“Say Cheese!” – Composite Bonding and Veneers – Grace and Abigail’s Stories

By: Dr. Elizabeth Eggert

What happens when you are young, undergoing orthodontics, and there is what we call a “space/size discrepancy?”  A “space/size discrepancy” is when teeth are narrower than the space your tongue and muscles need to function properly. When this occurs, it usually is best to allow your tongue to have the space, otherwise the teeth will move later and orthodontic relapse is guaranteed.  What this means, however, is due to the narrow shape of the teeth, spaces between the teeth will be present.  Luckily, Dr. Jeff Eggert and Dr. Elizabeth Eggert of North Oaks, MN have great solutions for this situation.  Generally, we need to change the shape of the teeth with restorations and close these spaces.  With young patients, due to expected changes in growth and development over time, we often recommend composite bonding, also known as composite veneers.  This procedure allows for the perfect smile.  This month, we share two patient stories – Grace and Abigail.  Both of these lovely young ladies found themselves in this situation, with spaces between teeth after orthodontics due to a “space/size discrepancy.”  With composite veneers done by Dr. Elizabeth, they now have the confidence they need when it’s time to “Say Cheese!”

How did this start? – Grace

Grace came to us already in the middle of her orthodontic treatment.  She had been going to the pediatric clinic and her orthodontist, Dr. DeVoe, informed her and her family that she would have spaces present between her teeth after orthodontics.  They were told that the pediatric dentist wasn’t prepared to handle this situation and through friends found Dr. Elizabeth.  Her first appointment with Dr. Elizabeth was to verify her current status.  Dr. Elizabeth suggested a few movement tweaks she wanted from Dr. DeVoe before the braces came off.  Dr. Elizabeth then confirmed tooth positions and the braces were ready to come off.

 

Composite Bonding and Veneers

What did she want?

Grace had spacing around her upper lateral incisors due to the narrow shape of her laterals.  While spaces like this don’t have a negative impact on your oral health, they can affect confidence and speech.  Grace wanted her teeth to be fuller and the spaces closed.  She also noticed that her gum tissue was very thick and “bulbous” in the area of the spaces when the braces came off and she was hoping this could be fixed as well.  Finally, Grace wondered about the color of her teeth, noting that she was hoping her teeth could be brighter.

What was involved?

The first thing to address was the gum tissue.  Dr. Elizabeth suggested that Grace use a rubber-tip tool to stimulate her gums for a few weeks.  The extra gum stimulation allowed Grace’s thick gum tissue to heal and shrink.  Grace was dedicated to using her rubber-tip tool and the results were beautiful and healthy gum tissue.  Alternatively, a laser procedure could have been done for the gum tissue, but this was not needed for Grace!

To help Grace and her family visualize the end result, Dr. Elizabeth did a mock-up of what restorations for the front four teeth would look like and she was able to simulate this scenario in Grace’s mouth before moving to final restorations.  Dr. Elizabeth did a couple of simulations looking at what Grace’s tooth shape and size would be if restorations were only done for the lateral incisors vs having restorations placed on the front four teeth.  Being able to share spacing with 4 teeth instead of only 2 allowed Dr. Elizabeth not only to create more natural tooth width proportions, but also allowed her to increase the length of Grace’s central incisors a little as well.  Because Grace is still a teenager and will be moving into adulthood, Dr. Elizabeth recommended composite veneers at this time and discussed with her that she will likely want to move to porcelain veneers sometime in her life.

Grace started bleaching using over-the-counter white strips and shortly after the mock-up appointment, Grace and her mom returned for a two-hour procedure and in that short amount of time, Dr. Elizabeth bonded composite resin material to Graces front 4 teeth to change the tooth size and shape.  Like the mock-up, the composite filled in the gaps as well as lengthened Grace’s central incisors.

What does Grace think?

Grace was very pleased with her results.  “It went really well – and even better than I expected!  It was really worth it.  Also, it didn’t hurt at all!”  Grace was able to undergo the procedure without getting numb so she was very excited not to have to get a “dredded shot.”  Grace notes that she would tell her friends underoing a similar procedure not to worry at all, it goes really smoothly.

Grace After

How did this start? – Abigail

Abigail’s parents have been long-time patients of Dr. Elizabeth, but Abigail didn’t become a patient until the fall of 2017 as she had been going to the pediatric clinic.  She was interested in getting braces on and had questions about the gaps in her front teeth.  Dr. Elizabeth referred Abigail to Dr. Wahl, another local orthodontist for a consultation.  Abigail noted that she noticed herself clenching and grinding her teeth.  She also had a history of some speech issues because she was born with a tight connection of her tongue to the floor of her mouth.  This is also known as ankyloglossia, or tongue-tied.  What does a tongue-tie do to your teeth?  Most often, we see patients with untreated tongue and lip ties needing braces to properly align crowded, crooked teeth caused by a narrow palate.  Since the tongue is held so tightly to the floor of the mouth, it often can’t rest at the roof of the mouth and development and speech are affected. 

Abigail Before

What did she want?

Even after orthodontics, Dr. Wahl was not able to close the spaces between Abigail’s front four teeth because of her “space/size discrepancy.”  Abigail has undersized laterals as well as narrow central incisors and forward swallowing forces due to her tongue limitations.  Abigail preferred to have the spaces closed, however, to help improve her esthetics.  Orthodontics was able to improve her overall bite, as well as perfect the tooth positions before addressing the spacing with restorations. Improving her bite excited Abigail because she had a fair amount of jaw pain and occasionally she noticed that her jaw would lock up on her.

What was involved?

Once Dr. Wahl completed orthodontics, Dr. Elizabeth helped Abigail and her family visualize what was possible with restorations. Abigail and her parents weren’t sure they were ready to commit to 4 restorations, worrying about being conservative, as well as the overall investment.  Abigail also noted that “having smaller teeth is part of my identity.”  Dr. Elizabeth was concerned that by only addressing two teeth with restorations, that the lateral incisors would look wide and out-of-proportion.  She was also worried that by doing no restorations, Abigail’s teeth would continue to move over time, shifting to positions out of ideal function. Dr. Elizabeth suspected that this would cause Abigail’s jaw pain and jaw locking to return.  Therefore, Dr. Elizabeth waxed up and simulated both restoration options.  She did a simulation for 2 teeth only on Abigail’s left side and a simulation for 4 teeth on Abigail’s right side.  After some contemplation, Abigail and her family agreed that the spacing for only 2 restorations was not preferred and they agreed to complete 4 composite veneers.  Composite (resin) veneers can be used to correct gapped, chipped, poorly shaped, and stained teeth.  They can be created chairside and can often be placed in as little as one visit.

Abigail is known to breathe more through her mouth, this creates more plaque on the teeth, therefore, it is important to be especially diligent with brushing and flossing.  Dr. Elizabeth reminded Abigail of this throughout treatment because this will also help her future restorations be more successful.  The presence of plaque can lead to compromised esthetics, bonding, and overall outcome.  Abigail also still had to work hard on her tongue position to help keep her teeth from moving.  Abigail was great about doing tongue exercises with her speech therapist.

When she was ready, Abigail returned for a two-hour procedure and in that short amount of time, Dr. Elizabeth bonded composite resin material to Abigail’s front 4 teeth to change the tooth size and shape.  Like the mock-up, the composite filled in Abigail’s spacing.  Abigail did not do any bleaching before her composite veneer procedure, but she did want to go just slightly lighter with the shade for her restorations.  Also, the decision to move to 4 composite veneers was made after Abigail’s orthodontics had already come off.  If possible, Dr. Elizabeth would have liked a little more tooth movement to help Abigail’s central incisor gingival positions be more level.    

What does Abigail think?

Abigail is very pleased with her results.  She wasn’t really sure what she was getting herself into and was afraid that it was going to hurt.  But, in the end, she says “I am glad I did it and I would recommend it, my bite feels so much better and I am glad the veneers can help it stay that way.”  It’s so rewarding when we cannot only help people get out of pain, but when we can help create that winning smile while doing so!

Congratulations Grace and Abigail – you both look magnificent!  Thank you for putting your trust in us!  It’s always our pleasure to work with you!

My Journey with Adult Orthodontics and Porcelain Veneers – Cathy’s Story

By: Dr. Elizabeth Eggert

How did this start?

For over 20 years Cathy has been a loyal patient with Eggert Family Dentistry and Dr. Elizabeth Eggert.  Back in 2020 Cathy was having pain and she believed it to be due to her bony ridges growing on her lower right under her tongue.  These bony growths are known as tori.  Cathy noticed she had more pain in the evening and thought it was getting worse.  Typically, tori aren’t dangerous, but they can be uncomfortable and inconvenient.  They can also be linked to heavy forces being applied in your mouth.  Dr. Elizabeth explained to Cathy that her bone was likely continuing to grow due to the heavy forces her muscles were placing on her teeth and bones.  It was at that time that Cathy got serious about considering adult orthodontics because Dr. Elizabeth had mentioned the benefits of correcting her bite in the past and Cathy didn’t want to keep letting her muscles win!

What did Cathy want?

Cathy was not interested in removing the tori but was interested in Invisalign as an option for adult orthodontics.  It was determined after a consultation with Dr. DeVoe that conventional braces were a better option for Cathy and so she agreed to follow his professional advice.

What was involved?

During orthodontic treatment, the wear pattern on Cathy’s teeth became more apparent because Dr. DeVoe had to choose whether to align her front teeth at her gum line or at the biting surface.  Since Cathy shows a fair amount of gum tissue when she smiles, it was recommended to align the teeth at her gum level and change the tooth shapes with porcelain veneer restorations.  Dr. Elizabeth talked with Cathy about how she could elect to only restore her front teeth and about the advantages, including color matching and tooth proportions, of restoring her six anterior teeth.

Cathy decided she wanted to change her tooth color and shape for all six of her front teeth and so Dr. DeVoe and Dr. Elizabeth coordinated her final orthodontic movements to set her up for porcelain veneers.

Cathy at the end of her orthodontic treatment

Cathy wanted whiter teeth so Dr. Elizabeth recommended that Cathy undergo Zoom in-office whitening to brighten all her teeth so the porcelain veneers could be made to the same brighter color.  Cathy’s teeth responded well to the Zoom procedure.

Before and After Zoom Whitening

Once the whitening was completed, Dr. Elizabeth did a wax-up for Cathy to see what her teeth would look like once the restorations were completed.  A wax-up helps you be able to visualize the final outcome.  Dr. Elizabeth was also able to do a mock-up of the wax-up in Cathy’s actual mouth, using a plastic material.  This really helped Cahty see how the veneers would look before changing her teeth.  After only seeing the wax-up, Cathy thought it looked nice, but said “It is hard to know without seeing it in my mouth.”  Luckily, doing the mock-up worked and Cathy’s reaction was “Oh wow!”  She was very pleased and was ready to move forward with the preparation for the veneers.

Cathy’s Mock-up

What does Cathy think?

When asked what Cathy thought about her restorations before actually proceeding she said, “I was nervous about the prep and what that would be like.  I didn’t know how much tooth structure would be there, but I was also excited about correcting the teeth that were uneven.”  After all the treatment was completed, she said she is very pleased with her results.  When asked what she would say to a friend that has similar issues or is considering getting this type of treatment done she said, “I would say positive things about the outcome!  I would let them know about the time frame and the prep appointments.  It’s a commitment, but well worth it!”

Thank you Cathy for putting your trust in us!  We love your results and look forward to serving you for many years to come!

Cathy After

Understanding Laser Dentistry: How Does It Work and What Can It Treat?

By: Dr. Elizabeth Eggert

Just like all technology, dentistry has changed over the years. Laser dentistry, introduced in 1994, is an exciting industry advancement. While laser dentistry isn’t a substitution for drills and cutting tools in most scenarios, it’s the perfect complement to traditional methods and boasts many benefits!

What is laser dentistry?

A laser is a beam of focused light that emits energy to cut or vaporize matter. There are two common types of lasers used in dentistry: hard-tissue lasers and soft-tissue lasers.

How does laser dentistry work?

Hard-tissue lasers cut through bone and can sometimes cut through teeth. Dr. Elizabeth Eggert and Dr. Jeff Eggert have experimented with these hard-tissue lasers and find they take extra time to prepare a tooth for a filling and can be slow to remove decay. We choose not to use hard-tissue lasers in our practice because we know time is important to our patients.

Soft-tissue lasers have even more practical functions for dentistry! Dr. Elizabeth Eggert and Dr. Jeff Eggert use soft-tissue lasers to reshape gums and vaporize diseased tissue. They also use lasers to lengthen crowns for better access to a tooth’s structure or for cosmetic purposes, such as reducing a “gummy” smile. If you’re dealing with sensitive teeth, Dr. Elizabeth Eggert and Dr. Jeff Eggert may use a soft-tissue laser to seal dentin tubules in your tooth, eliminating that sensitivity. At Eggert Family Dentistry, soft-tissue lasers are also used to perform biopsies, remove benign oral tumors, remove lesions in the mouth, and expose partially erupted molars.

What are the benefits of laser dentistry?

After its introduction in the mid-90s, laser dentistry has been widely adopted by dentists and prized by patients for its many benefits.

Benefits include:

Less pain: Because laser dentistry is minimally invasive, patients generally experience less pain and discomfort after the procedure.

Less bleeding: Laser light energy has a natural clotting effect, reducing bleeding and swelling and accelerating soft-tissue healing. In many cases, sutures are not required following a laser dentistry procedure!

Less damage or irritation to surrounding tissues: Because lasers facilitate utmost precision, tissues around surgical areas remain undisturbed.

Less fear: Lasers are silent and minimally invasive, making them a particularly great choice for children who can be intimidated by the noise and pressure of a drill.

Enhanced effects from teeth whitening procedures: When you see Dr. Elizabeth Eggert or Dr. Jeff Eggert for professional teeth whitening, they may a laser to speed up the whitening process.

If you would like to learn more about our laser dentistry services or other new and exciting dental technology here at Eggert Family Dentistry, give us a call at 651.482.8412. We would love to tell you about how we use laser technology to benefit our patients!

Crown Longevity: How to Make Your Dental Crown Investment Last

By: Dr. Elizabeth Eggert

Teeth take a lot of wear and tear and over time, can become fractured, cracked, and decayed. Early intervention is the best way to save your tooth and prevent more serious issues. Dr. Elizabeth Eggert and Dr. Jeff Eggert often recommend dental crowns for patients with these tooth issues. As we all know, any good investment is worth protecting, and crowns are no exception. It’s important to be proactive to ensure crown longevity.

What is a dental crown, and how does it work?

Before we get into details about how to care for your dental crown, let’s start by discussing what a crown is, how it’s created, and how it protects your tooth.

Although they can be fashioned from ceramic, metal, or a combination of the two, porcelain is the most popular and arguably the most effective material dentists use for crowns today. Porcelain is durable, feels the most natural, and is easily matched to the shade of your other teeth. Dr. Elizabeth Eggert and Dr. Jeff Eggert agree that all-porcelain crowns are the best overall choice nearly all of the time.

After Dr. Elizabeth Eggert or Dr. Jeff Eggert removes any tooth decay and reshapes your tooth, they will take a digital image or putty impression. In most cases, your crown can be created the same day at our office using the CEREC scan. Occasionally, we will need to send your impression to a dental lab, for the fabrication of your crown and you will return to our office in a couple of weeks for the placement. In this case, you’ll leave your first visit with a temporary crown and instructions for proper care.

Think about your dental crown as a protective helmet for your tooth. It fits intimately on top of your compromised tooth and is securely cemented in place. It looks and acts just like a natural tooth.

In addition to supporting weak or decaying teeth, crowns:

  • Help hold dental bridges in place
  • Cover severely stained or discolored teeth
  • Protect a tooth after root canal treatment is completed to keep the tooth from splitting
  • Are part of the system to restore a dental implant when you’re missing a tooth

With proper care, your crown should last a decade or more!

How can I take care of my dental crown to ensure crown longevity?

We’ve already established that crowns are highly durable and, among other things, help strengthen weak teeth. But although they’re durable, they’re not indestructible. Here are some important steps you can take to get the most life out of your dental crown:

1. Keep up with daily dental care.

The importance of daily brushing and flossing cannot be underestimated. Plaque can still form on crowns! Brushing and flossing twice daily helps remove sticky plaque before it builds up and keeps your teeth looking their best. It also removes food particles that get trapped between the crown and the gumline, causing plaque build-up that leads to gingivitis or decay and can aid in crown longevity.

2. Avoid chewy, sticky, hard foods.

Do you like to crunch on ice or chew hard candies? Just like natural teeth, crowns can crack under extreme pressure. Even healthy foods like popcorn with kernels and pistachios in the shell can cause undue damage to your dental crown. Taffies, caramel apples, and other sticky foods can loosen your crown, making it easy for food particles to get underneath and cause decay. In some instances, chewy foods can dislodge crowns completely. If this happens, call our office right away!

3. Minimize acidic and sugary foods.

Acidic and sugary foods will erode enamel, but even if your tooth is protected with the porcelain of a dental crown, these substances can still easily cause decay and damage the tooth under your crown.

If you choose to indulge in these foods, make sure you are using impeccable dental hygiene at home and it is super important that you maintain a regular recare schedule with us at Eggert Family Dentistry so we can discover any compromise early and before major damage occurs..

On a side note, acidic and sugary foods will cause enamel to wear thin, resulting in tooth discoloration and darkening. Because your dental crown is color-matched to your natural teeth at the time of application, discoloration of your natural teeth will create a contrast between those and your crown and detract from its natural appearance.

4. Wear a night guard if you’re prone to teeth-grinding.

Teeth grinding, also known as bruxism, is detrimental to your teeth in several ways. In addition to headaches and a sore, tired jaw, bruxism can wear down enamel and even cause teeth to crack or chip. Although molars can withstand 200 lbs of pressure from regular biting and chewing, they have their limit and so do dental crowns. Fortunately, wearing a night guard can protect your natural teeth and promote crown longevity. If you think you may need a night guard, talk with Dr. Jeff Eggert or Dr. Elizabeth Eggert about that at your next recare visit.

5. Prioritize your recare visits at Eggert Family Dentistry.

Your oral health is our first priority. In addition to a tooth cleaning by our magnificent hygienists,  Dr. Elizabeth Eggert and Dr. Jeff Eggert will closely examine your teeth for any early signs of cavities, gum disease, and oral cancer. They will also perform annual x-rays, which can help spot early signs of infection and they will treat your teeth with fluoride to help remineralize them and prevent cavities. And, a recare visit wouldn’t be complete without a thorough inspection of any existing dental work, including dental crowns, to make sure they’re intact and functioning properly.

When it comes to oral health, prevention is always the best approach. If you haven’t been keeping up with your recare visits or have any dental concerns, Dr. Elizabeth Eggert and Dr. Jeff Eggert are happy to see you in our office. Call Eggert Family Dentistry at 651.482.8412 to schedule your next appointment.

How Long Can You Expect Your Dental Crown to Last?

By: Dr. Elizabeth Eggert

Dental crowns are a popular solution for restoring damaged or weakened teeth, providing both strength and aesthetic appeal. One common question patients ask us nearly every day is: How long will my dental crown last? While the longevity of a crown can vary depending on various factors, including materials used and oral hygiene practices, it’s generally expected that a well-maintained crown can last for many years, sometimes even decades.

Dr. Elizabeth Eggert and Dr. Jeff Eggert of Eggert Family Dentistry in North Oaks, MN, understand the importance of creating durable and long-lasting dental crowns. Their commitment to quality craftsmanship and attention to detail ensures that patients receive crowns that are built to withstand the test of time. By using the latest technology and highest quality materials, emax or zirconia porcelain crowns, they can create crowns that blend seamlessly with your natural teeth and provide exceptional durability.

What Are Some Reasons Crowns Need to be Replaced?

It’s essential to note that the lifespan of a dental crown also depends on the patient’s oral hygiene habits and lifestyle choices. Even the most well-crafted crown can fail prematurely if not properly cared for. That’s why Dr. Elizabeth Eggert and Dr. Jeff Eggert emphasize the importance of good oral hygiene and regular dental check-ups. By brushing and flossing daily and visiting our office for routine cleanings and exams, patients can significantly extend the lifespan of their dental crowns.

Additionally, patients should be mindful of habits that could potentially damage their crowns, such as chewing on hard objects or using their teeth as tools. These actions can put undue stress on the crown and increase the risk of cracks or fractures. By avoiding these habits and practicing good oral care, patients can maximize the longevity of their dental crowns and minimize the need for costly repairs or replacements.

Dr. Jeff and Dr. Elizabeth most often see crowns needing to be replaced due to decay. Unfortunately, even though a crown protects a tooth, there is still a lot of tooth structure present that can decay if subjected to the sugars and acids that attack teeth and cause cavities. Dry mouth, or lack of saliva, also is a huge culprit for decay so patients that have dry mouth should be sure to talk to us about methods that can help. Occasionally, crowns will fracture just like teeth do. Typically this occurs more often in patients with unstable bite forces or who tend to put a lot of pressure on their teeth.

What Happens to Replace a Crown?

In cases where a crown does need to be replaced, Dr. Elizabeth Eggert and Dr. Jeff Eggert offer comprehensive solutions tailored to each patient’s needs. Whether it’s due to normal wear and tear or unexpected damage, they utilize their expertise and advanced techniques, like our CEREC same-day crown fabrication techniques, to ensure a seamless and comfortable restoration process. Replacing a crown is similar to undergoing the crown procedure the first time. We will get the area numbed up for comfort and carefully remove the old crown, remove any decay, and prepare the tooth for the new crown. With our dedication to patient satisfaction and long-term oral health, Eggert Family Dentistry is committed to helping patients enjoy the benefits of their dental crowns for years to come.

Have More Questions About Crowns?  Call Us Today!

While the exact lifespan of a dental crown can vary, patients can expect their crowns to last for many years with proper care and maintenance. By choosing a reputable dental practice like Eggert Family Dentistry and following our guidance on oral hygiene and lifestyle habits, patients can enjoy the functional and aesthetic benefits of their crowns for as long as possible. Remember, a healthy smile starts with good habits and regular dental care. Call us today at 651-482-8412 to set up your next appointment.

Exploring the Fascinating History of Dental Crowns

By: Dr. Elizabeth Eggert

Have you ever wondered about the origins of dental crowns? It’s a fascinating journey through time, starting centuries ago when people first sought solutions for damaged or missing teeth. We here at Eggert Family Dentistry in North Oaks, MN, thought it might be fun to delve into the rich history of dental crowns and share it with you.

Early History

The concept of dental crowns dates back to ancient times, with evidence suggesting that civilizations like the Etruscans and Egyptians used various materials to restore teeth as early as 200 AD. However, it was not until the 19th century that the modern dental crown as we know it began to take shape. Sir Isaac Newton suggested using gold as a material for dental restorations in the 17th century, laying the groundwork for future innovations in dental crown technology.

Over the years, dental crown materials have evolved significantly. From gold and amalgam to porcelain and ceramic, dentists have experimented with a wide range of materials to achieve the perfect balance of durability, esthetics, and biocompatibility. Today, all-ceramic crowns are among the most popular choices due to their natural appearance and strength, however, porcelain fused to metal (PFM) crowns are still a popular choice after their introduction in the 1970’s.

What Makes These Materials Great for Replacing Teeth?

Porcelain and ceramic crowns closely mimic the appearance of natural teeth, blending seamlessly with your smile. Additionally, they are highly durable and resistant to stains, making them ideal for long-term use. Porcelain is a very good substitute for the enamel found on natural teeth both for esthetic properties and strength. Porcelain fused to metal crowns combine the strength of metal with the esthetics of porcelain, offering a versatile solution for various dental needs. Gold crowns are just that, crowns made completely out of gold metal.  While they don’t look as natural as a porcelain crown due to their gold color, gold crowns have stood the test of time with their high durability and biocompatibility. The main issue with gold or PFM crowns now is the metal has gotten so expensive that these materials can no longer keep up with all the benefits of all porcelain crowns.

How Are Crowns Fabricated?

When it comes to fabricating dental crowns, there are two main methods:  in-office fabrication or dental lab fabrication. To make a crown in-office, we using technologies like CEREC (a CAD/CAM technology), that allows for same-day crowns, providing convenience and efficiency for patients. Crowns made in a dental lab are typically made from impressions or scans taken by Dr. Elizabeth or Dr. Jeff and then the lab is able to make the crown with their highly specialized equipment.

Whether fabricated in a dental lab or in the office, dental crowns play a crucial role in restoring and enhancing smiles. From their humble beginnings in ancient civilizations to the advanced materials and techniques used today, dental crowns continue to evolve, offering patients durable and esthetically pleasing solutions for dental restorations. So the next time you flash your smile, remember the rich history behind those beautiful crowns! Call Dr. Jeff Eggert or Dr. Elizabeth Eggert at Eggert Family Dentistry today for your next dental crown.  651.482.8412.

A Quick New Smile for a Lifetime! – Jim’s Story

By: Dr. Elizabeth Eggert

How did this start and what did Jim want?

Jim has been a loyal patient of Dr. Elizabeth Eggert for over 15 years.  She has placed multiple posterior crowns for Jim over the years, but there came a time when Jim’s front teeth, which had previously been treated with PFM (porcelain fused to metal) crowns, were decaying and needed to be replaced.  Jim was interested in getting his crowns all done in one day and he wanted them to look natural.  We were able to address his front four teeth in one 3-hour appointment and his two upper canine (eye-teeth) at a subsequent 2-hour appointment.

What was involved?

We were able to complete CEREC crowns for Jim’s front teeth.  This means we were able to make the crowns right in our office!

How CEREC Works

CEREC (Chairside Economical Restoration of Esthetic Ceramic) is a method of creating dental restorations right at Eggert Family Dentistry in one appointment!  These restorations are typically used to repair damaged teeth due to decay or injury.

Specifically, restorations are designed and created using CAD/CAM (computer-aided design and computer-aided manufacturing).  This process means designs are made after scanning with a highly advanced scanning unit and then computer software helps Dr. Jeff and Dr. Elizabeth design your crown!  The design is sent to the milling unit and your crown is ready in minutes.

C – Chair-Side:  The CAD/CAM technology is in the office and can be used while you are the dental chair.
E – Economical:  The procedure allows our office to keep our costs as low as possible for patients.
R –Restorations:  The CEREC procedure restores your tooth to its natural beauty, function, and strength.
E – Esthetic:  CEREC restorations are metal-free and tooth-colored.
C – Ceramic:  The ceramics we are able to use in-office are similar in strength to enamel, your natural tooth structure.   

What does Jim think?

Jim loves his new smile and was so happy to be able to get all his crowns done without multiple visits and without the risks that comes with wearing temporary crowns (like them accidentally coming loose).  Jim’s story is just one of many others who have experienced magnificent results with Dr. Eggert.  Crowns can yield beautiful and predictable results for accomplishing an improved smile.  At Eggert Family Dentistry, we love providing Dentistry for a Lifetime of Smiles – thanks Jim for trusting us to help you continue to smile big and confidently!

Jim After

Jim After

 

Are There Any Restrictions After I Get a Crown?

By: Dr. Elizabeth Eggert

In the immediate hours after getting a dental crown, you may wonder, “What did Dr. Eggert say again?  Are there supposed to be any restrictions for me today?”  Well, wonder no more.  Here we will share several post-operative care measures that can contribute to a smoother recovery and enhance the longevity of your crown as well as improve your healing.

You maybe didn’t know, but our website has helpful post-operative instructions for most of the dental procedures done in our office including Crowns.

After the Preparation Appointment

After the preparation appointment, if you did not have a CEREC crown done, you are wearing a temporary crown or bridge.  This is held on with temporary cement.  Be sure to avoid sticky foods and gum so as to not pull the temporary off.  Also avoid hard or crunchy foods.  It is best to chew on the opposite side as much as possible.

Expect your gum tissues to be sore for a few days.  It helps to rinse with warm salt water (8 oz warm water and 1 teaspoon salt) 2-3 times daily for 3-5 days.  It also helps to take some over-the-counter pain medication like ibuprofen or Tylenol for both gum soreness, tooth soreness, and jaw soreness.  Take that as directed in our office, for most patients that are able to take ibuprofen, we will recommend 600 mg of ibuprofen every 6 hours for the first 1-5 days.

It is important to brush and floss the temporary.  This will help the gum tissues heal faster.  Brush with small, circular, massaging strokes along the gumline.  While flossing, pull the floss out to the side if you experience a lot of resistance through the contact point of the tooth.  Occasionally temporary crowns will be splinted together, or in the case of a temporary bridge, use the floss threader as directed in our office.

Temporary crowns rarely come loose, but if yours happens to do so:

  • Don’t panic and try to save the temporary (i.e. don’t swallow it)
  • Attempt to re-fit the temporary on your tooth using toothpaste to hold it in place
  • Call our office right away to find a time for us to recement your temporary for you

What Are Some Symptoms I Should be Concerned About?

Occasionally teeth undergoing the preparation procedure will experience inflammation in the nerve.  This can happen with any tooth, but more commonly occurs in a tooth that has had a large filling or deep decay, cracking, fracture, or pain before the preparation procedure.  The inflammation in the nerve tissue can become irreversible, necessitating additional procedures for the tooth.  If you have any of the following signs or symptoms, call our office right away:

  • Prolonged pain after cold, hot, or chewing that gets worse over time
  • A dull ache that won’t go away
  • The need to take over-the-counter pain medicine for 5 days or more “around the clock”
  • Pain that wakes you up at night
  • Pain that gets worse over time instead of better
  • Swelling getting worse in the gums or tissues surrounding the tooth

After the Cementation Appointment

After the cementation appointment, the gum tissues and tooth may be sensitive and sore for a couple of days.  Use warm salt water rinses and over-the-counter pain medicine during this time if needed.  Brush and floss the new crown or bridge as you would any tooth.  If you experience any of the signs or symptoms listed above describing inflammation in the nerve, please call our office right away.  If you had a CEREC crown done, your preparation and cementation occurred all in one day.  The same instructions apply although there is no need to avoid sticky or crunchy foods.

Generally, you may want to avoid eating or drinking for a couple of hours after the procedure so you don’t accidentally bite your cheeks, lips, or tongue due to the local anesthetic used for your procedure.  It is also helpful to stick with easy to chew foods to minimize the stress for your tooth.

Once you have your final crown, practicing good oral hygiene remains essential.  It still is possible to get decay and gum disease even if your tooth has a crown.

After the placement of a dental crown, certain restrictions and considerations should be observed to ensure the optimal success and longevity of the restoration. While dental crowns are designed to restore the function and esthetics of a damaged tooth, it’s important to be mindful of so your crown can last for many years!

Eggert Family Dentistry, Your Dental Crown Experts

We’re here for you if you still have questions about what to do after your dental crown procedure.  Call our office today at 651-482-8412!  We look forward to working with you again soon!

Preparing for Crown Success: A Guide to Your Dental Procedure at Eggert Family Dentistry

By: Dr. Elizabeth Eggert

Are you scheduled for a dental crown procedure at Eggert Family Dentistry in North Oaks, MN? Dr. Jeff Eggert and Dr. Elizabeth Eggert are renowned for their commitment to delivering top-notch dental care and preparing adequately for your crown procedure can contribute significantly to your success and your overall comfort during recovery.

Understanding the Crown Procedure

Before delving into the preparation, it’s beneficial to have a brief understanding of the dental crown procedure.  Dental crowns, also known as caps, are custom-designed to fit over a damaged or weakened tooth, restoring its strength, functionality, and appearance.  At Eggert Family Dentistry, we often complete crowns in one visit using our CEREC procedure.

Preparing for Your Crown Procedure

  1. Consultation and Treatment Planning:  Before the actual procedure, Dr. Jeff or Dr. Elizabeth will have completed an exam to diagnose the condition of your tooth and will have talked with you about the reasons why a crown is recommended for you.
  2. Ask Questions:  Feel free to ask any questions or express concerns during your exam or before scheduling for your procedure.  Any one of our magnificent team members will be able to help you understand your condition.  Understanding the procedure, potential discomfort, and aftercare instructions will help alleviate anxiety and ensure you are well-informed.
  3. Oral Hygiene Routine:  Maintain a diligent oral hygiene routine leading up to the procedure.

Day of the Procedure

  1. Eat Before Your Appointment:  Have a nutritious meal before your appointment as you will likely want to avoid eating until the local anesthetic needed for the appointment wears off.
  2. Comfortable Clothing:  Consider wearing loose, comfortable clothing to your appointment, as this can enhance your overall comfort during the procedure.
  3. Consider an Anti-inflammatory:  We will definitely recommend an anti-inflammatory if it is appropriate for you after your dental crown procedure, but if you take your first dose about one hour prior to your appointment time, the medicine has time to kick in and your muscles and tooth can be that much happier! 

What’s Next?

Preparing for a dental crown procedure at Eggert Family Dentistry involves a combination of proactive steps and open communication with your experienced dental team.  By taking these measures, you set the stage for a successful procedure and a speedy, comfortable recovery, ensuring your smile remains healthy and vibrant for years to come.  Call us at 651-482-8412 to schedule your dental crown procedure today!

Do I Need a Dental Crown? [Answered]

By: Dr. Elizabeth Eggert

A beautiful smile is a key indicator of youth and good health. Over time, however, our teeth begin to weaken due to physical stressors, acidic foods, and other factors. This makes our teeth more susceptible to problems such as decay, cracks, and discoloration.

That’s where dental crowns come in. This common dental restoration can solve a number of problems and bring your smile back to its former glory.

Are you wondering whether or not a dental crown can help restore your smile? Then you’ve come to the right place! Let’s take a deeper look at dental crowns to help you determine when this restorative treatment is right for you.

What are Crowns?

A dental crown is a tooth-shaped “cap” that restores a decayed, broken, weak or worn-down tooth. Crowns are about 1.5 mm thick and cover the entire tooth like a little hat. This cap replaces the structure, support, and look of the original tooth.

These days, crowns are typically made from the strongest all-porcelain materials. However, in the past crowns have also been made from porcelain fused to metal, or even full gold. For the most natural look and feel, Dr. Elizabeth Eggert and Dr. Jeff Eggert recommend all-porcelain crowns as the strength of these materials can’t be beat and they can best match the shade of your natural teeth.

When Do You Need a Crown?

Crowns can serve several different purposes. Dental crowns can be used to:

  • Strengthen a weak tooth: If your tooth is experiencing extensive decay or has a large filling, a crown can fortify your tooth to prevent it from breaking.
  • Protect and support a cracked tooth: A cracked tooth can be quite painful, especially when chewing. If the crack is too deep, a crown can be used to prevent the crack from deepening.
  • Restore a worn-down or broken tooth: Whether your worn-down tooth is bothering you cosmetically or functionally, a crown can restore your tooth and allow you to feel and look like yourself again.
  • Hold a dental bridge in place: Crowns can serve as supporting structures for dental bridges. They are placed on the natural teeth on either side of a gap, providing support for the artificial tooth or teeth that bridge the gap.
  • Cover a severely stained or discolored tooth: If your tooth is too stained for traditional whitening, you may consider getting a crown that’s made to match the color of your smile.
  • Protect a root canal-treated tooth: After a root canal procedure, a crown is often placed over the tooth to provide strength and protection. Crowns also seal the treated tooth preventing re-infection.
  • Cover a dental implant: When dental implants are used to replace a tooth, a crown is attached to the implant in order to make sure the solution appears natural.

When you come in for your appointment, Dr. Jeff Eggert or Elizebeth Eggert will evaluate your teeth and be able to determine if any of your teeth are experiencing any of the above problems and if a dental crown is the appropriate solution for you.

Benefits of a Crown

When compared to other restorative treatments, dental crowns have many benefits, including:

  1. Natural look: Porcelain crowns are very discreet, blending in and appearing just like one of your natural teeth.
  2. Protective solution: Because the entire tooth is covered, the tooth is less likely to fully fracture or split than with other restorations like veneers or fillings.
  3. Comfortable: Crowns feel very much like your own teeth, so it won’t take long to get used to.
  4. Quick process: Crowns can be fitted in just 1-2 visits.

Process of Getting a Crown

As we said above, the process of installing a crown is relatively quick. It typically takes 1-2 visits to Eggert Family Dentistry, and then you’ll be enjoying your new smile for years to come.

One Visit: When you come in for your CEREC crown, you will first be given local anesthetic so that you do not experience any discomfort. Then your tooth will be reshaped so that the crown can be placed over it. Once the tooth has been reshaped, we can often take a CEREC scan of your tooth and make your crown right in our office, allowing us to place it that same day. That means you can leave with your final crown after just one visit!

Two Visits: Occasionally, we are not able to take a CEREC scan, and instead we will have your crown made by a dental lab. In that case, the process will require two visits. On your first visit, a mold will be taken of your affected tooth and your surrounding teeth. We will still reshape your tooth and fit you with a temporary crown to protect it until your porcelain crown is ready. If your crown is being made at the dental lab, it takes about 2 weeks to be returned.

After your final crown has been made, you’ll come in for your second appointment to have it placed. At this appointment, the crown will be fixed to your tooth using cement to ensure it remains in place, and voila, you can enjoy your new smile! Crowns are very durable, and with proper hygiene, your new crown can last 10-15 years or longer!

Think You Need a Dental Crown? Call Eggert Family Dentistry Today

If you’re still wondering whether or not you need a dental crown, call Eggert Family Dentistry today at 651-482-8412 or simply book a recare appointment online. We would be happy to answer any questions you still have about how dental crowns can help restore the appearance and function of your natural teeth. We look forward to helping you achieve a beautiful, healthy smile!