TMJ, Splint, and Sleep Apnea Therapy Archives - Eggert Family Dentistry Blog

Avoiding “Spooky” Front Teeth- Mary Kay’s Story

By: Dr. Elizabeth Eggert

How did this start?

Mary Kay is a longtime patient of Dr. Elizabeth. She noted at her first appointment that she had “TMJ” and her right side was experiencing clicking and she was seeking therapy for the condition. TMJ disorders (or TMD) can manifest with different signs or symptoms for different people and encompass a wide variety of diagnoses. Typically, people with TMD experience pain in the jaw joint and/or in the muscles that control jaw movement. Dr. Elizabeth suspected that Mary Kay’s TMD could be related to how her teeth fit together and talked to Mary Kay about the benefits of orthodontics for her. Mary Kay wasn’t ready at that time, but after a few more sessions with Dr. Elizabeth and realizing that the cracking occurring on her teeth and the fact that she had already lost a few teeth at a relatively young age, Mary Kay did want to hear more.

Mary Kay’s Panoramic Image 2021, note the implant and some missing teeth.

Mary Kay suffered for years with TMD. Her bite put uneven forces on the teeth, she had crowding, and when she went into her chewing movements, her back teeth hit very hard. Luckily, orthodontics can improve a number of the issues Mary Kay had. When Mary Kay was ready, she went for a consult with Dr. DeVoe of DeVoe Orthodontics. Dr. Elizabeth works closely with Dr. DeVoe and she had confidence that he could help improve Mary Kay’s bite and therefore, her TMD symptoms. During the course of treatment, Dr. DeVoe discussed options with Dr. Elizabeth for Mary Kay’s front two teeth. Originally, Mary Kay had one existing porcelain-fused-to-metal crown on her right central incisor. With the wear pattern Mary Kay had on her other teeth, this crowned tooth no longer matched its neighbor in either color or size and shape.

What was involved?

Mary Kay completed her orthodontics with Dr. DeVoe. Mary Kay noticed an improvement to her bite and her TMD symptoms did improve as well. Mary Kay was also lucky enough to address a deviated nasal septum with nasal surgery. This also helped improve her breathing and helped her sleep improve. Improvements in sleep always help underlying pain issues with not only TMD, but other chronic pain conditions. To fine tune the bite, Dr. DeVoe asked Dr. Elizabeth to complete equilibration for Mary Kay in order to sync her tooth bite with her jaw bite. This also helped solidify a better bite for Mary Kay.

For her front teeth, Dr. Elizabeth discussed options with Mary Kay. Mary Kay had many options, including doing nothing. She could also have chosen to bleach all her natural teeth and leave her existing crown as is. Dr. Elizabeth recommended, for best color match and to be most conservative, that Mary Kay bleach her natural teeth and then replace her crown on her right central and also complete a crown for her left central to gain symmetry in shape, color, and contour. Mary Kay underwent Zoom in-office bleaching and then her new crowns were completed.

What does Mary Kay think?

Before having the procedures done, Mary Kay was just hoping her teeth would look better when all the treatment was completed. She said that the process of braces hurt at first, but noted that she got used to it and it was less intense the longer she had the braces on. “All of the steps from braces to replacing the front teeth went very smoothly. I am very happy with the outcome. My teeth look much better.” Mary Kay would highly recommend to anyone considering treatment with Dr. Elizabeth to do so because all the steps Dr. Elizabeth works through creates a great outcome as everything comes together!

Mary Kay – we are so happy that you are pleased with your results, thank you for your commitment and the trust you put into the treatment as well! Congratulations on your new smile! We look forward to treating you and your friends and family for many years to come!

How CBCT Technology at Eggert Family Dentistry Can Help with TMD Diagnosis and Treatment

By: Dr. Elizabeth Eggert

If you’ve been struggling with jaw pain, popping, clicking, or stiffness, you may be dealing with TMD (temporal mandibular joint dysfunction). At Eggert Family Dentistry in North Oaks, MN, we’re committed to helping you get to the root of what’s causing your discomfort. Thanks to our advanced CBCT (Cone Beam Computed Tomography) technology, we now have an even more precise way to diagnose and treat TMD, so you can find relief and regain comfort in your jaw.

CBCT scans offer 3D imaging that provides Dr. Jeff Eggert and Dr. Elizabeth Eggert with a comprehensive look at your jaw joint, surrounding bones, and expected areas for soft tissues. Unlike traditional X-rays, which offer only 2D images, CBCT technology gives us a 3D and detailed view of the complex structures that may be contributing to your TMD. This advanced imaging allows us to pinpoint any misalignments, degeneration, or abnormalities in your temporomandibular joint that could be causing your pain.

With this clearer picture, Dr. Jeff and Dr. Elizabeth can create a more targeted treatment plan designed specifically for your needs. Whether you need custom oral appliances, physical therapy, or even changes to your bite alignment, our goal is to help you manage your symptoms or keep you pain-free altogether. Having access to detailed CBCT images ensures that no aspect of your jaw’s health goes overlooked, giving us the ability to offer you more accurate and effective solutions.

If you’ve been dealing with chronic jaw pain or discomfort and aren’t sure what’s causing it, CBCT imaging could be the key to finding answers. Dr. Jeff and Dr. Elizabeth Eggert want to help you get to the bottom of what’s happening with your jaw joint. At Eggert Family Dentistry, we’re here to guide you toward relief and help you take steps toward a pain-free future. Call us for your consultation today! 651-482-8412.

Understanding TMD: Causes, Symptoms, and Treatment Options

By: Dr. Elizabeth Eggert

You’ve probably heard of TMJ, but the term is commonly misused. TMJ refers to the temporomandibular joint in your jaw or where your jaw opens and closes. What people often refer to as TMJ is actually TMJ disorder or TMD. When it comes to oral health, it’s critical to understand what TMD is, how it can present, and what you can do if you suspect TMD is an issue for you.

What is TMD?

When things are properly aligned and working as they should, we don’t give our temporomandibular joints a second thought. They are two of our body’s many unsung heroes. However, anytime you yawn, speak, or chew, you can thank your TMJs for making it possible!

Unfortunately, our jaw joints and the muscles and ligaments surrounding them can cease to work properly, resulting in jaw clicking, jaw and facial pain, and a cascade of other issues. 5-12% of people deal with TMD at some point in their lives.

What Causes TMD?

There is no singular cause of TMD. Instead, several conditions can result in a misaligned jaw and issues with the temporomandibular joints.

These include:

A jaw injury (often from sports or a car accident)
Malocclusion
Sleep apnea
Bruxism
Stress

Additional causes or activities that can aggravate TMD include:

Oral habits, like chewing on pencils, fingernails, ice, etc.
Poor posture
Stomach sleeping

Common Symptoms of TMD

Even though jaw and face pain are common symptoms, they’re not always present, or they’re accompanied by other seemingly unrelated symptoms.

Common symptoms include:

Jaw and facial pain
Jaw stiffness
Difficulty opening and closing your mouth
Jaw popping, clicking, or locking
Neck or shoulder pain
Pain behind the eyes
Back pain
Toothache or earache
Headaches or especially migraines
Dizziness
Ear ringing (tinnitus)
Teeth sensitivity with no other detectable causes
Loose teeth
Receding gums
Worn down or cracked teeth

Diagnosing TMD

If you have one or several of these symptoms and are suspicious that you’re dealing with TMD, make an appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert. They will explore your health history, perform a dental exam, and take any necessary imaging to diagnose or rule out TMD. During your dental exam, they will observe and feel your jaw joints and muscles when you open and close your mouth and may press on your face and jaws to test for areas of sensitivity.

Treatment Options for TMD

TMD treatment runs the gamut:

Pain relievers, NSAIDs, and muscle relaxers can help with day-to-day discomfort. For some people, however, the pain is persistent, and over-the-counter and prescription meds don’t cut it. They’re dealing with other bothersome symptoms and need a more proactive approach. This medicinal approach works best for short-lived or acute TMD issues.
Custom oral splints can relieve tension in the jaw and keep it properly aligned, reducing clenching and grinding.
Botox injections help relax jaw muscles and can lessen jaw discomfort. However, Botox will need to be repeated about every 3 months to maintain relief. Instead of Botox long-term, it is usually best to work to figure out the actual diagnosis of what is happening with your joint and look to make dental changes that can work for long-term relief.
If stress is the underlying cause of TMD, stress-management techniques such as exercise, meditation, and breathwork can get to the root of the problem.
If the atlas, or C1 vertebrae is out of alignment and causing the jaw to be misaligned, working with an upper cervical (NUCCA) chiropractor can be an effective way to realign the jaw and alleviate TMD symptoms.
After an oral exam and x-rays, Dr. Elizabeth Eggert or Dr. Jeff Eggert may determine you’re a good candidate for occlusal equilibration. Occlusal equilibration involves subtly and precisely reshaping the biting surfaces of the teeth to correct the alignment of the bite and the position of the jaw. This process allows jaw muscles to relax and reduces or eliminates pain and sensitivity.
Orthodontics can also be an effective way to change tooth positions and your bite to help alleviate the muscle and joint strain of TMD.
In severe cases when less invasive treatments and techniques don’t alleviate TMJ issues, TMJ surgery may be required. Arthroscopy, arthrocentesis, and open-joint surgery are two surgical approaches to TMD.

Prevention for TMD

A recent NIDCR study identified clinical, psychological, sensory, genetic, and nervous system factors that may increase a person’s risk for TMD. In other words, while it’s treatable, it isn’t always avoidable. However, there are a few precautions you can take to reduce the likelihood of developing TMD.

Don’t stomach sleep. Sleep in a position that properly supports your head, neck, and spine.
Maintain good posture. Utilize physical therapy or chiropractic treatments to stay in alignment or consider yoga with a certified instructor.
Practice stress-reduction techniques.
Be mindful of chewing. Don’t chew on inanimate objects like pencils and don’t chew your fingernails. Avoid taking huge bites of food and overextending your jaw. Minimize or eliminate gum chewing.
Schedule routine recare visits at Eggert Family Dentistry!

If you’re experiencing bothersome symptoms and suspect you’re dealing with TMD, Dr. Elizabeth Eggert and Dr. Jeff Eggert of North Oaks, MN will perform a TMD evaluation. If they detect TMD, they’ll create a personalized treatment plan that realigns your jaw and alleviates pain. Give us a call at 651.482.8412 to schedule your appointment!

Which Splint is Right for You?

By: Dr. Elizabeth Eggert

When it comes to dental health, particularly addressing issues related to your bite, splints or also known as “dental appliances” can be a game-changer. At Eggert Family Dentistry in North Oaks, MN, Dr. Jeff Eggert and Dr. Elizabeth Eggert offer a variety of splints designed to cater to your specific needs, ensuring you receive the best care possible. Understanding the different types of splints available and their benefits can help you make an informed decision about your dental health.

Splints Available at Eggert Family Dentistry, Explained!

One of the splints offered is the anterior deprogrammer. This appliance is designed to temporarily disengage the bite, allowing the muscles of the jaw to relax. It’s particularly useful for diagnosing bite problems and can provide relief from muscle pain caused by bruxism (teeth grinding). If you experience frequent headaches or jaw pain, an anterior deprogrammer might be recommended to help alleviate these symptoms and to determine if your bite is a contributing factor.

For those dealing with temporomandibular joint disorder (TMD), TMD splints or orthotics are an excellent option. These splints are custom-made to fit your mouth and are designed to reposition the jaw to a more comfortable position, reducing stress on the TMJ. Patients with TMD often suffer from jaw pain, clicking or popping sounds, and difficulty in opening their mouths fully. A TMD splint can help reduce these symptoms by providing a stable and balanced bite.

Another specialized appliance is the Tanner appliance, which is used for treating bruxism and in designing a new bite. The Tanner appliance is a full lower arch anatomical splint. It is the best adjusted version of a TMD splint and it often is worn only at night. This appliance helps us to determine where the muscles sit in a comfortable position and analyze the tooth position there. Often after wearing a Tanner appliance, you will have a great idea of how the positioning of your teeth affects your overall health and well-being and it helps us plan for a new bite so you can enjoy the improved effects day in and day out!

For those who need a more flexible solution, softguards offer a comfortable and adaptable option. Made from a softer material, these guards are ideal for light bruxism. They are especially useful for patients who may not tolerate harder materials well or those who need a lot more support for their joints over their muscles. If you experience occasional teeth grinding or clenching, a softguard may provide the necessary protection without discomfort.

Essix retainers are another versatile option, primarily used to maintain tooth alignment after orthodontic treatment. These clear, thin, removable retainers are comfortable and virtually invisible, making them a popular choice for post-orthodontic care. If you’ve recently had braces or other orthodontic work done, an Essix retainer will help keep your teeth in their new positions. For some people, it can help protect teeth from the effects of bruxism, but typically, for moderate to heavy bruxism, the retainers will wear out quickly.

For more comprehensive protection, custom fit occlusal guards (also known as night guards) are highly effective. These guards are tailored to fit your mouth precisely, providing robust protection against moderate and severe bruxism. They are made from durable materials and are designed to withstand significant grinding and clenching forces. The downside to a standard occlusal guard is that if the bruxism is caused by an airway compromise, by wearing the occlusal guard, the airway collapse may be more significant while wearing the appliance because it helps to keep your muscles relaxed. Therefore, an accurate diagnosis of why you are bruxing is important.

The Seattle Protocol is an innovative approach to diagnosing and treating TMD and related issues where airway compromise is suspected. This protocol involves a series of diagnostic steps and treatments, including the use of various trial splints to find the most effective solution for each patient. By systematically evaluating different treatment options, Dr. Jeff Eggert and Dr. Elizabeth Eggert can pinpoint the best appliance to best improve your airway, which should improve any signs or symptoms you are having from sleep apnea. If you find yourself waking up tired or experiencing frequent sleep interruptions, the Seattle Protocol is a suitable option to explore.

Finally, for patients suffering from diagnosed mild or moderate sleep apnea, a mandibular advancement appliance can be a lifesaver. This device works by holding the lower jaw forward, keeping the airway open during sleep. If you suffer from obstructive sleep apnea, this appliance can significantly improve your sleep quality and overall health by reducing snoring and apneic events and associated risks. You will find your sleep quality will improve significantly because your body can get the oxygen it needs!

How You Can Get Help

At Eggert Family Dentistry, Dr. Jeff Eggert and Dr. Elizabeth Eggert utilize a comprehensive evaluation process known as the Records Process to determine the best splint for your needs. This process involves a thorough examination of your bite, jaw function, and overall oral health. By analyzing this data, they can recommend the most appropriate splint to address your specific issues. Whether you need relief from TMD, protection from bruxism, or help with sleep apnea, Eggert Family Dentistry will guide you through each step, ensuring you receive the best possible care tailored to your needs.

Choosing the right splint can make a significant difference in your dental health and overall well-being. At Eggert Family Dentistry, you can trust that you will receive personalized, expert care designed to meet your unique needs. Call us today! 651-482-8412!

The Impact of Teeth Grinding on Your Oral Health: Risks and Consequences

By: Dr. Elizabeth Eggert

Clenching or grinding your teeth — also known as bruxism — is common, but that doesn’t mean it’s something you should ignore.

While some consequences of bruxism are simply annoying, others are more serious and can negatively affect your oral health. Let’s take a few minutes to dive into the impact of teeth grinding, signs to watch for, serious consequences that can occur, and how to treat and prevent it.

Understanding Teeth Grinding and Its Causes

Teeth grinding can affect children and adults alike. Small children are notorious for grinding when they’re cutting baby or permanent teeth, but they generally grow out of it. Not everyone grows out of bruxism, however, and adults often report their sleeping partners grinding so loudly it actually wakes them up out of a sound sleep!

While you might think of bruxism occurring only when you’re asleep (sleep bruxism or SB), it can occur just as frequently during your awake hours (awake bruxism or AB). In either case, the person generally doesn’t realize they’re clenching or grinding their teeth and often attributes their symptoms to the wrong causes.

Teeth grinding — and the uncomfortable side effects of it — generally has one of several root causes: improper alignment of teeth; stress, anxiety, anger; caffeine consumption, alcohol consumption; tobacco use; prescription medications; or airway issues.

Stress

Stress affects the human body in a variety of ways. It causes surges of adrenaline and cortisol, as well as increased heart rate and breathing.

When this happens, our bodies shift from “rest and digest” mode into “fight or flight” mode, and our muscles tense up and prepare for action. This tension is often noticeable in our neck, shoulders, and hips. Our jaw muscles often tense up too, and we grind unconsciously to cope with the pressure.

Caffeine

We love coffee and other foods and beverages with caffeine because they give us energy. But they’re also a muscle stimulant and can increase muscle activity in the jaw, resulting in grinding.

Tobacco

Just like caffeine, tobacco is a stimulant and increases muscle activity in the jaw.

Alcohol

Not only does alcohol consumption affect our sleep patterns, but it actually alters the neurotransmitters in our brain. Consequently, jaw muscles can overcompensate and become tense, resulting in grinding.

Also, if not properly managed, alcohol consumption can lead to dehydration, which makes our mouth dry and can lead to teeth grinding.

Airway Issues

Sleep disordered breathing can result in teeth grinding. If you’re having a difficult time breathing at night, you may unconsciously move your teeth around or grind them to open up your airway. This also occurs during the day, unconsciously. For example, if your body feels that your airway is more “open” with your jaw in a position that puts more stress on your teeth, but less stress on your airway, your body will choose to keep your airway open over keeping pressures off your teeth.

Prescription Medications

Some prescription medications, including antidepressants and psychiatric meds, can alter neurotransmitters in the brain and cause jaw tension and teeth grinding.

Tip: If you suspect you’re grinding your teeth as a result of a prescription medicine, talk to your prescribing doctor to see if your dosage can safely be adjusted or if there is another medication choice you can try.

Impact of Teeth Grinding: Signs and Symptoms

Do you think you or your loved one might be dealing with bruxism? Here are some signs to watch for:

Tooth damage: chipped, worn down, fractured, or loose teeth
Tooth sensitivity
Headaches or earaches
A jaw that clicks or doesn’t open and close smoothly
A sore jaw
Irritated cheek tissue
Tongue indentations
Gum recession
Gingivitis
Damaged dental work

Tip: If you catch yourself clenching or grinding, place the tip of your tongue on the roof of your mouth behind your top teeth. This will automatically unclench your teeth and relax your jaw. This isn’t a permanent fix but can help provide relief from jaw tension in the moment.

Preventive Measures and Lifestyle Changes

You and your loved ones don’t need to live with the uncomfortable and potentially damaging effects of teeth grinding.

Successful treatment of bruxism addresses the root cause: If the root cause is physiological, dentistry, orthodontia, or airway treatment could help; If the root cause is stress, managing it is imperative. In other words, there are several effective treatment options! Let’s take a closer look:

Splint/Occlusal Appliance

In order to protect your teeth from chipping, cracking, or wearing down during sleep bruxism, Dr. Elizabeth Eggert or Dr. Jeff Eggert can create a custom in-mouth appliance, or splint. This splint will fit your teeth perfectly, protect their surfaces, and absorb bite force. There are different ways to design splints based on your individual needs. Dr. Jeff and Dr. Elizabeth are happy to help you determine which might be best!

Dental Restorations

When teeth grinding has been undetected or left untreated for a long time, teeth can become permanently damaged.

If needed, Dr. Elizabeth Eggert or Dr. Jeff Eggert can create crowns or veneers for your teeth to restore their strength and integrity and improve the appearance of your worn-down teeth. Properly shaping the teeth can also help relieve extra pressure on your jaw.

Orthodontia

If Dr. Elizabeth or Dr. Jeff determines that the root cause of bruxism is due to severely misaligned teeth or jaw bones, they will refer you to an orthodontist for a consultation or sometimes we can even do the orthodontics in our office with Inivisalign. Braces and other orthodontic interventions can widen your palate, realign teeth, and reposition the jaw, correcting your bite. They can even help with breathing issues!

Treatment for Airway Issues

If Dr. Elizabeth Eggert or Dr. Jeff Eggert suspects that sleep disordered breathing is a factor for you, they will schedule an evaluation and discuss possible treatment options, including the reputable Seattle Protocol.

Botox

If the grinding is persistent and the effects are severe, Botox injections can provide temporary relief. Botox is a neurotoxin that can be injected and has been found to temporarily relax muscles and reduce nerve signals in the jaw that lend themselves to teeth grinding.

De-Stressing Techniques:

If you’re under significant stress and it’s the likely cause of your teeth grinding condition, pursuing de-stressing techniques, such as therapy, breathwork, stretching, and journaling, can help reduce stress or help you manage it better. These interventions can also help alleviate overall body tension and stress-induced pain.

If you’re dealing with symptoms of teeth grinding, we’d encourage you to schedule a bruxism evaluation appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert. Give our office a call at 651.482.8412 to schedule your appointment.

When the Puzzle Pieces Aren’t Fitting Together, How to Improve Crowded Teeth – Lisa’s Story

By: Dr. Elizabeth Eggert

How did this start?

Dr. Elizabeth Eggert has been working with Lisa since 2016. Initially, Lisa was having issues due to a cracked tooth on her lower right side. After a crown was done for that tooth, it historically and occasionally flares up for Lisa. Dr. Elizabeth noticed that due to Lisa’s crowded teeth, the teeth in her lower jaw sit at an angulation toward her tongue, instead of straight up and down. This puts extra forces on teeth and often will contribute to cracking. Lisa also admitted that she finds herself clenching her teeth together, most of the day and probably at night. This also produces more force than the teeth are prepared to handle. Therefore, the fact that Lisa’s teeth are often sensitive comes as no surprise.

Initially, Lisa thought she would try a standard occlusal guard (or night guard) to help alleviate the pressure she experiences from clenching her teeth. Lisa wore the appliance regularly and she believed it helped, but she still had sensitivity from time to time and when a second tooth started having symptoms of cracked tooth syndrome on her lower right, she knew it was time to take action. She decided she wanted a more permanent solution to her bruxism and that is when the discussion of Invisalign began.

What did Lisa want?

Lisa wanted to straighten her teeth, avoid getting more cracked teeth, and help stop her grinding at night. Lisa didn’t want to have the wires and brackets of traditional braces, so she was excited about the option of Invisalign. When Dr. Elizabeth was planning Lisa’s case, she helped Lisa notice that the small lateral incisors on her upper jaw played a role in why the bottom teeth were crowded. Because of the smaller lateral incisors, the lower teeth had to be more “squished in” and crowded. Dr. Elizabeth talked with Lisa about how after Invisalign treatment, there would be spaces left between her teeth on the upper arch. Luckily, Dr. Elizabeth had a solution, which involved widening those teeth with veneers. Lisa was excited about the prospect of straight teeth and understood why the veneer restorations were necessary so she decided to go forward with treatment.

What was involved?

Lisa underwent the Invisalign records process with Dr. Elizabeth so a treatment simulation could be done. Her treatment was expected to take 10-12 months with the goals of unraveling the crowding, creating space for upper veneers, and providing support for her joints and muscles.

To help with her bruxism, Dr. Elizabeth added bite ramps to Lisa’s Invisalign aligners. These are a way to help keep her muscle more calm because they don’t allow for easy clenching. Despite the bite ramps, Lisa’s strong muscles did continue to clench somewhat, although things were improving for her joints and muscles throughout treatment. Her continuous clenching did slow down her progress and after her initial set of 20 aligners, Lisa’s bite still wasn’t quite perfect. Therefore, Dr. Elizabeth recommended a “refinement” treatment with Invisalign and Lisa’s treatment continued on for another 6 months. During this time, Dr. Elizabeth also gave Lisa exercises to help stretch her jaw muscles so that her clenching wouldn’t continue to impede the progress for her Invisalign treatment.

After 18 months of Invisalign, it was time to plan for Lisa’s veneer restorations. Some simple bite equilibration was also needed for Lisa to finalize her bite position and give her solid stops for her back teeth. Lisa wanted whiter teeth so she decided to try the Opalescence Go! professional white strip whitening system to brighten her smile. Lisa chose to only restore her 2 lateral incisors. Dr. Elizabeth reviewed the pros and cons of completing veneers for her upper 4 front teeth, including better size proportioning, and continued color matching, but Lisa felt that 2 veneers was the right choice for her. So, a laboratory wax-up was done as a blue print for the final restorations and the 2 porcelain veneers were completed for her upper lateral incisors. Lisa was very excited about finishing her treatment after spending the time to move her teeth into a better position!

What does Lisa think of her results?

When we asked Lisa what she thought about undergoing the procedures before she had things done, she said “I kind of knew what Invisalign did – it was going to straighten my teeth and work out problems like cracks in my teeth and help me stop grinding at night.” Lisa didn’t understand that the spacing issues she had were causing her crowding until we started analyzing things.

The process took longer than she was initially expecting, but she understood that her clenching was slowing things down so she worked hard to do her exercises. In the end, she is happy with how everything looks and the outcome. “It looks good!” She really is hoping to slow down any new cracks from forming on her teeth. In talking with anyone considering similar treatment, Lisa would tell them to talk to Dr. Elizabeth because this too may be an option for you and it is definitely a better alternative to brackets!

Smile Through Stress: Managing Mental Well-being for Better Oral Health

By: Dr. Elizabeth Eggert

Did you know that stress can affect your oral health?

Stress is, unfortunately, part of all of our lives. And while most people are aware of the effect stress can have on their physical health, often the link between stress and oral health isn’t as clear.

And yet stress can have a significant impact on your oral health. The effects of chronic stress can show up in your mouth, teeth, gums, and jaws as gum disease, teeth grinding, jaw clenching, and more. Understanding how stress can affect your oral health is essential to maintaining a healthy smile.

Here, we’ll explore the effects of stress on oral health along with some practical strategies to manage stress and support your smile.

Stress and Oral Health: Unraveling the Connection

Learning to recognize the conditions caused or worsened by stress is vital to timely intervention. Chronic stress can lead to a number of oral health problems, including:

Bruxism: The Grind Behind Stress

Stress can cause tension in your jaw, which can lead to bruxism. Bruxism is a condition where you unconsciously grind or clench your teeth. Many people with this problem are unaware of it as it happens most often while they are sleeping, however, it can even happen during the day without conscious awareness of it.

Because the force exerted while clenching or grinding is often much more than that exerted while chewing, it can result in significantly worn-down teeth, jaw pain, headaches, damage to dental restorations, and in many cases, even fractures.

If you think you may be grinding or clenching your teeth, talk with Dr. Elizabeth Eggert or Dr. Jeff Eggert in North Oaks, MN about obtaining a custom-fitted night guard to help protect your teeth from stress-related wear and tear.

Gum Disease: Stressing Out Your Gums

Stress can weaken your immune system, making you more susceptible to infections and your gums more susceptible to inflammation and gum disease. Gum inflammation, bleeding, tenderness, and periodontal disease are more likely when you are under chronic stress.

If you notice your gums are red or swollen or that they bleed when you brush or floss, make an appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert right away as bleeding in the gums is a sure sign of unwanted inflammation

Temporomandibular Joint Disorders (TMJ): Stressing Over Your Jaw

TMD (or more commonly called “TMJ”) is a disorder affecting the jaw joint, causing symptoms like jaw pain, stiffness, clicking or popping, and difficulty opening or closing the mouth. Chronic stress can cause you to clench your teeth and jaw, which can stress the temporomandibular joints, leading to TMD. Lack of sleep due to stress can further exacerbate this issue.

If you notice any signs of TMD, speak with Dr. Elizabeth Eggert or Dr. Jeff Eggert at Eggert Family Dentistry. Similar to bruxism, we may recommend an appliance to ease your jaw discomfort and protect your joints from wear.

Canker Sores: Stress Taking Its Toll Inside Your Mouth

Stress can also bring on canker sores inside your mouth, which can cause pain and discomfort. Canker sores are small round ulcers in your mouth, often found on the inside of your cheeks and lips or on your tongue and gums.

While these sores typically go away on their own, it’s helpful to understand what causes them and how to mitigate your discomfort while they heal. While the specific cause of canker sores is still unknown, there does seem to be a strong link between canker sores and stress.

If you experience canker sores, you can help manage your discomfort by:

Swishing a warm salt water solution around your mouth multiple times per day (8 oz warm water and 1 tsp salt)
Drinking cold liquids through a straw
Eating soft foods
Avoiding sugary, salty, spicy, acidic, or very hot foods
Using a soft-bristled toothbrush when brushing your teeth

When you are under significant stress, it can be tempting to neglect your regular oral hygiene routine. But maintaining routine brushing, flossing, and dental visits with Dr. Elizabeth Eggert or Dr. Jeff Eggert is vital to maintain the health of your teeth and gums.

Managing Stress to Preserve Oral Health

In addition to maintaining a consistent oral health regimen, implementing some or all of the following healthy habits can help improve your body’s resilience to stress and support your oral health.

Stay Hydrated

Drink plenty of water. Maintaining adequate hydration helps support saliva production and overall oral health.

Eat a Healthy Diet

Include a wide variety of fruits, vegetables, lean proteins, and whole grains in your daily diet. Limit sugary treats, caffeine, and alcohol — too much of these can exacerbate stress and negatively impact your oral health.

Get Regular Exercise

When you exercise, your body releases endorphins, a natural stress reliever. Being active also helps promote better sleep, which aids in stress management and benefits your physical and dental health.

Prioritize Quality Sleep

Stick to a regular sleeping schedule to ensure adequate sleep. Establish a bedtime routine that helps you relax and ease tension in your jaw. This could include a jaw massage, gentle stretching, deep breathing techniques, or aromatherapy.

Implement Stress-Relief Techniques

Stress-relief techniques like deep breathing, mindfulness meditation, a warm bath, and yoga can help you unwind, relax your jaw, and lower overall stress levels. Experiment with a variety of stress-relief techniques to find the ones that work best for you.

Ask for Help

If stress feels overwhelming or becomes chronic, consider seeking professional support from a therapist or counselor who specializes in stress and anxiety management. Having someone to talk through stressful feelings with can be immensely beneficial to your mental and physical health (including your oral health!).

Stress and oral health are inextricably linked. Taking the time and energy to invest in your physical, mental, and emotional well-being leads to improved health and happiness, and a reduced likelihood of developing stress-related oral health issues.

At Eggert Family Dentistry, we know your mental health affects your oral health and we believe they are equally important components of overall wellness. If you’re concerned your oral health is being compromised by stress or anxiety, we recommend making an appointment with your primary physician as well as with Dr. Elizabeth Eggert or Dr. Jeff Eggert at 651.482.8412. We’re always here to help!

How Mandibular Advancement Appliances Can Improve Oral Health

By: Dr. Elizabeth Eggert

When you’re diagnosed with obstructive sleep apnea (OSA), your doctor may first prescribe CPAP therapy — you know, the face or nose mask attached to a machine that you have to wear at night. However, while CPAP therapy is extremely effective, many people can’t tolerate sleeping with it on every single night.

That’s why oral sleep appliances -– also known as mandibular advancement appliances — are also used to treat sleep apnea. In fact, they have an 80% compliance rate over the CPAP’s 40%.

We fit mandibular advancement appliances at Eggert Family Dentistry and have been able to help many people with OSA improve their sleep, oral health, and overall quality of life.

What is a Mandibular Advancement Appliance?

A mandibular advancement appliance (MAA) is a device that can be custom-fitted to a person’s mouth, and works by temporarily moving the jaw and tongue forward. This adjustment reduces throat constriction and opens up the airways, effectively preventing snoring and sleep apnea.

Benefits of Using a Mandibular Advancement Appliance

You probably already know that sleep apnea causes a myriad of health issues, most notably cardiovascular problems. But did you know that your sleep apnea also wreaks havoc on your dental health? People with sleep apnea also are more likely to experience TMD, bruxism, and dry mouth. Luckily MAAs can reduce and relieve each of these symptoms.

1. Relief from Tooth Grinding and Clenching

Many people who suffer from sleep-disordered breathing also grind their teeth or clench their jaw during sleep. This can lead to a host of dental problems, including tooth sensitivity, worn-down enamel, and even tooth fractures. MAAs can help alleviate these issues by positioning the lower jaw in a more forward position, which reduces the likelihood of grinding or clenching. The thought is that since the body can breathe better, the jaw doesn’t have to move around, trying to find the best position for air exchange.

2. Reducing Dry Mouth

People with OSA often sleep with their mouth open in an attempt to get more oxygen, which leads to dry mouth. Because saliva plays an important role in reducing the amount of plaque on your teeth, dry mouth can cause or accelerate tooth decay. Using an MAA will open up the airway and improve breathing, which will reduce the need to breathe through the mouth during sleep. This will reduce all dry mouth symptoms and keep tooth decay under better control by maintaining the proper amount of saliva in your mouth.

3. Reducing the Risk of Gum Disease

Gum disease is a common oral health problem that can lead to tooth loss if left untreated. People with sleep-disordered breathing are at an increased risk of developing gum disease, as the reduced oxygen flow to the gums can make them more susceptible to infection. By improving breathing and oxygen flow, MAAs can help reduce the risk of gum disease and promote overall oral health.

4. Improving Overall Sleep Quality and Quality of Life

Finally, the most important benefit of using an MAA is improved sleep quality, which can have a positive impact on your quality of life in general. Poor sleep quality has been linked to a range of health problems, and by improving breathing and reducing sleep disturbances, MAAs can help promote your overall health and wellbeing.

Want Better Sleep, Healthier Teeth, and a Higher Quality of Life?

If you have sleep apnea and would like to be fitted for a mandibular advancement appliance, Dr. Jeff Eggert or Dr. Elizabeth Eggert can help! After hearing from your medical doctor and doing an assessment of your bite, we can custom-design your device by taking impressions or digital scans of your mouth. Once the device is ready, we’ll ask you to come into our office for a fitting so we can make sure it’s comfortable and effective. Contact us or call us at 651-482-8412 today to schedule your mandibular advancement device consultation!

Sleep Apnea Treatments: Mandibular Advancement Appliances vs. Traditional CPAP Therapy

By: Dr. Elizabeth Eggert

Obstructive sleep apnea (OSA) is a common sleep disorder that affects 18 million people around the world. It is characterized by pauses in breathing during sleep, which can lead to snoring, daytime sleepiness, and other health problems.

There are several treatment options available for sleep apnea, but two of the most popular are Mandibular Advancement Appliances (MAAs) and Continuous Positive Airway Pressure (CPAP) therapy. While both of these treatments can be effective, they work in different ways and have different benefits.

Let’s explore the differences between MAAs and CPAP therapy and help you determine which treatment option may be best for your individual needs.

Sleep Apnea Treatment Options

First, let’s take a look at all of the treatment options that patients are given when first diagnosed with OSA:

Lifestyle changes: Losing weight, quitting smoking, avoiding alcohol and sedatives, and sleeping on your side may be recommended to improve sleep apnea symptoms.
Oral appliance therapy: This involves wearing a mouthguard-like device (like an MAA) that helps to reposition the tongue and jaw to keep the airway open during sleep.
Continuous Positive Airway Pressure (CPAP) therapy: CPAP therapy involves wearing a mask at night that is attached to a machine. This machine delivers air pressure to keep the airway open during sleep.
Surgery: In some cases, surgery may be recommended to remove excess tissue in the throat or to reposition the jaw.

You and your doctor will be able to review your unique situation to determine which of these solutions is right for you.

While lifestyle changes can treat more mild cases of sleep apnea, they won’t be able to completely relieve symptoms of more severe cases. On the opposite end of the spectrum is surgery: this sleep apnea treatment is usually saved for the most severe cases of OSA.

The middle ground, then, is where Continuous Positive Airway Pressure (CPAP) therapy and Mandibular Advancement Appliances (MAAs) lie. These are the most popular treatment options among people with sleep apnea. While both treatments can be effective treatment options, they work in different ways and have different benefits.

Benefits of CPAP Therapy

Continuous Positive Airway Pressure (CPAP) therapy is:

Highly effective: CPAP therapy is considered the most effective non-surgical treatment option for sleep apnea.
Produces immediate results: CPAP therapy can provide immediate relief from symptoms of sleep apnea, such as snoring and daytime sleepiness.
Can be used for any level of sleep apnea: CPAP therapy can be used to treat all levels of sleep apnea, from mild to severe.
Helps improve overall health: CPAP therapy can help improve blood pressure, reduce the risk of heart disease and stroke, and improve overall quality of life.

However, because of the cumbersome nature of the CPAP machine, many people have a difficult time sticking to it over an extended period of time. It’s also difficult to travel with so many people don’t use their CPAP machine during vacations or trips.

Benefits of Mandibular Advancement Appliances

While CPAP therapy is extremely effective, many people can’t tolerate sleeping with the discomfort of the face or nose mask night after night. That’s where Mandibular Advancement Appliances (MAAs) come in: MAAs have an 80% compliance rate over the CPAP’s 40% compliance rate.

In addition to being easier to stick to as a treatment modality, Mandibular Advancement Appliances are:

Comfortable: MAAs are often more comfortable to wear than CPAP masks, as they are custom-made to fit the patient’s mouth.
Portable: MAAs are small and easy to travel with, making them a convenient treatment option.
Non-invasive: MAAs do not require surgery and can be easily adjusted by Dr. Jeff Eggert or Dr. Elizabeth Eggert.
Effective for mild to moderate sleep apnea: MAAs are often recommended for individuals with mild to moderate sleep apnea who are unable to tolerate CPAP therapy.

Ultimately, the best treatment option for sleep apnea will depend on your specific needs and preferences. Your doctor can help determine the most appropriate treatment option based on the severity of your condition, medical history, and other factors.

Think You Could Benefit from a Mandibular Advancement Appliance?

At Eggert Family Dentistry, we custom-fit mandibular advancement devices for patients with Obstructive Sleep Apnea or other Sleep Related Breathing Disorders. Call us today at 651-482-8412 to schedule a consultation during which Dr. Jeff Eggert or Dr. Elizabeth Eggert can discuss this treatment option with you and answer any questions you may have. Once we’ve decided an MAA is right for you, we can custom-design your device and then calibrate the finished product to make sure it’s comfortable and effective. Contact us to schedule your appointment today!

Treating Sleep-Disordered Breathing: 4 Benefits of the Seattle Protocol

By: Dr. Elizabeth Eggert

Some patients who come to us with chronic dental problems also present airway patency issues. Simply put, airway patency is the ability of a person to breathe, with airflow passing to and from the respiratory system through the oral and nasal passages.

When a person experiences difficulty breathing, especially at night, this can 1) negatively affect one’s oral health, and 2) continue to damage the teeth even after restorative dental procedures have been completed.

So, what does that mean for patients of Eggert Family Dentistry? It means that before beginning any restorative dental treatment, we need to identify and address these airway patency issues using a process called the Seattle Protocol.

The Seattle Protocol

The Seattle Protocol is a six-step process that helps patients with symptoms of sleep-disordered breathing and other conditions determine whether a compromised airway is contributing to their ailments.

Each of the six steps builds upon the last to open the airway as much as possible, but patients don’t necessarily need to complete the entire process to identify the solution. The purpose of the protocol is to determine which step provides the patient the most relief of symptoms.

Here is a brief description of the six steps of the Seattle Protocol:

Nose Breathing and Mouth Taping: During this stage, you will gently train your body to breathe through your nose, not your mouth.
Temporary Splint for Lower Jaw and Mouth Taping: Once you’ve adjusted to the mouth taping, the second step of the protocol adds a temporary splint for your lower jaw while you sleep.
Temporary Splint for Lower Jaw with Lower Jaw Pulled Forward and Mouth Taping: If adding the lower splint only isn’t giving you the restful sleep you deserve, we add an element that pulls your lower jaw forward.
Temporary Splint for Lower and Upper Jaw with Mouth Taping: If you aren’t getting relief from the previous step, we remove the forward jaw posturing component and add a splint for your upper jaw.
Temporary Splint for Lower and Upper Jaw with Lower Jaw Pulled Forward and Mouth Taping: If you need to continue in the protocol, step five again adds a horizontal component by linking the upper and lower splints together and moving the lower jaw forward.
Temporary Splint for Lower and Upper Jaw with Lower Jaw Progressively Pulled Forward and Mouth Taping: If you still aren’t getting that good night’s sleep, we move to the final stage of the Seattle Protocol. In this stage, we keep moving your lower jaw forward, incrementally, until you feel well-rested.

As we said before, the goal of the Seattle Protocol is to open the airways as much as possible so that your breathing is no longer restricted. You can find a full description of each of the six steps here.

The Benefits of the Seattle Protocol

The main benefit of the Seattle Protocol is to determine a good position to help control your sleep-disordered breathing. However, the Seattle Protocol also comes with a host of other positive benefits for our patients.

Improved safety: The Seattle Protocol prioritizes patient safety by allowing us to take a systematic and collaborative approach to airway management. By following a standardized protocol, Dr. Jeff Eggert or Dr. Elizabeth Eggert can identify and address airway issues quickly and effectively, minimizing the risk of complications during dental procedures. It is also completely reversible so there are no long-term ill-effects.

Increased comfort: The Seattle Protocol takes a gradual and gentle approach to airway management to maximize patient comfort by introducing interventions slowly and adjusting them as needed. More importantly, when the Seattle Protocol is successful, our patients can finally enjoy a comfortable night’s sleep!

Better outcomes: By identifying and addressing airway issues before beginning any dental restorations, the Seattle Protocol ensures that our patients can maintain their new smiles for as long as possible, without any complications. This will not only help our patients recover more quickly but also ensure that they get the most out of their financial investment.

Personalized care: The Seattle Protocol is designed to be flexible and adaptable to the individual needs of each patient. By tailoring interventions to each patient’s unique situation, we can provide the solution that’s right for you.

At Eggert Family Dentistry, the Seattle Protocol assists us in treating our patients with airway patency issues or sleep-disordered breathing. The systematic steps allow us to both address the problem and identify the solution so our patients can receive the best possible care during dental procedures, and achieve the best possible outcomes afterward!

Real Results: Tom’s Story

One of our patients, Tom, came to us with excessive wear, erosion, and many fractured teeth. Tom needed to reconstruct his mouth and we did that in phases, however, during the process we ran into a few complications:

The force of Tom’s bite was so strong that he broke many temporary crowns. Dr. Elizabeth Eggert wanted to get down to the bottom of why Tom’s body would do this because even new crowns wouldn’t survive in such a harsh environment.

Given Tom’s other symptoms, including difficulty breathing through his nose, dry mouth, and the use of a CPAP machine, Dr. Elizabeth Eggert recommended Tom complete the Seattle Protocol to help address his airway patency.

After completing five of the six steps of the Seattle Protocol, Dr. Elizabeth Eggert fabricated a sleep appliance for Tom to continue to improve his airway patency, reduce his bruxism and help him sleep better. After just a month of using his sleep appliance, Tom experienced less clenching, jaw pain, and an overall improvement in his sleep!

Think You Could Benefit from the Seattle Protocol?

If you, too, are experiencing airway patency issues or sleep-disordered breathing, call our office today to schedule a consultation. At Eggert Family Dentistry, Dr. Jeff Eggert or Dr. Elizabeth Eggert will be able to collaborate with you on finding a solution to your unique situation. If you think you could benefit from the Seattle Protocol, contact us or call us at 651-482-8412 for a consultation today!