Cosmetic Dentistry Archives - Page 6 of 6 - Eggert Family Dentistry Blog

Jill’s Invisalign® Success Story

By: Dr. Elizabeth Eggert

A few months ago, Jill noticed her top teeth were shifting and her front teeth were starting to cross over each other. She also noticed more crowding on her bottom teeth, and she was starting to trap food because of it. We compared photos of Jill’s teeth from several years ago with her current smile and confirmed noticeable differences.

Jill’s teeth before (left) and after (right).

What did Jill want from her experience with Invisalign®?
Jill had been considering Invisalign® for some time. Her daughter had used Invisalign® teeth aligners and was very pleased with her results. Jill wanted to unravel the crowding on her own top and bottom front teeth. She imagined a future when she could clean her teeth better, eat without catching food between her teeth, and be proud to flash her beautiful smile.

How did Jill get started with Invisalign®?
First, we took impressions, photos, and x-rays of Jill’s teeth right at our office. Then, we sent them all to Invisalign®. In a short time, we could evaluate the 3D simulation of how Jill’s teeth could move with Invisalign® treatment. Jill was happy with the results of the 3D simulation and decided to proceed with treatment. Over a number of months, a sequence of 22 aligners would gradually move Jill’s teeth into place. Jill came into the office every 6 weeks to ensure her teeth were moving as expected. Small composite attachments were strategically and temporarily placed on the front surfaces of some of Jill’s teeth to help with tooth movements. These attachments easily blended in with her teeth, but were removed once her Invisalign® treatment was complete.

What does Jill think of her Invisalign® results?

Let’s hear it straight from Jill:

“My daughter went through Invisalign® and gave me the encouragement to do it. I understood the procedure and knew what to expect. I’m very happy with the results! I would encourage anyone considering Invisalign® to do it!”

Thanks for sharing your story, Jill! We’re so glad you’re happy with your Invisalign® results!

To schedule your Invisalign® consultation, contact Eggert Family Dentistry today.

Splint and Occlusal Therapy: Ruth’s Story

By: Dr. Elizabeth Eggert

How did this start?

Ruth came to us as a new patient. She was experiencing frequent headaches, 3-4 times per week or more, as well as frequent neck aches, shoulder pain, back pain, and migraines. In addition, she had ear pain, jaw pain, and was having a hard time sleeping. Ruth was working with her MD to determine a diagnosis and treatment plan to help her manage the pain, which her MD thought was because of a possible pinched nerve. She struggled with the headaches and migraines for years but was now experiencing increasing jaw pain. Dr. Elizabeth noted some tooth wear throughout her mouth and intense muscle discomfort during her muscle evaluation. Dr. Elizabeth recommended Ruth go through our records process so that she could delve deeper into the underlying causes of her pain.

What did Ruth want?

Ruth struggled with upper back, shoulder, head, jaw, and neck pain for years but she didn’t realize the pain could be related to her teeth. Ruth had, however, noticed some changes with her teeth including a space opening up and a loose front lateral tooth. Ruth decided to undergo records because she wanted to be able to eat without worry, she wanted her mouth to function better, and she wanted her teeth to last her lifetime. She also noticed herself clenching often and she was hoping to have that addressed during the process.

What was revealed during the records process?

Dr. Elizabeth used models, photos, and x-rays of Ruth’s teeth along with our thorough muscle and joint evaluation results to present Ruth with the current status of her teeth, gums, and the function of her jaw and muscles. The details of the records process revealed that the position of Ruth’s teeth, muscles, and jaw joints were causing multiple interferences. This means she was biting down unevenly causing the breakdown of her teeth as well as the jaw, neck, and shoulder pain. It was recommended that Ruth begin splint therapy.

What was involved?

The purpose of her splint therapy was to change the position of Ruth’s jaw to a relaxed muscle position. We were hoping this would improve her headaches and migraines and it did! In Ruth’s case, we also discussed how if we adjusted the teeth to fit together at the relaxed jaw position, she should be much more stable long-term. Dr. Elizabeth fitted Ruth with a TMJ splint to wear all of the time to create the best possible function between the natural position of her jaw, muscles, and her teeth as they worked with one another.

As soon as Ruth’s muscles reached a comfortable and relaxed position, Dr. Elizabeth adjusted the alignment of the upper and lower teeth and altered the chewing surfaces of some of the her back teeth to remove the painful interferences. This process is called equilibration. Dr. Elizabeth then completed a solid new bite for Ruth with porcelain veneers and crowns on her upper and lower front teeth. The veneers were an important step in completing Ruth’s new bite because the ideal shape of the teeth helps to keep the back teeth from over engaging her muscles. This created harmony among Ruth’s jaw joints, muscles, and teeth as the joints and muscles were placed in a relaxed position and the teeth now come together at the same time. We finally designed a splint for Ruth to wear while she sleeps to keep her teeth, jaw, and muscles in this new comfortable position.

What does Ruth think?

“The presentation was really thorough and really good. I had no idea my migraines were caused by my bite. I got relief from my migraines in the early stages which was fantastic! I’m really happy. Everything was explained very well to me. I would recommend anyone experiencing my pain to come here. I would tell them to definitely pursue the treatment because you don’t have to live with the pain. It is also so nice to have everything looking great!”

Do you wonder if improving your bite may give you relief from headaches, migraines, or even back pain? Call today for an appointment at Eggert Family Dentistry 651-482-8412.

What Is Crown Lengthening?

By: Dr. Elizabeth EggertEvery smile is beautiful and unique, but some people are self-conscious about the amount of gum tissue showing in their smiles. Others might need a crown or other tooth restoration, but do not have enough visible tooth for us to complete the fix. In both cases, crown lengthening is a solution.

Crown lengthening is a routine dental surgical procedure that restores smiles or improves them. If you feel your teeth are too small in your smile, it might be that your teeth aren’t actually to blame. Sometimes, it’s the gum tissue covering the teeth that makes them seem too small. Crown lengthening remodels the contour of your gum line to provide a better balance between tooth and gum tissue. This is an aesthetic use for crown lengthening that helps perfect your smile.

Crown lengthening is also an important tool in restoring very broken down teeth. Sometimes, we get patients who need permanent crowns, but we can’t place the crowns because too little of the tooth is visible above the gum line. Or, there may be too much decay or the tooth may be broken below the gum line. In all of these cases, crown lengthening allows us to gain more access to the tooth to properly place permanent crowns.

What can I expect during my crown lengthening experience?

More often than not, you will see a gum and tissue specialist, called a periodontist, for your crown lengthening procedure. They will review your dental history and your x-rays and set a date for your crown lengthening surgical procedure. We might help the periodontist by placing a temporary crown to protect a broken or decayed tooth. The day of the surgery, you’ll have local anesthetic and the crown lengthening procedure will be completed. The length of the surgery depends on the number of teeth being worked on.

After the surgery, you’ll take medicine for pain relief (usually OTC) and you’ll use a mouth wash to keep the surgical site clean as it heals. The periodontist might even ask you to stick to soft foods and a slightly altered brushing and flossing routine while you’re recovering. Most often, in less than two weeks, it’ll be time for your stitches to come out and to complete any follow-up procedures.

What are the outcomes of crown lengthening?

We like to let our work speak for itself! Rob and Lola are two happy patients who have completed crown lengthening. As you can see, the results are quite striking. You can tell from their beaming smiles that they’re satisfied with the outcome!

Rob Before & After

If you’re wondering if crown lengthening might be the solution for you, contact Eggert Family Dentistry today. Call (651) 482-8412.

Crowns Done in a Day? Serena’s Story

By: Dr. Elizabeth Eggert

When Serena needed a crown, her friends told her that she’d need to schedule two dentist appointments: one to place a temporary crown and another for the permanent crown. As a busy working mom who travels often, Serena couldn’t fit these appointments into her schedule.

The dentists at Eggert Family Dentistry were excited to help. We can prepare, design, and place permanent crowns in just two hours using CEREC, an innovative technology, to make these restorations. Dr. Elizabeth and Dr. Jeff are fully trained in CEREC and Dr. Furey plans to complete the training soon.

Serena’s CEREC restoration started with a digital scan of her tooth. Then, Dr. Elizabeth digitally designed the restoration using the 3D scan. It took just 15 minutes to mill Serena’s crown once the design was complete. Dr. Elizabeth tried the crown on Serena’s tooth to match color and glazing. Once it was complete, she cemented it in. Once the crown was in place, Serena couldn’t even tell which tooth had the crown.

Serena’s appointment lasted just over two hours. According to Serena, “The time went fast! I liked being able to catch up on email and read a book.” Serena and our other CEREC patients have been really impressed with the fit of their crowns and the short, effortless process of placing them.

Trauma to a Front Tooth – Sarah’s Story

By: Dr. Elizabeth Eggert

How did this start?

Sarah came to us first as a new patient with her parents before Christmas. They were looking for a solution for her front teeth. Sarah experienced trauma at 13 years old and her left front tooth fell out at that time and was re-implanted. Sarah had a root canal done within a couple weeks of the trauma, which was the recommended course. As with many trauma cases, over the years Sarah has noticed that tooth and her other front teeth are starting to turn dark because of the trauma. When Sarah was seen in our office, her tooth was showing signs of significant external root resorption. The long term prognosis of the tooth is poor but at the time of her visit with us she was not experiencing any pain or swelling.

What did Sarah want?

Sarah is currently a senior in high school and wanted to improve the look of her front teeth for graduation and prom. Sarah and her parents weighed different options for restoring her front teeth and ultimately decided to keep her natural teeth for now since they aren’t causing her any pain. They chose a treatment option that will buy Sarah some time and improve her esthetics and also let her finish growing.

What was revealed during the comprehensive records process?

Some questions Sarah and her parents needed to decide were – how to address the uneven gum tissue levels? How to address the uneven tooth edges? How to improve the color on potentially dying teeth? Save the left front tooth for now or not? How long would they allow treatment to take? What was their budget at this time?

What was involved?

To help Sarah and her parents answer some of those questions, Dr. Elizabeth designed different blueprints out of plastic to try directly in Sarah’s mouth to help Sarah and her parents see the results of some of the different treatment options available.

In the end, Sarah decided to split the difference on the length of her teeth. She decided not to change her gum tissue levels at this time. She wanted to keep the left front tooth for now. And, she wanted to do as much as we could to improve the color with composite filling material. We all decided to add composite veneers to three of her front teeth and to bleach her remaining teeth for a cost effective way to improve the esthetics for a few years.

What does Sarah think?

Sarah and her parents were thrilled with the results! It was a low cost way to keep her smiling through her graduation and into the future! Sarah 4

How a Smile Impacts Confidence – Richard’s Story

By: Dr. Elizabeth Eggert

How did this start?

Richard came to us first as a new patient last winter needing comprehensive care and a restorative plan to fix teeth that were breaking down. At the time of his first exam, Richard had many teeth throughout his mouth that had lost fillings, fractured or cracked and he knew things were starting to break down. Dr. Elizabeth also noted a decent amount of decay contributing to the breakdown and we recommended Richard go through our records process so that she could delve deeper into underlying causes behind his lost fillings, cracked, and broken teeth.

What did Richard want?

What did Richard want? Richard had noticed his teeth were starting to break down. He was losing fillings and his teeth were breaking. Prior to seeing Dr. Elizabeth, Richard would “patch” his teeth when things were broken, but he wanted to take a more comprehensive approach to prevent further damage. He wanted to have his teeth healthy again. Specifically, Richard wanted his teeth to function better for him long into the future. He had many broken teeth, decayed teeth, and wanted to know what he should do.

What was revealed during the records process?

Dr. Elizabeth used models, photos, and x-rays of Richard’s teeth along with our thorough muscle and joint evaluation results to present Richard with the current health of his teeth, gums, and the function of his jaw and muscles. The details of the records process revealed that in addition to the decay, the position of Richard’s teeth caused him to bite down unevenly. This was accelerating the breakdown of his teeth. This deterioration was negatively impacting both the esthetics and function of his teeth. It was hard to get Richard even to smile. Richard needed a full mouth reconstruction to rebuild what had broken down and bring his teeth back to a healthier state.

What does Richard think?

“I think the process is amazing. You guys have been the most impressive part about this process – making something that isn’t pleasant a fun thing to do. I would most certainly recommend Dr. Elizabeth and her team if someone I knew was considering getting this done.”

Look at how Richard smiles more easily now. It is amazing how a smile can change your confidence!

Lia’s Story

By: Dr. Elizabeth Eggert

“Smile and the world will smile with you.”

Lia’s Story

A congenitally missing tooth is one of the most common dental developmental abnormalities. In fact, roughly 20% of adults have at least one tooth that never developed.

Why is that number so high? Well, we’ve all hear of that person who didn’t develop all, if any, wisdom teeth. If you take wisdom teeth out of the picture, the percentage of adults with congenitally missing teeth drops to only 5%. Other permanent teeth we see missing are second premolars, upper lateral incisors, and lower central incisors.

A wisdom tooth that never grew in is a good thing – one less tooth to remove! However, being a child with a missing front tooth is quite a different story. Teenage years are often difficult enough without having to worry about appearance. With the emotional roller coaster of being a teen, we need to give our children any excuse to smile!

This month’s Case of the Month features Lia. Lia is a beautiful 16-year-old patient of ours who never developed one of her lateral incisors. Her goal is to smile big… and with confidence.

Typically, implants are the treatment of choice to replace a missing tooth. However, the golden rule for teenagers is to proceed with implant placement once skeletal growth is complete. Early implant placement, at a time of continuing growth, can lead to unaesthetic results.

In Lia’s case, we chose to use a resin composite bonding material to create a beautiful smile that she can confidently wear until it’s time for an implant.

Don’t let missing teeth affect your confidence. Give us a call today to discuss treatment options. 651-482-8412

Full Mouth Reconstruction – Tim’s Story

By: Dr. Elizabeth Eggert

How did Eggert Family Dentistry meet Tim?


Before	After

Tim came to us as an established patient at one of his routine exams. He was experiencing increasing tooth sensitivity and pain throughout his mouth. He had noticed his teeth had become shorter over the years. Dr. Elizabeth noted excessive wear throughout his mouth and recommended Tim go through Dr. Eggert’s records process so she could delve deeper into the underlying causes behind his cracking, breaking, and sensitive teeth.

What did Tim want?

Tim had noticed a lot more wear in the last decade and wanted healthy and comfortable teeth again. He also wanted better-looking teeth. Specifically, Tim wanted his teeth to be whiter, more even, and to function better. He had many worn teeth, and wanted a comprehensive plan for restoring them.

What was revealed during the records process?

Dr. Elizabeth used models, photos, and x-rays of Tim’s teeth along with our thorough muscle and joint evaluation to present Tim with the current health of his teeth, gums, and the function of his jaw and muscles. The details of the records process revealed the position of Tim’s teeth caused multiple interferences. He was biting down unevenly, causing the breakdown of his teeth. Dr. Elizabeth was also suspicious of the severe acid erosion of Tim’s enamel. This deterioration was also negatively impacting both the look and function of his teeth. Tim needed a full mouth reconstruction to rebuild what had broken down.

What does Tim think?

“I’m very happy with everything. The sensitivity is completely gone and they look great! It has changed my life because I don’t have to hurt, and of course you feel better when you have a nice smile. My wife and my mom both love them! I would tell anyone who was considering getting something like this done to do it, and I would tell them to come to Dr. Elizabeth Eggert.”

The Importance of Records – Tom’s Story

By: Dr. Elizabeth Eggert

How did this start?

Tom came to us first as a new patient last summer with a toothache after being referred by co-workers. At the time of his first exam, Tom had many teeth throughout his mouth that had fractured or cracked and he knew things were really broken down. Dr. Elizabeth noted excessive wear throughout his mouth and mild muscle discomfort during the muscle evaluation. Even with our thorough, comprehensive new patient exam, Dr. Elizabeth recommended Tom go through our records process so that she could delve deeper into underlying causes behind his cracking, breaking, and sensitive teeth.

What did Tom want?

Tom had noticed a lot more wear in the last decade and wanted to have them healthy again. He also wanted better looking teeth. He was worried since they looked unhealthy now, what would they look like in 20 years? Specifically, Tom wanted his teeth whiter and more even and wanted things to function better. He had many broken teeth, missing teeth, and wanted a comprehensive plan for restoring his teeth. He was also experiencing some chronic ear/sinus congestion, ringing in ears, and nerve issues in his face that he was hoping to have addressed during the process.

What was revealed during the records process?

Dr. Elizabeth used models, photos, and x-rays of Tom’s teeth along with our thorough muscle and joint evaluation results to present Tom with the current health of his teeth, gums, and the function of his jaw and muscles. The details of the records process revealed that the position of Tom’s teeth caused multiple interferences, so he was biting down unevenly causing the breakdown of his teeth. This deterioration was negatively impacting both the esthetics and function of his teeth. Tom needed a full mouth reconstruction to rebuild what had broken down.

What was involved?

Tom was interested in phasing his treatment to lessen the financial burden. We were able to work with Tom and designed the phased treatment to keep Tom’s teeth, gums, and the function of his jaw and muscles healthy and happy during the process. Dr. Elizabeth worked with a local lab and together designed a blueprint of Tom’s new teeth out of wax. This blueprint is called a laboratory wax-up and it provided the ability for Dr. Elizabeth to create Tom’s new smile.

Tom then spent a day and a half with us while Dr. Elizabeth prepared his front teeth for new crowns and veneers and his back teeth for long-term temporary crowns to get Tom used to more esthetic front teeth and a healthy bite in the back. We finally designed a splint for Tom to wear while he sleeps to protect his new smile from clenching, grinding and his very strong muscles.

What does Tom think?

“Before having it done, I thought it would be a much longer process, more like a year. It went a lot easier than expected. There was not much pain involved and it was helpful to have all of the options. Everything was clear. I’m glad I had it done now and didn’t wait. I think my life will change. I am more confident with my new smile. I would strongly recommend Dr. Elizabeth to others considering getting this done. I don’t know that people make the connection between function and cosmetics, but I sure learned a lot about how things fit together and I love my new smile!”

CEREC – No Messy Impressions, One Easy Appointment, Permanent!

By: Dr. Elizabeth Eggert

Did you know there’s a way to restore decayed, cracked, or chipped teeth in only one visit?

CEREC is an advanced dental technology that creates full crowns, inlays, onlays, and veneers. The best part about it? CEREC digital impressions and milling take only a couple of hours and your crown can be completed in only one visit.

CEREC restorations are made of compressed porcelain, emax porcelain, or compressed composite resin. These materials are the most similar to your teeth with regard to wear and esthetics. Also, CEREC crowns have no metal in them.

Advantages of CEREC restorations:

There’s only one dental visit, which saves you a considerable amount of time.
There’s no need for a temporary crown.
The crown is milled by computer technology to precisely fit your tooth. The accuracy of the fit is exceptional.

Procedure

The procedure for completing a CEREC restoration is very simple. Essentially, it’s a state-of-the-art CAD/CAM system for dentistry.

The first step is to remove all decay from the tooth. Dr. Eggert then shapes the tooth in preparation to take a digital scan of the tooth.

The highly detailed digital scan is captured, and the tooth appears in 3D on the computer screen. While you watch, Dr. Eggert designs the restoration.

Once the design is completed, the CEREC machine begins the 15-minute milling process. If interested, you can even watch the crown’s construction!

Once the milling process is complete, the restoration is sized for accuracy and the color and glazing is finalized.

After a final try-in, the restoration is cemented in. That’s it. On average, the entire CEREC process takes just a little over two hours.

An example of Dr. Eggert’s work:

The sign of a good CEREC crown? You can’t even tell which tooth it’s on.

Laura’s reaction, “The result is fantastic!”

Laura needed a crown and wanted to try the CEREC process. We asked Laura what she thought and she said, “Oh I definitely like it. Then, I don’t have to come back, which is perfect for me because my time is very precious. I like that I don’t have to worry about the temporary crown.” She further went on to note that, “The result is fantastic! I would tell someone else to definitely do it. The time goes by really fast!”

Contact us today to find out if CEREC restoration is right for you. Call (651) 482-8412.