Category: Dental Health for Teens

Orofacial Myofunctional Disorder(OMD): What Is It and How Does It Present?

By: Dr. Elizabeth Eggert

You may have heard the term orofacial myofunctional disorder but how much do you know about it? If you’re like most people, probably not much. Surprisingly, it affects a large percentage of the population. It’s estimated that 38% or more than 1 out of 3 people are affected by OMD.

Defining Orofacial Myofunctional Disorder 

Orofacial myofunctional disorder (OMD) is a disorder of the muscles and functions of the face and mouth. 

There are several causes of OMD:

  • Thumb or finger-sucking, cheek or nail-biting, bruxism, tongue, lip or cheek-sucking
  • Extended use of a pacifier or sippy cups
  • Tongue-tie 
  • Neurological deficits and developmental delays

OMD can also be hereditary.

Symptoms of OMD include:

  • Insufficient nasal breathing or oral breathing
  • A habit of resting with the lips apart
  • A forward-resting positioning of the tongue
  • Tongue thrust
  • A restricted nasal airway due to enlarged tonsils/adenoids, deviated septum and/or allergies
  • TMJ 
  • Headaches 
  • Airway obstruction

OMD affects the body in many ways

OMD can cause dental problems

Because swallowing requires the cooperation of many muscles simultaneously, people who are diagnosed with OMD often have a difficult time swallowing. In some ODM cases, when swallowing, the tongue doesn’t press on the hard palate but instead is thrust up into the front teeth and out to the sides, putting undue pressure on the teeth. This can result in a misaligned bite which makes biting, chewing and swallowing difficult. 

When the tongue pushes against the back of the front teeth it can create a gap between the upper and lower sets of teeth. This gap is referred to as an open bite. 

OMD can affect facial appearance

Since OMD is characterized by improper muscle function in the jaw, the effects are often visible.

Physical observations may include: 

  • A sluggish face and weak, parted lips
  • A tight chin  
  • Facial grimace

OMD can cause sleep issues

An open airway requires proper positioning of the soft tissues of the mouth. When a person struggles with OMD, the soft tissues frequently obstruct the airway, causing mild or moderate sleep apnea.

OMD can affect speech

Once again, because of improper positioning of the tongue and lips, many people have a difficult time articulating sounds and may speak with a lisp. 

Eggert Family Dentistry can help! 

Dr. Elizabeth and Dr. Jeff have experience identifying OMD and helping devise custom treatment plans for each of our clients. 

If you’re interested in talking with us more about OMD and are wondering if you could benefit from OMD interventions, give our office a call at 651.482.8412. We’re here to help you achieve a confident, healthy smile and wellness for life!

Ortho Treatment: Benefits Beyond Cosmetic With Invisalign

By: Dr. Elizabeth Eggert

Only a lucky few are born with straight, perfectly aligned teeth. The rest of us have to see Dr. Elizabeth or Dr. Jeff, for help restoring teeth to a healthy alignment.

Esthetic concerns often bring patients into Eggert Family Dentistry to talk about tooth alignment. However, even beyond esthetics, it’s important to know how critical good alignment is to overall dental health.

Dental alignment procedures like Invisalign may improve your smile from a visual perspective, but they also correct issues that may lead to serious dental health problems.

What issues can be improved by Invisalign and corrected with dental alignment?

Discourage Tooth Decay

When teeth are misaligned, they do a much better job of harboring bacteria, which leads to plaque buildup and tooth decay. This is because overcrowded or crooked teeth leave inaccessible nooks and crannies where bacteria thrive. When it’s challenging to access all the exposed tooth enamel with a toothbrush or floss, the area is much more prone to tooth decay.

Improve Periodontal Health

Periodontal health refers to the conditions of the periodontium, or gum tissues. Periodontal disease is disease of the gums. Crowded and overlapping teeth permit plaque and tartar to build up on tooth surfaces underneath your gums, since they’re difficult to clean. Teeth with wide gaps between them are also problematic, because exposed gums are more vulnerable to periodontal disease.

Periodontal disease is easily addressed in its early stages, so regular dental exams are an important preventative measure. When it progresses, it may cause serious tooth mobility, tooth and bone loss, and infection.

Fix Malocclusion

Malocclusion refers to poor alignment as the teeth of your upper and lower jaws meet. One person out of five suffers malocclusion, which encompasses three categories:

  • Class I – when teeth are overcrowded, too far apart, or twisted
  • Class II – when the lower jaw is too far back, resulting in an excessive overbite
  • Class III – when the lower jaw is too far forward, resulting in an underbite

Unaddressed malocclusion puts undesirable stress on the teeth. Difficulty chewing, worn, cracked, or broken teeth, chronic pain, TMJ issues, teeth grinding, and speech problems are among the problems that can result.

Invisalign: A Discrete Yet Effective Alternative to Braces

At Eggert Family Dentistry, we are here to help prevent these problems by treating your tooth alignment problems with Invisalign.

If you are presenting any of these issues, Dr. Elizabeth or Dr. Jeff will give you a thorough exam to identify where your ideal bite should be and evaluate whether Invisalign can restore your ideal bite.

Invisalign is a clear alternative to braces. It is subtle and unobtrusive, yet effective. Patients wear clear, custom-made trays, or aligners, about 22 hours a day, removing them to eat, to drink anything but water, and to brush and floss. They are easy to get used to as they gently realign teeth. Every few weeks, you advance to a new set of aligners. Over the course of treatment, usually one to two years, your teeth gradually move into their improved location.

Invisalign is suitable for both teens and adults.

If you have any dental issues that might be resolved by improved tooth alignment, talk to Dr. Elizabeth or Dr. Jeff. They will be happy to consult with you on the best strategy to help you enjoy a new, beautiful smile as well as improved oral health.

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!

 

Options for a Traumatized Tooth – Kenton’s Story

By Dr. Elizabeth Eggert

How did this start?

When Kenton was 9 years old, he was hit in the mouth and his right front tooth fractured. At that time, Kenton needed a root canal on that tooth because the trauma exposed the nerve. A large bonded composite veneer was created on that tooth to help make it look as normal as possible. Usually a fractured and traumatized tooth will eventually need a crown to build it back together but Kenton still had a lot of growing to do. Dr. Elizabeth wanted to buy as much time as possible through his growing years. Fast forward 10 years: Kenton is now 19. The color of Kenton’s teeth changed over the years, the large veneer was no longer holding up and it was decaying around the edges. Kenton noticed how his teeth no longer matched and how dark the traumatized tooth appeared at the gum line. Dr. Elizabeth recommended full records for Kenton. Even if she is was replacing only one tooth, she wanted to help Kenton understand all the risks and benefits, especially in the case of past trauma.

What did he want?

Kenton said, “I would like to have a long-term solution to (fix) my front teeth.” He was concerned about how the differences between his two front teeth were visible and that made him self-conscious. He felt that the traumatized tooth didn’t fall in line with his other front teeth – that they didn’t look “normal.” Also, as a college student, Kenton wanted to keep the costs as low as possible for his tight budget!

What is involved?

Our team started Kenton’s case with the records process. We took models, x-rays and photos of his teeth to assess the needs and function of his entire mouth. This allowed Dr. Elizabeth to see how his teeth, muscles and jaw functioned together and helped her determine what kind of treatment would best help protect the previously traumatized tooth. At the same time, Dr. Elizabeth wanted to give Kenton the smile he desired. She presented her findings to Kenton and his father. Through the records analysis, it was apparent that the best thing Kenton could do to protect his traumatized front tooth was to correct his teeth in the back so they would bite more evenly. As a result, Kenton started with a procedure called equilibration to stabilize his bite. Kenton’s parents hoped to wait a little longer before completing a full crown for Kenton’s front tooth but his front tooth fractured again just a few months later, requiring completion of the crown.

What does he think?

Kenton is very happy with his new crown. Dr. Elizabeth sent Kenton to a dental lab – Certified Dental Ceramics – to have a custom shade selected, since it’s difficult to get a single front tooth crown to match a natural front tooth. Kenton reports that he is much more confident with his new smile now that the color of his front teeth match. He found the records process interesting and learned a lot about his options at the consult appointment. Kenton notices a major improvement in his bite and that his teeth fit together better after the equilibration. He didn’t know what to expect when the tooth broke, but in the end, Kenton thought the process was really easy and is very happy with his results!  Thanks for trusting us with your care, Kenton!

Which Cosmetic Dentistry Procedure is Right for My Teen?

By Dr. Elizabeth Eggert

During the adolescent years, kids typically struggle with their self-image. This can be compounded for teens who are forced to deal with chipped, misaligned, discolored or gapped teeth. Fortunately, at Eggert Family Dentistry, we offer some great cosmetic dentistry options that can help restore your teen’s teeth and go a long way towards increasing their self-confidence.

Teeth Whitening

When it comes to teeth whitening and bleaching, Eggert Family Dentistry offers some excellent options. We supply professional-grade strips and whitening trays that are more effective and gentler on your teeth and gums than their over-the-counter counterparts. We also offer the Zoom Whitening procedure. Performed in a single, two-hour appointment, we apply a professional whitening gel to your teen’s teeth and activate that gel with an LED light which allows the gel to penetrate into the teeth. We then educate both you and your child on follow-up care and sensitivity management.

Dental Veneers

Dental veneers are ultra-thin porcelain shells that cover the front of teeth. Veneers dramatically transform chipped, misaligned, discolored or worn down teeth into that award-winning smile. They can also be used to close unsightly gaps for a smile your teen will be proud to share. Dr. Elizabeth and Dr. Jeff custom create dental veneers that compliment your child’s skin tone, facial features and personality and feel just like their natural teeth. This process takes two to three visits and the results are long-lasting.

Dental Bonding

Dental bonding, also known as composite veneers, is also effective in restoring chipped, misaligned, discolored or worn teeth just like dental veneers. Some differences do apply for these different restorations, however. For example, dental bonding can be completed in a single appointment. Dr. Elizabeth and Dr. Jeff apply a putty-like composite resin to your teen’s tooth, sculpt and shape it before curing and hardening the material with an intense blue light. Once polished, composite veneers have a smooth and shiny finish, blending in well with the natural teeth.  Dental bonding is popular since it is a more cost-effective option than dental veneers. However, the results typically only last or look their best for 5-10 years. But, that makes it a perfect option for getting your teen through their growing years when the body and jaw are still changing.

At Eggert Family Dentistry, we are changing lives one smile at a time, which is why our motto is “Dentistry for a Lifetime of Smiles.” If you have a special teenager in your life who could benefit from one of these cosmetic dentistry procedures, give us a call at 651.482.8412. We would be happy to discuss how we can partner with you to help your adolescent achieve a smile they can be proud of!

Dental Health for Teens: Answers to Some Common Questions

By: Dr. Elizabeth Eggert

Raising a teenager is exciting. It’s fun to watch your teen grow in their confidence and independence and step out and try new things. However, as they navigate new territory, oftentimes so do you! In fact, many days you may feel like you have more questions than answers! Sound familiar? Thankfully, when it comes to dentistry, Eggert Family Dentistry has the information you need to prepare for whatever dental situations arise during your child’s teen years. Let’s take a look at some questions we frequently field from parents of teens and share some information we think you will find helpful!

What kind of cosmetic dentistry is appropriate for my teen?

Most teens struggle with self-confidence and work hard to maintain their image. Chipped, discolored or gaping teeth can play a big role in tanking a teen’s confidence level. Luckily, we offer some effective cosmetic dentistry procedures at Eggert Family Dentistry to benefit your teen. Bonding is an affordable and effective way to repair chipped teeth and can help fill in gaps. Composite or porcelain veneers can help reshape misshapen or unevenly-sized teeth. Also, bleaching options like the  Philips Zoom procedure are perfect for creating a whiter smile.

How do I know if my teen is a candidate for braces?

Few dental situations make a teen feel more self-conscious than crooked teeth. Not only do braces straighten teeth and correct your teen’s bite but because crooked teeth can lead to other oral health problems, braces also reduce the instance of cavities and gum disease. It’s never too early to begin the braces conversation with Dr. Elizabeth or Dr. Jeff! While we are not an orthodontic office and only provide some Invisalign services, we are happy to refer you to some excellent orthodontists in the area when recommended.

What do I need to know about wisdom teeth?

Wisdom teeth typically start erupting between the ages of 17-21. However, many people don’t have room in their mouth for this third set of molars and they should be removed. Dr. Elizabeth and Dr. Jeff will monitor your teen’s unerupted wisdom teeth with x-rays and oral examinations. If we perceive that your teen’s mouth does not have adequate space for wisdom teeth or if we can see from x-rays that they are coming in crooked, we will refer you to an oral surgeon who can remove them, oftentimes before they even start erupting and causing problems.

My teen plays contact sports. What do I do if they knock out a permanent tooth?

First of all, the best defense against a knocked out tooth is a mouthguard. Dr. Elizabeth or Dr. Jeff can craft your teen a custom mouthguard that will fit snugly against their teeth and protect them while they’re playing sports. However, we know that in some instances a permanent tooth can get knocked out. Should this happen, it’s best to rinse the tooth in cool water and try and replace the tooth in the socket by having your teen bite down on gauze or a wet washcloth. If the tooth won’t relodge, place it in a small container of milk. In both instances, give us a call right away. We will fit your teen in for an emergency appointment.

How does smoking or vaping affect my teen’s oral health?

We know that smoking is bad for our lungs and parents and educators alike take every opportunity to talk to teens about the dangers of smoking and the risk of lung cancer. But what effect does smoking or vaping have on oral health? It’s important that your teenager knows that smoking causes bad breath, can stain their teeth and tongue, dulls their sense of taste and smell, slows down healing in the mouth and can even lead to tooth loss or mouth cancer. Unfortunately, vaping has become a teenage “acceptable” alternative to smoking. But, it is important to remember that vaping introduces unnatural chemicals into the mouth and the body as well and the long-term effects are expected to be just as harmful as we know smoking to be.

My teen wants to get her tongue pierced. What do I need to know?

Many teens think a tongue piercing is just as harmless as getting their ears pierced but this is simply not true. There are a whole host of complications that can arise from what might seem like a fun teenage fad. Prolonged pain and swelling of the tongue to the point of cutting off the airway are two possible complications. Others include damage to teeth from accidentally biting down on the piercing or clicking it up against teeth and oral infections that can lead to hepatitis or endocarditis. The same issues can occur with lip piercings as well.

At Eggert Family Dentistry, we love our teenage patients! If you or your teen have any additional questions or want to further discuss important ways teens can protect and invest in their smile, give us a call at 651.482.8412 or contact us online.