Category: TMJ, Splint, and Sleep Apnea Therapy

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:

  1. Nose Breathing and Mouth Taping: During this stage, you will gently train your body to breathe through your nose, not your mouth.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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!

How Occlusal Equilibration Helps Jaw Pain and TMD

By: Dr. Elizabeth Eggert

According to the National Institute of Dental and Craniofacial Research, as many as 12 million U.S. adults suffer from pain in the Temporomandibular Joint (TMJ), a disorder known as TMD (Temporomandibular Joint Disorder).

If you suffer from TMJ dysfunction, you know how painful it can be. When your jaw is misaligned, it can cause agonizing joint problems as well as increased wear on your teeth.

Jaw pain caused by TMD is often solved using devices like splints and mouthguards, or even surgery. But if you have jaw pain related to TMD, there’s another solution that could help: occlusal equilibration.

Read on to learn more about this procedure and how occlusal equilibration helps jaw pain and misalignment.

Is Your Jaw Pain Caused by Jaw Misalignment?

Jaw pain can be caused by a number of factors. Some of the most common causes include: decayed or abscessed teeth, gum infection, migraines, sinus or ear infections, heart disease, bruxism (teeth grinding), and TMD.

The treatment for your jaw pain will depend on what is causing it. If your jaw pain is caused by jaw misalignment or TMD, occlusal equilibration could help relieve it. 

But how do you know if your TMJ is causing your TMD and jaw pain?

The simple answer, of course, is to visit Dr. Elizabeth Eggert or Dr. Jeff Eggert to determine the cause of your jaw pain. But if you are experiencing the following symptoms, TMD may be at the root of your pain:

What Is Occlusal Equilibration?

Occlusal equilibration is the process of subtly and precisely reshaping the biting surfaces of your teeth to correct the alignment of your bite and positioning of your jaws. 

A well-aligned jaw allows your upper and lower teeth to fit together properly when you bite down. But when your jaw is misaligned, your bite becomes uneven, putting stress on individual teeth as well as the jaw joint and especially the surrounding muscles. When the misalignment is corrected with occlusal equilibration, those muscles relax, reducing or eliminating pain and sensitivity. 

This procedure is generally pain-free, and doesn’t require anesthesia. It’s quick and affordable, and the adjustments are generally so slight that they don’t change the appearance of your teeth.

How Occlusal Equilibration Helps Jaw Pain and TMJ

When something keeps your bite from being evenly distributed throughout your mouth (tooth loss, clenching, grinding, and so on), it can cause occlusal trauma. 

This can manifest as worn or chipped teeth, sensitive areas on the teeth, gum recession, headaches, or a “popping” sound when you open and close your mouth. In addition, an uneven bite places pressure on teeth and this can accelerate periodontal disease including bone loss and loosening of teeth.

Occlusal equilibration redistributes that pressure so your bite is even, eliminating spots of excess pressure and allowing the bones and ligaments to heal.

During this procedure, Dr. Elizabeth Eggert or Dr. Jeff Eggert will note all of the areas where your teeth don’t align properly, then re-shape and adjust on the teeth using the dental handpiece. This restores your correct mouth structure and alleviates pain caused by misaligned jaws.

Many of our patients who have had occlusal equilibration have seen results quickly, saying they can feel the difference in their bite within even minutes of the procedure.

Determining if Occlusal Equilibration Is Right for You

At Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff both love helping their patients who would benefit from occlusal equilibration and they can help you determine if this treatment is right for you.

The first step is to schedule a diagnostic appointment, where Dr. Elizabeth Eggert or Dr. Jeff Eggert will assess your mouth’s structure and analyze how your teeth move against one another. This will allow them to determine if adjusting the biting surfaces of your teeth could help reposition your jaws properly. If they determine occlusal equilibration is right for you, our office will help you schedule a separate appointment for the procedure.

Ready to find out if occlusal equilibration could help your jaw pain? Contact us to schedule your diagnostic appointment.

Acute Jaw Pain: What Causes It and How Do We Treat It?

By: Dr. Elizabeth Eggert

Chronic or intense jaw pain can be debilitating, making it difficult to speak or eat properly. When the pain is severe enough, it can even disrupt your sleep or limit your ability to function normally in your everyday life.

Jaw pain can include jaw tenderness, pain when you bite down, pain in or around your ears, and headaches. There are many possible causes of jaw pain, so it can be challenging to diagnose what is causing it.

Read on to learn some of the common causes of acute jaw pain and how we treat it here at Eggert Family Dentistry using a device called the Aqualizer®.

Common Causes of Jaw Pain

While over-the-counter painkillers and anti-inflammatories can temporarily reduce jaw pain, to properly treat it you need to determine the root cause.

There are several conditions that can contribute to severe jaw pain, some of which are related to dental health, but not all. It’s important to consult both Dr. Eggert and your physician to diagnose the cause of your jaw pain. They will do a thorough exam, which may include dental X-rays, CT scans, or blood work.

The most common causes of jaw pain include:

Decayed or Abscessed Teeth

Pain from tooth decay or a tooth abscess can radiate to the jaw. Treatment may include fillings, crowns, a root canal, or extraction, depending on the severity of the problem.

Gum Infection

A gum infection is usually caused by bacteria that multiplies due to poor oral hygiene. The most effective initial treatment is a deep cleaning called scaling and root planing. Occasionally adding localized antibiotics can also improve the infection. Improved oral hygiene can help manage the gum disease caused by a gum infection and hopefully prevent future acute incidents.

Cluster Headaches or Migraines

A migraine typically presents as a throbbing headache on one side of the head, while a cluster headache usually starts as pain behind or around one of the eyes. Both can also send pain to the jaw. There are also times when overuse of the jaw muscles or jaw joint can send pain signals that manifest as cluster headaches or migraines.

Sinus or Ear Infections

Infections of the sinuses or ear canals can also cause pain to radiate to the jaw. When sinuses or ears become infected, often an excess of mucus puts pressure on the jaw joint, causing pain.

Heart Attack or Angina

Jaw pain can sometimes accompany a heart attack or angina. During a heart attack, pain can radiate to the arms, back, neck, or jaw. Women are especially likely to experience jaw pain on the left side when having a heart attack.

If you experience any of the following symptoms along with your jaw pain (even if you don’t have chest pain) you should immediately call 911:

  • Chest discomfort
  • Shortness of breath
  • Sweating
  • Nausea
  • Feeling faint

Trigeminal Neuralgia

Trigeminal neuralgia is a condition commonly caused by compression of the trigeminal nerve—a large, three-part cranial nerve that provides sensation to a large portion of the face, including the upper and lower jaws. This condition causes brief but excruciating jaw and facial pain on one side of the face. It can feel like shooting, stabbing, or electrical pain, and can mimic dental pain. Treatment for trigeminal neuralgia typically involves medication or surgery.

TMJ or TMD

Temporomandibular joint (TMJ) dysfunction, or Temporomandibular Disorder (TMD) are the most common causes of jaw pain. The temporomandibular joints are the hinge joints on each side of your jaw. Pain can originate in either the joints themselves or the muscles surrounding the joints. This condition can be difficult to treat because there are multiple potential causes, including: muscle pain, jaw joint injury, overstimulation of the jaw joint, a displaced disc, or arthritis of the protective disc that cushions the jaw joint.

Damage to the jaw joint or the muscles that control your jaw movement can be caused by several factors, including:

  • Grinding your teeth
  • Involuntarily clenching your jaw due to stress or anxiety
  • Jaw joint trauma, such as a sports injury or other facial injury
  • Upper airway resistance syndrome (UARS) and lack of reparative sleep

TMJ or TMD muscle tension can often be treated with muscle relaxants, anti-inflammatory drugs, or a custom fitted dental orthotic (similar in concept and shape to a mouth guard). Joint dysfunction is generally treated with anti-inflammatories and sometimes arthroscopic surgery.

Bruxism

A person with Bruxism grinds or clenches their teeth, either while sleeping or even throughout the day—and in most cases, they don’t realize they’re doing it. Bruxism is generally caused by stress, and it can, in turn, cause jaw pain. Bruxism can often be treated using a custom fitted dental orthotic—a splint typically worn at night, but sometimes with some day use if needed.

Treating Acute Jaw Pain with the Aqualizer®

At Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff use a device called the Aqualizer® to treat acute jaw pain.

The Aqualizer® is a self-adjusting dental splint used to diagnose how much a patient’s dental bite contributes to their jaw or facial pain. The extent that it helps relieve this pain indicates whether dental treatment will be an effective solution.

The Aqualizer® works by allowing the jaw muscles to automatically reposition the jaw to where it naturally works best. It allows the body to correct bite distortions to restore optimal function and balance. Biting down on the Aqualizer® causes the fluid contained in the device to distribute the bite force evenly across the bite, relieving jaw pressure and pain.

This device is meant to be used short-term and is helpful for acute jaw pain related to TMJ or Bruxism. In addition to treating jaw pain, it can also bring relief to chronic neck, shoulder, and migraine pain. It can be very helpful in narrowing in on a diagnosis for your problem.

Are You Suffering with Acute Jaw Pain? Schedule a Visit Today

If you are experiencing jaw pain, Dr. Elizabeth and Dr. Jeff are here to help. Schedule an exam today to determine the cause of your jaw pain and to discuss your treatment options, including whether an Aqualizer® may be right for you. To schedule an appointment, call our office at 651-482-8412.

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Teeth Grinding: Long Term Effects and Treatment Options

By: Dr. Elizabeth Eggert

We all have different ways and different places we hold stress in the body. Some of us have a tense neck or tight shoulders or a tender lower back, which can all be stress responses to the ups and downs of this complicated world we live in.

From a dental perspective, there’s one stress response we frequently notice in some patients’ mouths: bruxism.

Bruxism is just a fancy word with Greek origins that means grinding the teeth. (It’s also a pretty good Scrabble word to keep in your back pocket, if you’re into that kind of thing.)

People with bruxism may grind or clench their teeth during waking hours without really noticing it, or they may grind or clench their teeth while they sleep. Either way, many or most bruxers aren’t aware that they grind or clench unless someone else alerts them to the situation, such as a dental professional or a sleeping partner. In fact, some bruxers don’t inflict serious damage on their teeth, and discover their bruxism habit due to TMJ problems, chronic headaches, or by recognizing how tense their jaw muscles tend to be.

However, bruxism can have very negative consequences on dental and oral health. Over time, people with bruxism can wear their teeth down to flattened surfaces with an even, square appearance. They may even end up with chipped, loose or even fractured teeth. What’s more, grinding and clenching can damage dental restorations such as crowns or fillings and cause premature failure.

Treating Bruxism with a Dental Splint

There are a variety of ways to treat bruxism.

The simplest treatment protects your teeth instantly: An occlusal appliance. This is a custom dental splint designed to be worn while sleeping. It prevents your teeth from touching and it also absorbs bite force. These are different from mouth guards, which are designed to protect your teeth from high-speed foreign objects like baseballs, hockey pucks, or impact with the ground.

Dental splints get high scores in protecting your teeth, but depending on how they are designed, they don’t always discourage the urge to grind, so patients may still suffer from other effects of grinding such as headaches, TMJ issues, and poor jaw mobility.

Other Treatments for Bruxism

There are other potential treatments for bruxism that aim to stop or discourage the grinding behavior, which will help alleviate those non-dental consequences listed above.

These treatments include:

  • Treatment for airway issues that may be causing the grinding
  • Prescription medications
  • Botulinum neurotoxin type A, more commonly known by the brand name Botox
    Counter stimulation, such a small electrical impulse that’s activated by clenching
  • Treating the underlying stress or anxiety that may be causing the bruxism
  • Behavioral techniques such as biofeedback therapy

Here at Eggert Family Dentistry, Dr. Jeff and Dr. Elizabeth screen for evidence of bruxism during our exams. If your teeth indicate any damage from grinding, we’re here to partner with you in resolving the problem. Likewise, if you’re experiencing any symptoms that could indicate bruxism, such as jaw pain and stiffness, chronic headaches and more, be sure to let us know so we can help you overcome this destructive and uncomfortable activity.

Prolonged teeth grinding or clenching has the potential to damage your teeth irreversibly, so it’s worth taking every possible measure to overcome bruxism and to mitigate its erosive effect on your teeth. We look forward to helping you overcome bruxism and enjoy healthy teeth and reduced jaw and facial tension. Call us today at 651.482.8412 to schedule your next appointment.

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Dental Health and Airway Issues

By: Dr. Elizabeth Eggert

We’ve discussed the relationship between obstructed breathing and dental/oral health in other posts, such as The Link Between Airway and Dental Issues; The Effects of Airway Issues in Children; and What is the Seattle Protocol and How Does it Help Pinpoint Airway Obstructions?

Today, we’ll revisit the topic with particular focus on the tonsils and adenoids.

Airway issues, respiratory obstructions, and mouth-breathing can result in enlarged tonsils and adenoids, which can present their own set of health challenges.

What Are Tonsils and Adenoids?

Both tonsils and adenoids are lymphatic tissues, and are part of the body’s immune system.

You can sometimes see your tonsils: they are the two fleshy lumps visible at the back of the throat. They vary in size among different people. These glands occur in pairs, one on each side of the back of the throat at the junction of where the nasal passage meets the throat. Their job is to trap germs, including bacteria and viruses. They also produce antibodies which help destroy germs, preventing throat and lung infections. They usually reach full size by age 4.

Your adenoids are hidden from view. They hang from the upper part of the nasal cavity and can be examined by a medical professional aided with a mirror and light or a small flexible scope. Adenoids are made of similar tissue as tonsils, and they also trap bacteria and viruses and produce antibodies. The adenoids also reach full size by age 4, and tend to shrink after early childhood. In teenagers and adults, they can be nearly undetectable.

Both glands play an important role in infant and early childhood immunity, but become less critical as children grow and their bodies develop other successful tools to fight germs.

Mouth Breathing and Tonsils

Obstructed breathing and airways often cause people to breathe through the mouth instead of the nose. While this may seem like a minor issue, mouth breathing actually has a host of negative consequences on both dental and overall health.

In terms of the tonsils, mouth-breathing increases the turbulence of breath going directly into the throat. This dries out the tonsils, causing post-nasal mucus drip and exacerbating allergic reactions. It can cause chronic inflammation of the tonsils, which enlarges the glands and interferes further with breathing because of the obstruction they cause in the throat.

In other words, enlarged tonsils are both a symptom and a cause of airway obstruction. They both indicate and contribute to impaired breathing while sleeping, which can cause a host of unwelcome symptoms. From a dental perspective, these issues include cavities, teeth grinding, malocclusion, periodontal disease, TMJ problems and more. Other health issues that can result include headaches, snoring, obesity, ADHD, asthma, sleep apnea, and more.

Thorough Dental Exams at Eggert Family Dentistry

Here at Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff conduct thorough exams that include looking at your soft tissues like your tonsils. We recognize the critical role of respiration in your overall health and your dental health. If you think you or your child may have airway issues, or if you or your child has chronic issues with tonsils or adenoids, please share that information with Dr. Elizabeth and Dr. Jeff so we can help identify the problem and come up with a solution to support improved health, immunity and vitality for you or your child. Just contact us or schedule an appointment at 651.482.8412 today!

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Sleep Apnea and Oral Health Share A Few Primary Connections

By: Dr. Elizabeth Eggert

Obstructive sleep apnea (OSA) is a condition that must be taken seriously. Obstructive sleep apnea is an airway blockage that occurs when, during sleep, muscles in the back of the throat relax and/or the tongue and surrounding tissues migrate back into the throat, obstructing the airway.

Not only can sleep apnea cause fatigue, headaches and memory loss but it can also lead to even more serious health issues such as hypertension, heart failure and stroke.

Many people don’t understand what causes sleep apnea and how it affects oral health. We’re going to take a few minutes to unpack some of these connections.

Risk factors for sleep apnea

When you come in for an appointment, we look for signs or symptoms that could be considered “red flags” for airway conditions, including sleep apnea. Dr. Elizabeth or Dr. Jeff perform an assessment to see if you have any of the following risk factors among many others:

  • Over 40 years of age
  • Obesity
  • Large tongue or tonsils
  • A large neck
  • A small jaw

If we think you might be dealing with an airway issue like sleep apnea, we’ll ask you if your loved ones complain that you snore or gasp for air when you sleep. We’ll ask you if you deal with insomnia or daytime drowsiness. Do you wake up with a headache or a dry mouth? Do you have nasal or sinus problems?

We will also look for signs of TMD, bruxism or dry mouth, all of which can be connected to OSA.

TMD goes hand in hand with sleep apnea

Did you know that, in 52% of obstructive sleep apnea cases, a person also struggles with temporomandibular disorder or TMD?

TMD occurs when the temporomandibular joint (TMJ) doesn’t function properly. When the joint is irritated, chewing and talking can be mildly to moderately painful.

So why do sleep apnea and TMD often occur together? When a person is deprived of oxygen during sleep, their body will compensate in unconscious ways. In many cases, their jaw muscles clench and release or grind the jaw around to gain more airway space. When sleep apnea is left untreated, this jaw motion becomes habitual and can cause TMD or even deterioration of the jaw joint itself.

Bruxism goes hand in hand with sleep apnea

Bruxism is another condition that is often present alongside obstructive sleep apnea. Often intertwined with TMD, bruxism describes a condition caused by the clenching or grinding of teeth. It occurs unconsciously during sleep and can be another way a person’s body compensates for an airway obstruction.

Symptoms of bruxism include broken, cracked, chipped or worn teeth. Because the clenching and grinding of teeth cause tension in a person’s head, jaw and muscle discomfort are commonly present.

Of the 31% of adults who deal with bruxism, at least 25% of them also battle OSA.

Sleep apnea leads to mouth breathing

As we already stated, sleep apnea is an airway obstruction often caused by soft tissues that move towards the back of the mouth during sleep. In addition to clenching and contracting your jaw muscles in response, a person will typically also mouth breathe in an attempt to get more oxygen.

Mouth breathing leads to snoring but it also leads to other, more serious oral consequences.

Saliva plays an important role in rinsing food and harmful bacteria out of our mouths. When a person breathes through their mouth, it becomes dry and becomes a haven for food particles and bacteria. Without this natural “rinsing” function, plaque easily grows under the gumline and can cause tooth decay, gingivitis and in extreme cases, periodontal disease.

If you’re experiencing symptoms of sleep apnea or related conditions, Dr. Elizabeth or Dr. Jeff would love to see you in our office. They can evaluate your situation, determine which factors are present and, if they see evidence of sleep apnea, refer you to your primary doctor who may refer you to an ENT or sleep specialist. Then Dr. Elizabeth or Dr. Jeff will partner with these specialists to determine the best courses of action to help alleviate sleep apnea and any peripheral issues and restore your health. Schedule your appointment by calling our office at 651.482.8412!

How Are TMJ Disorders Diagnosed?

By: Dr. Elizabeth Eggert

In our previous blog, we took the time to clear up confusion over the two terms, TMJ and TMD. Now we’re going to dive into TMD, or temporomandibular disorder, and how it is diagnosed.

When a you come into Eggert Family Dentistry and are complaining of jaw discomfort, Dr. Elizabeth or Dr. Jeff will ask you several questions and perform an oral evaluation—this is all part of our records process and often part of our new patient experience. Here are some of the most common TMD symptoms that drive people into our office:

  • Pain when opening or closing the mouth
  • Difficulty chewing
  • Jaw becomes stuck open or shut
  • Headaches, migraines, ear pain, ringing in the ears, double vision
  • Clicking or popping sounds when opening the mouth
  • Teeth grinding
  • Wearing down or breaking of the teeth

After our thorough evaluation, if we determine that you are dealing with TMD, we will find the treatment or combination of treatments that are right for you. This may mean splint therapy, exploration into sleep and airway, changing the bite, or seeking out consultations with the right medical physicians. Jaw discomfort can be associated with other health issues and we want to make sure to help you get to the root of the problem.

You don’t have to live with the discomfort of TMD. If you’re experiencing any of these symptoms, contact the professionals at Eggert Family Dentistry. Dr. Elizabeth Eggert and Dr. Jeff Eggert have vast experience diagnosing and treating this jaw disorder and can be reached at 651.482.8412. Remember Eggert Family Dentistry for all of your dental needs!

What’s the Difference Between TMD and TMJ?

By Dr. Elizabeth Eggert

Our upper and lower jaw bones help our bodies perform many important functions. They help us speak, chew, and yawn. Consequently, our quality of life is directly impacted when our jaw is even slightly irritated or inflamed. When it comes to jaw disorders, there is often confusion between the terms TMJ and TMD. This post will help you decipher between these two terms.

What is TMJ?

TMJ refers to the temporomandibular joint itself, a joint that acts like a sliding hinge, connecting your jawbone to your skull. The lower jawbone (mandible) has two condyles that fit at the base of the skull. This joint can be found on both sides of your head, in front of each ear. The TMJ allows the jaw to open and close so you can speak, chew, and yawn. While many people claim to suffer from TMJ, this term actually refers to the joint as opposed to the joint disorder.

What is TMD?

TMD on the other hand, stands for temporomandibular disorder, a disorder of the temporomandibular joint. This joint is easily irritated by stress, jaw clenching, teeth grinding, and arthritis and is susceptible to misalignment, dislocation, or permanent changes as a result of crooked teeth or blunt trauma. Depending on the cause, discomfort can range from mild to severe. However, just because you’re not experiencing severe pain in your jaw doesn’t mean you should just “ride it out.” Ignoring even mild jaw discomfort can result in deterioration of the TMJ.

In our next post, we will cover the signs and symptoms of TMD and discuss how TMJ disorders are diagnosed. Stay tuned!

If you have any questions about TMD/TMJ or would like to schedule a recare visit with us, you can call our office today at 651.482.8412. Dr. Elizabeth, Dr. Jeff and our amazing team at Eggert Family Dentistry are here and ready to address all of your dental concerns and needs with our vast experience, the latest technology and all of the comforts to make each of your visits a great experience!

Vaping and Your Oral Health

By: Dr. Elizabeth Eggert

Vaping, or using e-cigarettes, is smoking a chemical vapor that delivers nicotine into your lungs. Often misconstrued as a safer alternative to traditional cigarettes because there is no tobacco involved, vaping has devastating effects on a person’s oral and overall health. At Eggert Family Dentistry, we think it’s important to educate our patients about the many ways that vaping can affect oral health.

Dangerous ingredients

While vaping liquid doesn’t contain tobacco, it does contain numerous other ingredients that pose a threat to oral health:

Propylene glycol: Used as a carrier ingredient in e-liquid, propylene glycol is a slightly-sweet, colorless liquid that, when vaped, breaks down into acetic acid, lactic acid and propionaldehyde – all of which have toxic effects on soft tissue and enamel.

Nicotine: There are many side effects that can result from nicotine exposure, including reduced blood flow which can cause gum tissue to die. When this happens, gums recede and expose more of the tooth which leads to tooth sensitivity, an increase in cavities and in some cases, tooth loss.

Flavorings: In order to appeal to a wider audience, e-liquid often contains fruit, candy and other flavorings. These flavorings, when added to vegetable glycerin, cause a 27% decrease in the hardness and integrity of tooth enamel.

Oral health complications

Dry mouth: Nicotine in e-liquid inhibits saliva production which leads to dry mouth. When your mouth is dry, it’s a perfect habitat for bacteria which can lead to tooth decay.

Bruxism: Because nicotine is a muscle stimulant, it can cause clenching, gnashing and teeth grinding which, over time, results in wear to enamel and can lead to fractured teeth.

Gum disease: Exposure to nicotine-laden vape liquid can swell and inflame gums. When gums are irritated, your mouth is dry and there are more bacteria on the scene, gum disease easily sets in.

Damage to oral tissue: In rare cases, the lithium batteries in vaping devices overheat and explode, causing extreme damage to oral tissue – damage that can result in permanent disfigurement. There are even a couple documented cases of accidental death related to these explosions.

We want our patients to enjoy optimal dental health! If you have questions or concerns about the effects of vaping on your oral health or the oral health of a loved one, give Dr. Elizabeth Eggert or Dr. Jeff Eggert a call at 651.482.8412. We would be happy to speak with you!

 

Reasons We Might Refer You to or Collaborate with an ENT

By: Dr. Elizabeth Eggert

There are certain situations at Eggert Family Dentistry when we need to collaborate with other physicians to provide the best possible care for our patients. Especially as we have worked to integrate more airway into our practice, many of you have been asked to seek out care with a board-certified ENT for a more integrated approach to dentistry.

In this article, we will provide information about how certain medical conditions may be linked to your airway and therefore situations where it may be best to collaborate with an ENT. We will also launch into more specific information about some of these conditions below.

  • Sleep – if you have trouble snoring, falling asleep, staying asleep, trouble with restless sleep, you wake up feeling unrefreshed, or issues with nighttime urination, these can all be linked to airway issues.
  • Other Health Conditions – ADHD, allergies, anxiety, birth defects, cardiovascular disease, chronic head and neck pain, chronic pain, daytime fatigue, depression, digestive issues, emotional problems, frequent colds, sinus problems, sore throats, or tonsillitis, grinding or clenching of teeth, headaches, high blood pressure, jaw locking, large tonsils or adenoids, memory loss, mouth breathing, neck aches, obesity, pain or clicking in jaw joint, previous orthodontics, PTSD, speech problems, sucking habits, tonsillectomy, adenoidectomy, or type II diabetes can all be linked to airway issues.
  • Dental Observations – there are many dental conditions that can be linked to poor airway flow as well such as crowded teeth, deep overbite, forward head position, head tilted back, mouth breathing, narrow dental arches, recessive lower jaw, scalloped tongue, tongue thrust, tongue tie or tooth wear.

Snoring and sleep apnea

Sleep apnea is a serious condition that can lead to several other serious medical conditions. In cases where our patient is struggling with sleep apnea, Dr. Elizabeth or Dr. Jeff can often link what they see with the teeth, jaw, and muscles (like the tongue) to aid in determining the cause. Does our patient have inadequate space for the tongue based on the size of the jaw? Is the root of their condition the size or shape of their soft palate? How does the alignment of the teeth play in? Once this is determined, the best course of treatment is pursued. It is often helpful both during the diagnostic phase as well as during the treatment phase to collaborate with an ENT. This allows us to look at the situation from all facets and choose the best course of treatment.

Beyond sleep apnea itself, there are other sleep disordered breathing diagnoses or simply disordered breathing at all times, that can be detrimental to overall health. ENTs or other medical professionals can often help us navigate through treatment options.

Enlarged tonsils and adenoids

Enlarged tonsils and adenoids in children can cause facial and jaw deformities as a child grows. When Dr. Elizabeth or Dr. Jeff notice enlarged tonsils or adenoids and determine that the enlargement is not simply due to a virus, we will often refer our patient to an ENT for a consult.

Sinus problems

If a patient comes into our office with jaw pain, Dr. Elizabeth or Dr. Jeff evaluate many things, including the patient’s teeth and jaw. Because sinus problems can be a contributing factor to teeth and jaw discomfort, if their examination is inconclusive, Dr. Elizabeth or Dr. Jeff will refer our patient to an ENT for further evaluation.

In some cases, mucus can build up in the sinus cavity, causing sinusitis and leading to halitosis (bad breath). If halitosis is present (often in combination with jaw discomfort), this is another situation where Dr. Elizabeth or Dr. Jeff will most likely refer our patient to an ENT.

TMJ disorder

Another common cause of jaw pain is a disorder of the temporomandibular joint (TMJ). At Eggert Family Dentistry, we most commonly treat TMD by providing our patient with a splint or night guard. In severe cases, full-mouth reconstruction may be necessary. However, if we are unable to make a dental determination for the jaw pain, we can refer our patient to an ENT for a CT scan or an MRI to rule out bone and joint issues.

At Eggert Family Dentistry, we go above and beyond to make sure each one of our patients receives superior care. This often means referring our patient to or collaborating with a board-certified ENT for further investigation. If you’d like to schedule an appointment with us, give us a call at 651.482.8412!