dr. Elizabeth did the treatment Kathy needed, including replacing a bridge due to decay. But, over the years, Kathy experienced a number of medical systemic issues, and her TMD got harder for her to manage on her own. Dr. Elizabeth then talked to Kathy about undergoing the Records Process to better understand the underlying causes of her discomfort and guide her to appropriate treatment. It took Kathy nearly six years – and several additional crowns and fillings before she felt ready to move forward with this recommendation, but eventually she was ready.
The Records Process is a detailed diagnostic approach that allows Dr. Elizabeth or Dr. Jeff to evaluate not just the teeth, but the entire system. In Kathy’s case, it really helped both Kathy and Dr. Elizabeth understand that Kathy’s bite was playing a large role in her TMD.

The first recommendation for Kathy was for her to undergo splint therapy with an Anterior Deprogrammer splint. This type of appliance is designed to help relax the jaw muscles, reduce strain on the joints, and to help determine the position where Dr. Elizabeth could help create a more stable, comfortable bite for Kathy. It would be an important step in managing her TMD.
What was involved?
Following five months of splint therapy, Kathy experienced significant improvement in her comfort and jaw function. With the information Dr. Elizabeth got from splint therapy, she was able to help Kathy understand that the current positions of her teeth were contributing to her TMD. It would take a lot of dentistry or some dentistry and orthodontics to position Kathy’s teeth into a more stable bite. Kathy elected to change her teeth and forgo orthodontics so a plan was developed to redesign her whole dentition.
A laboratory wax-up was completed to serve as a precise “blueprint” for Kathy’s future restorations. This step ensured that both Kathy’s functional goals and aesthetic expectations were carefully aligned.
Over the course of two appointments, nearly all her teeth were meticulously prepared for the placement of custom porcelain crowns and veneers. These restorations were designed to improve her bite and overall function, but Kathy was also satisfied that they enhanced the appearance of her smile as well. Kathy didn’t complete all of her treatment at once, and so she initially continued to have some issues with her bite instability and TMD, but as she finished the work on all her teeth, she noticed a vast improvement for her stability and pain.

What does Kathy think?
Patient feedback is an essential part of how we evaluate and continually improve the care we provide. We asked Kathy to share her perspective – what she thought before beginning treatment, how she feels now that it’s complete, and what she would say to others considering a similar procedure.
Kathy told us that before treatment, she was probably a little skeptical, which is why it took her a while to get started. But, now that her treatment is complete, she said, “It’s fixed problems I should have addressed a long time ago. I probably should have done it sooner. It’s helped relax my jaw, and of course, the teeth look wonderful!”
Her experience reflects the kind of functional and esthetic improvements often seen when underlying bite issues and temporomandibular joint dysfunction are properly diagnosed and treated.
When asked what she would say to someone considering this type of treatment, Kathy added,
“It’s worth it, especially if you’ve had ongoing problems like I did. Just be prepared, it’s a process. You have to have patience and put your trust in Dr. Elizabeth.“

Congratulations, Kathy! Thank you for placing your trust in our team throughout this journey. At Eggert Family Dentistry, we are committed to helping our patients achieve a lifetime of healthy, confident smiles and yours is a shining example of what’s possible with thoughtful, comprehensive care.
It has been a privilege to guide you through each step of this process, from addressing your temporomandibular joint dysfunction to restoring both your function and esthetics. We look forward to continuing to care for you and your family for many years to come!

















