Patient Stories Archives - Eggert Family Dentistry Blog

Thankful For My New Partials – Bob’s Story

By: Dr. Elizabeth Eggert

How did this start?

Bob initially was a long-time patient of Dr. Furey before Dr. Elizabeth came on the scene. Bob has autism and requires special care at his visits as he is often non-verbal, making it tricky to communicate or understand his needs. Bob comes to appointments with his mom, Marlene, who does what she can to help communicate Bob’s needs.

Autism Spectrum Disorders (ASD) is a general term used to describe a group of complex developmental brain disorders. Autistic disorders include Asperger Syndrome, Rett Syndrome, and Childhood Disintegrative Disorder. The number of children with autism is on the rise according to the Centers for Disease Control.

Patients with ASD often have difficulties with social interactions, communication, and repetitive behavior. They process sensation atypically and may be overly sensitive to bright lights, loud sounds, touch, strong odors, or taste which can make dental visits a challenge for all involved.

Bob also has a severe gag reflex, which makes it difficult for restorations to be done on his teeth without being sedated for the procedures.

What did Bob and his mom want?

Initially, Bob wanted his severe toothache addressed. It had been awhile since Bob had seen a dentist before Dr. Elizabeth saw him at Eggert Family Dentistry. Bob wore a flipper partial for his upper teeth that was breaking down. Bob also had evidence of the start of periodontal disease, as well as some teeth with severe cavities that needed attention. Bob was having intense pain with these teeth and it seemed like extractions were Bob’s best option, partially because he was unable to take good care of teeth so far back in his mouth due to his autistic disease, as well as his gag reflex.

Bob and his mom wanted Bob to be healthy and set up well since he was planning to move to a group home in the near future, as his mom was finding it more difficult to fully care for him as she gets older too.

It was decided to try to save as many teeth as possible for Bob, without extensive dental heroics and to make him partial dentures that would help him chew and “feel more complete.”

What is involved?

After extensive gathering of information and research, Dr. Elizabeth had a plan in place for Bob that was approved by Bob and his mom. Bob had his teeth extracted with an oral surgeon and after some healing time, they began working through the partials. Since Bob had such a severe gag reflex, Dr. Elizabeth was able to use the intraoral scanner to send images of Bob’s teeth to the dental lab to design his partial dentures.

Dr. Elizabeth worked with the lab and over the course of a few weeks, Bob was able to see his partials come to life. First, there was a try-in of the plastic frame for the partial denture. Then, Bob got to see what the teeth would look like before they were set in hard plastic. The dental lab sends denture teeth set-up in wax so changes can easily be made if desired. Bob and his mom liked the process and couldn’t wait to get Bob’s final partial dentures!

Unlike conventional metal based partial dentures which rely on metal clasps to provide stability on the teeth, flexible dentures are thinner and more lightweight and rest comfortably in the mouth secured with clasps that blend in better with natural teeth. Flexible partial dentures are designed to be comfortable and functional and should not restrict the ability to eat or speak. Bob’s partial dentures were made from a special, very strong plastic, called acetal. The dental lab suggested that acetal be used for Bob since it can be made very thin (to help with his gag reflex) and it is very strong (to help with Bob’s habit of grinding his teeth).

What do they think?

Bob was excited to get his partials and Marlene reports that he eats better with his new partials and he even is able to communicate verbally with her. When Dr. Elizabeth saw Bob for his follow-up denture adjustment appointments, he actually answered direct questions. He was so excited about his partials that he was more open to communicating with others! Bob hates to be without his partials and keeps a close eye on them during his teeth cleanings when he has to take them out. It was exciting to see such a transformation for him. Bob also started a job in a school cafeteria, we like to think at least partially because of increased confidence! Congratulations on your new partials Bob. It was our pleasure to be able to work closely with you on this project.

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

By: Dr. Elizabeth Eggert

How did this start?

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

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

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

What was involved?

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

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

What does Mary Kay think?

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

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

Now, Getting Ready for College – Elena’s Story

By: Dr. Elizabeth Eggert

How did this start?

Elena came to Eggert Family Dentistry at the age of 15 as a referral from our orthodontic colleague, Dr. DeVoe. Dr. DeVoe wanted Dr. Elizabeth Eggert to evaluate restorative options for Elena because she is congenitally missing (was born without) one of her lateral front teeth and her lateral incisor on the other size is undersized. Dr. DeVoe anticipated that Elena would want a solution for her smile after her braces were removed.

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 heard 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 often see missing are second premolars, upper lateral incisors, and lower central incisors.

A wisdom tooth that never develops would typically be thought of as a good thing – one less tooth to remove! However, being a person with a missing front tooth can be quite a different story. Teenage years are difficult enough without having to worry about your smile. With the emotional roller coaster of being a teen, we need to give our children any excuse to smile and no reason not to!

What was recommended?

Dr. Elizabeth had some options for Elena for replacing her missing tooth. One option was to use a “flipper,” which is a removable partial denture that contains one or more artificial teeth. A flipper is often made from denture acrylic and can blend in well with your smile. The flipper is custom made using an impression or digital scan of your mouth. Flippers can be uncomfortable to wear and they do come in and out of the mouth, which can be inconvenient.

To replace missing teeth, you can also consider a bridge. A traditional bridge uses the neighboring teeth as anchors to “fill in the gap.” Since Elena was still growing and developing, a traditional bridge wasn’t Dr. Elizabeth’s first choice. A more conservative option for Elena’s age was to consider a composite bonded bridge, which still stays fixed in the mouth like a traditional bridge, but is much more conservative for neighboring teeth and can more easily be altered with growth, if needed.

Another common method to replace missing teeth is to use a dental implant. With a dental implant, a small post, usually made of titanium, is placed into the jaw bone and serves as a substitute for the root of the tooth. Then, through a series of attachments, a tooth is added to the implant. Again, because of Elena’s age, a dental implant wasn’t indicated…yet, anyway.

Dr. Elizabeth discussed pros and cons with Elena and her mom of these options and emphasized that something would have to be done to last through Elena’s teenage and early adulthood, even though a dental implant may be the best long-term approach.

What did Elena want?

For the undersized lateral on her right side, composite bonding was done to change the shape and size of the tooth. A porcelain veneer could have been done, but with Elena’s age, the composite material can more easily be changed, if needed, for future growth and development. As an adult, Elena could choose to convert her composite bonding to a porcelain veneer for ideal color match. After much discussion, Elena and her mom decided that for her missing tooth on her left side, Elena would use a flipper during the day and an orthodontic retainer at night.

Then what happened?

Throughout Elena’s high school career, she found it was inconvenient for her to wear her flipper and she also didn’t wear her retainer much so her teeth moved somewhat. In thinking of her life after high school, Elena wanted to review her options. Elena and her dad came to consult with Dr. Elizabeth she told Dr. Elizabeth, “I am interested in a bridge now.” Once again, Dr. Elizabeth reviewed Elena’s options in regards to how the most conservative approach would still be preferred. Dr. Elizabeth recommended that Elena complete a composite bonded bridge. Dr. Elizabeth would be able to artistically create a “fake” tooth and attach it her surrounding teeth. This choice is good for the esthetics and will buy Elena some time until she is older and can make some alternate decisions, if needed.

What does she think?

When asked how Elena felt about getting the procedures done, she said “I was looking forward to my tooth looking like a normal sized tooth.” She also said that her mom had a bridge done and so she was not worried about it. “I like it a lot and it looks good. It doesn’t feel weird to my bite. It does not feel weird when I chew or eat.” She is really happy to have her palate free! She would recommend that anyone needing the same or similar treatment done go for it. She says, “I like it! It’s nice to have a normal smile where all my teeth are a normal size.”

Congratulations on your amazing results Elena and thank you for putting your trust in us! We are delighted to help you move into your college years!

“I’d Like to Get Some Veneers” – The Dental Journey for Kris

By: Dr. Elizabeth Eggert

How did this start?

Kris came to Eggert Family Dentistry as a new patient in the summer of 2021, looking for a clinic closer to home after she had moved to the area. Kris had been through Invisalign treatment in recent years, but her teeth had relapsed and she wasn’t happy with how things had changed. She also noted that she had a small mouth and a gag reflex that made it difficult for her to tolerate x-rays. Dr. Elizabeth was curious, wondering if Kris might have a compromised airway? At her new patient appointment, Kris asked Dr. Elizabeth, “I’d like to get some veneers, but what would be involved?” Kris told Dr. Elizabeth that previously a different dentist told her she would not be a candidate for veneers due to her bite. Elizabeth believed that Kris would be a candidate for veneers, but suspected that some tooth movement first would be best. So, Dr. Elizabeth welcomed Kris to undergo the records process with her in order to figure out how to get Kris the smile she deserves!

What did Kris want?

Kris’ main objective was to have whiter and bigger teeth. She wanted to be able to eat without any limitations and have her teeth show in her smile. She was sure it would give her so much more confidence. She had friends who had had veneers done on their teeth and she loved the result. What she didn’t know until undergoing the records process was why her teeth had relapsed after her last Invisalign treatment and why she had such a severe gag reflex. Dr. Elizabeth noticed that her tooth positions were putting strain on her tongue and it looked like her tongue craved more space. Dr. Elizabeth believed by addressing this, she could help Kris have a much more stable end result, a better airway, and set her up for beautiful veneers. Therefore, Kris started her treatment with Invisalign.

What was involved?

Kris underwent Invisalign treatment with goals to improve her crowding, expand her arch, create space for porcelain veneers, level her gum tissue, and provide comforting support for her joints and muscles. After less than a year of Invisalign, Kris was then ready to plan for her restorations. Before starting the restorations, Kris underwent Zoom Whitening in-office bleaching at Eggert Family Dentistry for both her upper and lower arches to help achieve the brightness she wanted. A mock-up was done as well, to verify the shape of her future veneers. Once Kris was happy with the color of the teeth that would stay natural and after she approved her mock-up, Kris was ready to prepare the teeth for veneers. She spent part of the day with Dr. Elizabeth Eggert and went through the procedures needed to get her teeth ready for her veneers. After about 3 weeks with temporary veneers, Kris came back to seat her veneers. Kris chose to veneer 8 teeth on her upper arch.

What does Kris think of her results?

Before undergoing procedures to get her veneers, Kris told us “I was really nervous because I didn’t know what to expect. It seemed overwhelming in the beginning.” Yet, she was very confident in Dr. Elizabeth and was excited to start the journey. Kris told us that she didn’t mind the whole process and after undergoing everything, she understands the need for it to take some time.

Kris is very happy with her results. She told us “Thank you! I love it so much! I am super happy with everything!” She also shared, “I think it’s so funny that people at work and my friends can tell something is different but cannot pinpoint what it is!” She would definitely recommend the treatment to others and says, “It is a team effort and you have to do everything that is expected of you for the best results.” Kris feels that having a better smile is fantastic. She would tell anyone thinking of having the treatment done “Do it in a heartbeat! Of course, it is an investment but it’s not as bad as you think and definitely worth it!”

Congratulations Kris – you look fabulous and we appreciate your trust in us to help us live out our motto of providing “Dentistry for a Lifetime of Smiles!”

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

By: Dr. Elizabeth Eggert

How did this start?

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

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

What did Lisa want?

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

What was involved?

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

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

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

What does Lisa think of her results?

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

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

“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.

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.

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.

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!

“Invisalign Has Been Really Nice!” – Ashley’s Story

By: Dr. Elizabeth Eggert

Where did Ashley start?

Ashley came to Eggert Family Dentistry as a new patient in the fall of 2016 with pain in the areas of her wisdom teeth, also known as 3^rd molars. The panoramic image shown below shows the need to have her wisdom teeth extracted due to the impacted angle and their inability to erupt on their own. They were also putting a lot of pressure on her erupted second molars. With the impaction, Ashley’s teeth were also becoming more crowded, which she didn’t like. Dr. Jeff referred Ashley to an oral surgeon to have her wisdom teeth extracted and that took care of one problem.

Ashley was also experiencing tissue recession, mostly due to the crowding and current position of her teeth. One option Dr. Jeff discussed with Ashley was the possibility for gingival grafting (gum-tissue grafting). In a grafting procedure, tissue is added to the root surface to cover the root back up again and increase gingival height and thickness. For Ashley, this may have worked, however, due to her crowding, the ability for the graft to last a lifetime was very unlikely. Therefore, Dr. Jeff suggested Ashley consider orthodontically moving her teeth. Ashely was most interested in Invisalign and had read about it from our blogs, learning that we do that procedure here at Eggert Family Dentistry in North Oaks, MN with Dr. Elizabeth Eggert. Dr. Elizabeth met with Ashley and determined she would be a great candidate for Invisalign!

What was involved?

Ashley went through the “Invisalign Records Process.” At that time, we took impressions and photos of her teeth and sent them to Invisalign so they could create a 3D simulation of how her teeth could move with Invisalign treatment. Ashley was very happy with the simulation, which showed a significant improvement to her crowding.

During the Invisalign Records Process, Dr. Elizabeth also noted with Ashely a fair amount of muscle tension and while Ashley didn’t initially report having frequent headaches, throughout treatment, she noticed a difference in her tension and that she no longer was having headaches. It is amazing how people learn to live with what ails them, but how much better they can feel working their way to healthy!

Ashley’s case was expected to consist of 28 aligners that she would wear 22 hours a day. Ashley’s case called for a few “buttons,” which are attachments on the teeth. Basically, these small buttons allow the Invisalign aligners to grip onto your teeth more effectively (similar to a traditional orthodontic metal bracket). These attachments help move the teeth more effectively. Ashley was very compliant and consistent in wearing her aligners as instructed and was able to complete her case after the expected 28 aligners, needing no refinements!

What does Ashley think?

When we asked Ashley what she thought about the Invisalign process, she said her only thought is that it was more appealing than getting traditional braces. “It’s been really nice! It has reduced my headaches and that was the biggest thing, and it has reduced the crowding too.” She says that if she were discussing Invisalign with someone considering the treatment she would tell them, “It’s definitely worth it. Don’t get discouraged the first few weeks; it gets better. It may be uncomfortable at first, but it gets much better.”

We are so happy that we could help Ashley on her journey and fulfill our motto of providing “Dentistry for a Lifetime of Smiles!” Congratulations, Ashley on your wonderful results!

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 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.

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.

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!

Replacing My Old “Cap” – Marcia’s Story

By: Dr. Elizabeth Eggert

How did this start?

Marcia is a loyal long-time patient of Dr. Elizabeth Eggert’s since she started Eggert Family Dentistry in 2005. Marcia has had multiple crowns placed by Dr. Elizabeth over the years. For many years, Marcia talked with Dr. Elizabeth about the discoloration she noticed on her front tooth. Marcia had a history of a root canal and porcelain-fused-to-metal (PFM) crown on her upper left front tooth and the metal caused a discoloration at her gumline after it had been in place a few years.

For many years, PFM crowns were commonly used in dentistry for the repair of damaged teeth. PFM crowns have good mechanical properties, are strong and stand up well to oral forces, they look decent, and the gingival tissues tolerate them fairly well. However, Marcia’s front crown looked dark to her from the metal substructure of the crown and it bothered her for many years. She told us “I have a nice smile, but that cap is always what I see first.”

What did Marcia want?

Marcia wanted her smile to be more consistent. She didn’t want her front tooth to stick out. She noticed the discoloration and also felt anxious because she felt that her mouth was small and she had trouble when it came to having dental treatment done. She was very concerned that any changes she might make would not look as good as what she currently had in her mouth.

What was involved?

Dr. Elizabeth used photos and x-rays of Marcia’s teeth along with the results of a thorough muscle and joint evaluation to develop Marcia’s plan. The details of the records process revealed that Marcia would benefit from Invisalign before any changes to her front tooth because of the crowding of her surrounding front teeth that contributed to the shadowing and discoloration. Part of the reason that Marcia noticed the front crowned tooth first is that the tooth was in a prominent position. Invisalign would eliminate the crowding, improve the tooth display in her smile and provide a smooth surface for the upper teeth to bite and chew by eliminating the crowding of the lower teeth. Dr. Elizabeth suspected that Marcia’s bite was currently putting her teeth at higher risk and was probably at least part of the reason Marcia had needed a number of crowns and root canals over the years.

Dr. Elizabeth and Marcia decided that Invisalign would be first in order to improve her crowding and her bite and then would be best to then replace the crown on her upper front left tooth as well as veneer 4 other front teeth that also had anterior wear and chipping. Marcia also underwent the Zoom bleaching procedure to help brighten her teeth that were not getting new restorations.

What does Marcia think?

Marcia said that she was nervous when it came to the restorations and was afraid what would be revealed under the existing PFM crown on her upper left front tooth, but it had to be done if she wanted to change her smile. “Even though it took a fair amount of time, you guys were awesome! I would do it again because I like the result.” She was very happy that she did it and wished she would have done it 20 years ago! Marcia would tell someone that was considering getting this done that it is really worth it. “Don’t wait, just do it.”

Congratulations on your amazing results Marcia and thank you for putting your trust in us! We were delighted to help you through this journey and look forward to working with you and your family for many years to come!

A New Year’s Smile with Invisalign and Bonding – Ted’s Story

By: Dr. Elizabeth Eggert

Where did this start?

Ted has been a loyal patient of Eggert Family Dentistry and Dr. Elizabeth Eggert for over 13 years. Ted was having an issue with chipping of his front teeth. Over the years the enamel of his front teeth started to get thinner. This was mostly because of the tooth positions of his lower front teeth. Dr. Elizabeth talked with Ted about orthodontic movements to help increase the longevity of any future restorations, but Ted wasn’t ready to do anything until he additionally bumped his front tooth and because of the weak enamel, a significant chip occurred. Ted still wasn’t ready for orthodontics and asked Dr. Elizabeth to start by simply fixing the tooth with composite.

Fast forward nearly 2 years and Ted started to notice the enamel thinning again with his front teeth. He understood that the lower front tooth positions put more strain on his edges and he was ready to talk about Invisalign options for orthodontic tooth movement.

What was involved?

Dr. Elizabeth gathered the records needed for Invisalign orthodontic treatment. She sent impressions, photos, and x-rays of Ted’s teeth to Invisalign where they created a 3D simulation, called a clincheck, to show how his teeth could move with Invisalign treatment. Ted was very happy with the simulation, which showed a significant improvement to his crowding, especially on the lower front teeth and he decided to move forward with Invisalign.

Ted’s case was expected to consist of 19 aligners that he would wear for one to two weeks at a time for 9-12 months. As part of Ted’s Invisalign treatment, Dr. Elizabeth included “bite ramps” on his aligners because he clenches heavily on his teeth. Bite ramps prevent patients from being able to bite down completely and clench. They help give the muscles a “stop” point and remind the muscles to stay in a more relaxed position. Ted was consistent in wearing his aligners as instructed.

After his Invisalign treatment was complete, Dr. Elizabeth made minor alterations to the biting surface of some of Ted’s teeth to remove interferences and even out his bite. This process is called equilibration and will help prevent further wear on Ted’s new smile. Once the equilibration was complete and Ted completed some whitening with Opalescence whitening solution at home, Ted was ready to strengthen his front teeth with composite bonding. Dr. Elizabeth added resin plastic filling material to his central incisors. Because his teeth are now in a better position, it was even possible to add a little length to Ted’s teeth, giving him a more youthful smile.

What does Ted think?

Ted said “I wanted my teeth fixed! I was more curious than anything as I read about orthodontic options online. I am happy I chose to do Invisalign with Dr. Elizabeth, but I wasn’t sure how long it would take.” Ted was really happy with the results and said that it was not nearly as bad as he had initially anticipated. He was concerned about not being able to eat and drink with the aligners in, but after living with them awhile, he realized it wasn’t as bad over the course of the year as he thought it would be. “They still are a bit inconvenient” but “well worth it.” When asked what he would say if he were talking to someone considering getting this type of treatment done, Ted noted he would tell them it’s “Absolutely worth it!” Ted, thank you for putting your trust in us to complete your care! We love your new bright smile and are happy that with the tooth movements, the results will be much more stable over the long-haul! Congratulations!