Patient Stories Archives - Page 2 of 7 - Eggert Family Dentistry Blog

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!

From Crowded to Confident – Matthew’s Story

By: Dr. Elizabeth Eggert

How did this start?

Matthew has been a patient of the practice for nearly 20 years, starting with Dr. Furey and then transitioning to Dr. Jeff. As a teenager he underwent traditional orthodontics and felt that his teeth were straight. Unfortunately, like so many, Matthew had periods of not wearing his retainers and his teeth moved over time, especially his lower front teeth. As Matthew entered his 30’s it was starting to bother him more and he asked Dr. Jeff if Invisalign would be right for him. Dr. Elizabeth met with Matthew and together, they determined that Invisalign would be able to help bring his smile back to where he was as a teenager.

What was involved?

Dr. Elizabeth sent impressions, photos, and x-rays of Matthew’s teeth to Invisalign where they created a 3D simulation of how his teeth could move with Invisalign treatment. Matthew was very happy with the simulation, which showed a significant improvement to his crowding. He decided to move forward with Invisalign.

As part of Matthew’s Invisalign treatment, Dr. Elizabeth included “Bite Ramps” on his aligners because he clenches his teeth very heavily. Bite ramps prevent patients from being able to bite down completely and clench. It helps give the muscles a “stop” point and reminds the muscles to stay in a more relaxed position. Matthew liked his bite ramps as his muscles felt very good while wearing the aligners.

Matthew’s case was expected to consist of 20 aligners that he would wear for 10-14 days at a time. Matthew was very compliant and consistent in wearing his aligners as instructed and was able to complete his case after the 20 aligners as expected.

What does Matthew think?

Matthew thought it was something he wanted to do because he wanted to straighten his teeth and after looking into Invisalign he decided it was the best option for him. What he liked most about the process was that it did not take as much time and it wasn’t painful at all! When asked what he would tell a friend that was considering Invisalign treatment he said he would highly recommend it. It is definitely an investment in your time and money, but it is worth it!

From Chipped to Confident – Christine’s Story

By: Dr. Elizabeth Eggert

How did this start?

Christine has been a long-time patient of Dr. Elizabeth Eggert, for nearly 15 years. She was bothered by chipping on her front teeth and had noticed it getting worse over the last few years. She wondered what could be done. She was hoping the teeth could be smoothed, but that would have made her front teeth look too short. She wondered if Dr. Elizabeth could add filling material to the chipped area, but unfortunately, Christine’s tooth positions caused her to bite too heavily on the front teeth and that kept them at risk of chipping, even with a repair.

What was recommended?

Dr. Elizabeth explained that until the teeth were in better positions, the chipping would continue. She recommended Christine consider Invisalign to move her teeth, which would then keep them from chipping. Christine underwent the Invisalign Records Process. Through this process, we realized that Chrisine would develop spacing between her teeth as her teeth were moved into a position where they wouldn’t hit too hard against each other. Therefore, Dr. Elizabeth recommended 4 upper anterior veneers to help change the tooth shapes and sizes and also repair the chipping. These restorations would be completed after the teeth were moved with Invisalign. Christine also mentioned that she was unhappy with the color of her lower teeth and wanted to whiten so Dr. Elizabeth talked to her about all of her bleaching options.

What did Christine want?

Christine’s main objective was to fix the anterior front teeth that were chipped and straighten her lower front teeth as well. She understood how her current bite was causing the chipping and understood the need for tooth movement. She liked the idea of Invisalign since having metal in her mouth didn’t appeal to her. As for bleaching, Christine elected to try Crest over-the-counter white strips and those worked well for her, although they caused slight tooth sensitivity. Christine wasn’t too sure she wanted to commit to 4 upper anterior veneers, but understood that there were limitations to what Invisalign could do alone because she was able to view the ClinCheck simulation of her tooth movements. She was ready to talk about a more comprehensive treatment approach and agreed to treatment.

What was involved?

Dr. Elizabeth recommended that Christine start with Invisalign in order to improve her crowding as well as give her tongue and airway more space. Invisalign would be able to broaden and widen her smile so she wouldn’t have to do a full mouth of veneers or crowns to get the look she was hoping for. Christine’s tooth movements also evened out spacing for her eventual porcelain veneers.

Examples of Invisalign Aligners

After only 11 months of Invisalign, Christine was ready to plan for her restorations. Before starting the final planning stage, Dr. Elizabeth performed an equilibration for Christine to even out her biting contacts. In the end, Christine agreed that by doing 4 veneers, the spacing could be more evenly distributed, giving her the look she wanted.

What does Christine think?

Before the procedures Christine thought that Invisalign would be an easy alternative to metal braces. Christine wanted to preserve what her teeth looked like before and was unsure if this procedure would allow for that. She reports “I am very happy with how the veneers look!” and she notes she likes how natural her smile is.

All I Really Want Is My New Front Teeth- PC’s Story

By: Dr. Elizabeth Eggert

How did this start?

PC (name withheld by patient request) has been a long-time patient of Eggert Family Dentistry and was having issues with headaches and some trouble sleeping. She was interested in fixing her “two front teeth.” “My two front teeth are too big! One is longer than the other, the color bothers me and one front tooth is father forward. I had bonding done years ago and it doesn’t look good anymore.”

After many years, PC decided to undergo the records process with Dr. Elizabeth’s encouragement. During the records process, Dr. Elizabeth used models, x-rays, and photos of PC’s teeth, gums, and bite to better understand the options and to help PC understand any risks that may occur with treatment due to underlying functional issues.

What was recommended?

Through the records process and with information from Dr. Elizabeth, it was determined that the position of PC’s front teeth and the existing wear (flattened edges of her front teeth) likely are at least partially due to airway compromises, both at night and during the day. Before restoring her teeth, it was recommended that PC undergo the Seattle Protocol to help determine if we could decrease the damage being done to her teeth and help protect her new restorations for the long-haul. However, it was difficult for PC to coordinate this as she travels out of the country to help her family multiple times each year. She and Dr. Elizabeth also discussed the option of talking with an ENT to improve nasal breathing, but PC declined this as well.

Therefore, PC elected to move forward with tooth restorations to address her esthetic concerns. Yet, PC’s tooth positions due to crowding caused some esthetic hurdles. Dr. Elizabeth talked with PC and recommended orthodontics to improve tooth spacing and gingival levels. PC also declined this so Dr. Elizabeth had to think outside the box, encouraging PC to minimally seek treatment with a periodontist (gum and tissue specialist) to level out her gingival architecture.

What did she want?

PC was the most concerned about her front teeth. She understood that by declining treatment to address her airway and tooth positions, we would be somewhat limited in our options and this was a risk she was willing to take. She really wanted her front teeth to be the same color and same shape. She wanted to minimize the number of restorations, but didn’t want to have to rely on bleaching to maintain the color of the upper front teeth.

What was involved?

After deciding that she would do bleaching to improve the color for her bottom front teeth and that she would do 6 upper front tooth restorations to give the best symmetry and color options, while still limiting the number of restorations, PC started by consulting with the periodontist so she could level her gingival architecture. PC had this minor surgery completed and after 6 weeks of healing, we were ready to plan for her restorations.

At the time that impressions were taken to develop a wax-up or “blue print” for her restorations, PC underwent the in-office Zoom Whitening procedure to brighten her natural teeth. PC was happy with the color and happy with the wax-up and so her teeth were prepared and the restorations were fabricated.

What does she think?

Once the restorations and bleaching were all completed, we asked PC what she thought about the process. She noted there were a lot of things she hadn’t thought about. She hadn’t realized how interconnected all the pieces were. “I thought it would be so simple, just put a little cover over my teeth.” She said she was amazed at how complex it really was and she was really impressed with Dr. Elizabeth’s knowledge, skills, and attention to detail. She is really pleased with how everything turned out. Thanks, PC, for putting your trust in us! We love serving you as our patient.

Replacing Maryland Bridges – Kate’s Story

By Dr. Elizabeth Eggert

How did this start?

Kate works in the medical field and came to us as a new patient in 2019. At her new patient exam, Dr. Elizabeth noted that Kate was congenitally missing her upper lateral incisors. The lateral incisor is the small tooth next to the central, front tooth. Missing lateral incisors are most commonly caused by a condition called hypodontia, in which someone is born with missing teeth. This situation is more common than you realize. Kate had her lateral incisors replaced by “Maryland” bridges over 30 years ago and she had some issues with them staying bonded in the past. Maryland bridges aren’t used much anymore, but can be a decent way to replace teeth (temporarily) for patients that are young because over time tooth and gum changes are expected.

Kate had a bridge on her lower right side as well that came out due to the fracture of one of the abutment (anchor) teeth. After this occurred, Kate decided it was time to work on her bite since she wanted implants to replace her lower teeth and once implants are placed, it is more difficult to idealize a bite since the implants can’t be moved with orthodontics like teeth can.

What did Kate want?

Kate wanted to complete her treatment as soon as possible, but she understood that changing her bite would include orthodontic treatment. Kate worked with Dr. Brian DeVoe and had traditional brackets and wires placed. Luckily, Dr. Elizabeth was able to section Kate’s original Maryland bridges so the teeth could still be moved, but Kate would not have to go without teeth in the front during her orthodontic treatment. Kate was hoping to replace her missing teeth with implants so she would not have to use her adjacent teeth as anchors, however, due to the fact that Kate had been missing her lateral incisors her whole life, there wasn’t enough bone for implants without serious bone grafting interventions. Even with surgical interventions, Kate still only would have had a guarded prognosis for implants. Therefore, Kate decided to complete her case with conventional bridges.

What was involved?

Kate spent approximately 18 months in braces. After she completed orthodontics, Kate came to our office for the pre-planning phase for her new conventional bridges. We took impressions for a wax-up so Kate could preview her new restorations. With the wax-up, we were able to complete a mock-up in Kate’s face so she could really see how the new bridges would look. Kate also spent some time bleaching of her natural teeth so she could use a white porcelain for her new bridges. This helped to brighten her smile. One interesting thing occurred while Kate was bleaching. She had purchased bleach online from the Amazon store, but ended up with a severe ulceration of her tissues from that bleach. After reviewing techniques for healing, her tissue did heal and we were able to continue on with her treatment plan.

After Kate approved the mock-up and her gingival tissue healed, she returned to our office for the preparation of her teeth for conventional bridges. We placed temporary bridges for a couple of weeks and then the final bridges were cemented. She finished her treatment by having new orthodontic retainers fabricated.

What does Kate think?

When we asked Kate what she thought about the treatment once completed, she said that she didn’t understand everything that would go into correcting her bite and planning for new restorations. She initially thought it would be a shorter process. She was surprised at all the detail that went into the planning and the treatment. “I am just amazed at the precision and every single thing that was considered. Dr. Elizabeth Eggert’s skill and ability to do what she does truly amazes me.” When asked what she would tell someone thinking of getting this done, she said, “I would tell them to trust the process and to trust Dr. Elizabeth. It may not be the easiest to live through or it may seem long and tedious, but the end results are so worth it!” Thank you for putting your trust in us to complete your care, Kate! We love your new bright smile!

My New Smile – “It was Necessary:” ML’s Story

By: Dr. Elizabeth Eggert

How did this start?

ML (name withheld by request of patient) has been a patient of Dr. Elizabeth Eggert for over 10 years. When ML first came as a patient, Dr. Elizabeth had been working to do a complete oral reconstruction for his mother. His mom urged him to seek Dr. Elizabeth’s council as she was concerned for the long-term health of his teeth. When ML came to us, he mentioned that he knew he had a lot of tooth wear. In interviewing ML, he noted he had difficulty sleeping and said it would take up to 45 minutes for him to fall asleep. He also didn’t think he had a stable bite, despite being in orthodontics on and off for 14 years of his childhood and teenage years. He did have 4 teeth extracted for his first orthodontic treatment (2 upper bicuspids and 2 lower bicuspids). You can note from the BEFORE photos that ML had tooth wear and his upper teeth were stuck inside his lower teeth – this is a condition called “crossbite.”

What was recommended?

ML went through the Records Process and it was determined that the wear on his teeth was increasing at an accelerated rate and the current position of his teeth would put them at high risk for continued wear, chipping, cracking, breaking, and potentially even tooth loss. The recommendations were to get ML’s teeth into a more idealized position, keep bone support for the teeth, and restore the teeth where they have worn in order to build back to normal tooth proportions.

Years ago when ML underwent orthodontics for the first time, we didn’t know as much as dental professionals about airway and jaw constriction. It was fairly common for patients like ML to undergo extractions in order to “gain space” and “alleviate crowding.” We know more now as a profession about how this affects sleep, breathing, and tooth wear over time. Instead of extractions to “gain space” it is much more common now to encourage the bones to grow into positions that can support all the teeth. We are much more likely to recommend expansion or expanders. This solution works very well in growing children. As an adult, this was still possible for ML, but would require jaw surgery to make the corrections. Therefore, orthodontics, jaw surgery, and restorations were recommended for ML. Dr. Elizabeth also talked to ML about the alternative treatment of restoring all of his teeth and rebuilding to a different bite, but ML wanted to limit the number of restorations and Dr. Elizabeth told ML that she preferred to see a wider arch for his teeth anyway.

What did ML want?

“My lifetime goal for my teeth is to keep them.” He reported he has never been happy with the appearance of his teeth. He didn’t want “nuclear” white teeth, but he said if he was going to improve his bite, he wanted his teeth to look nicer too. ML started the process with Dr. DeVoe (orthodontist) to change his bite without any surgical correction. Dr. DeVoe did a nice job improving ML’s crossbite and moving the teeth into a position where restorations could be done to rebuild tooth proportions.

However, even after this second round of orthodontics (ML’s first round as an adult), it was still difficult to even out his bite forces without doing a large number of restorations. Also, there was an “elephant in the room:” ML’s tongue. Dr. Elizabeth couldn’t help but notice how much space ML’s tongue wanted. As you can see in the photo above, ML’s tongue wanted lots of room and would spill over his teeth with his teeth apart. It was also always very visible in photos and very active when working on ML.

While doing the consultation after this second round of orthodontics, ML said “Well, there is always still the option of jaw surgery.” While ML had not been set up orthodontically for jaw surgery, Dr. Elizabeth told ML that he was correct, there still was that option, if he was willing to undergo more orthodontics. She also shared with him the story of her mom’s journey with jaw surgery and orthodontics.

What was involved?

ML went back into orthodontics. He had 2 different surgeries with Dr. Andreasen of Momenta Oral Surgery. One to open his upper arch and expand that space and another to move his upper and lower jaw bones forward. This extended his treatment time frame, but after this third round of orthodontics, he was ready for restorations. ML felt his teeth were disappearing, it was time to rebuild them back to visible proportions.

It is easy to see how ML’s oral space improved after his jaw surgeries. His tongue is happy to have so much more room! For color and tooth proportion corrections, Dr. Elizabeth recommended a minimum of 14 restorations (8 upper teeth and 6 lower teeth) along with equilibration to finalize the bite. ML wanted whiter teeth, but it was decided that since he was doing 14 restorations, his back teeth wouldn’t show in his smile so bleaching was not needed before the restorations were done. Therefore, we did a wax-up so ML could see what the final restorations would look like and after he approved the wax-up, we prepared the teeth for restorations and a few weeks later seated his restorations.

What does he think?

When we asked ML what he thought about doing the procedure before we started he stated, “This was necessary; I never saw this as elective, but I wasn’t really looking forward to it. The thought of something happening to my teeth was a little uncomfortable. I don’t think anybody likes doing something to their body that is irreversible.”

However, ML is very happy he completed the procedures and ended up doing the jaw surgeries after all. He is surprised at how much bigger his airway is and that he no longer makes sounds at night when sleeping. He always believed he could not breathe through his nose because of allergies, but that does not seem to be the case after this treatment, it appears that he needed expansion of his oral spaces. (Note there is NO tongue visible in ML’s AFTER photo.) ML says it was a long road and he learned a lot along the way, but it was necessary!

Congratulations on your amazing results ML and thank you for putting your trust in us! We were delighted to help you through this journey!

My Journey to a New Smile – Roxanne’s Story

By: Dr. Elizabeth Eggert

How did this start?

Roxanne has been a long time, loyal patient with us since even before Dr. Elizabeth Eggert started in 2005. In 2013 she went through the Records Process because she wanted to address jaw pain that had been getting worse since a car accident in 1981. She also was unhappy with her tooth wear. Dr. Elizabeth used models, photos, and x-rays of Roxanne’s teeth along with our thorough muscle and joint evaluation to present Roxanne with the current health of her teeth, gums and the function of her jaw and muscles. The details of the initial records process revealed that Roxanne would benefit from splint therapy in order to help her jaw and tooth pain. Because of the tooth wear on her front teeth, Roxanne was hitting her back teeth very hard, especially when chewing, causing her muscles and joint to become overworked. An anterior deprogrammer was recommended for her splint therapy, then veneers were recommended to change the length of her front teeth in order to eliminate the interferences of her back teeth.

What did Roxanne want?

Roxanne’s main objective was to be pain free and have a fuller, brighter smile. Roxanne underwent splint therapy with an anterior deprogrammer, but it wasn’t quite enough to get her completely pain free. She was “pain better,” but not “pain free.” The stress in Roxanne’s life compounded her pain and it took many years, including work with an orthodontist, a neurologist, an acupuncture specialist, as well as decreased stress in her life to get her to a stable enough position to address her cosmetic concerns.

Roxanne wondered if bleaching alone would give enough improvement to her smile so she started with Zoom whitening. Unfortunately, although Zoom helped whiten her smile, it wasn’t to the extent she was looking for. Plus, whitening alone couldn’t lengthen her front teeth in order to eliminate the interferences in her bite and keep her pain stable.

Therefore, Roxanne was ready to talk about a more comprehensive treatment option for her teeth. Dr. Elizabeth recommended that Roxanne start with Invisalign in order to improve her crowding and gum tissue levels as well as give her tongue and airway more space. Invisalign would be able to broaden her smile so she wouldn’t have to do a full mouth of veneers or crowns to get the look she was hoping for.

What was involved?

Roxanne underwent Invisalign treatment with the goals of improving her crowding, expanding her arch, creating space for porcelain veneers (which would introduce spacing between her teeth), leveling gingival tissue, and providing support for her joints and muscles.

After only 7 months of Invisalign, Roxanne was then ready to plan for her restorations. Before starting the final planning stage, Dr. Elizabeth performed equilibration to refine and finalize even contacts with her bite to keep her potential for future pain symptoms under control. Roxanne wanted her teeth even and white and elected to restore 8 teeth on her upper arch and 6 teeth on her lower arch. Roxanne did a lot of research before doing her veneers and wanted a “Hollywood Style” look. The teeth were prepared for the restorations and in less than 3 weeks, Roxanne had her final results.

What does Roxanne think of her results?

Before the procedures Roxanne was nervous about the time it took and the “permanency of it all,” yet she was very confident in Dr. Elizabeth. In her final interview, Roxanne said “Dr. Elizabeth told me exactly what would happen, what I should expect, and there were no surprises. The timeline was just as discussed.” She also said, “My jaw feels great and my new smile is good. It’s what I was expecting.” She would definitely recommend the treatment to others and says that it is a team effort and you have to do everything that is expected of you for the best results. Roxanne knows that having a better smile is fantastic. “My smile is pretty important. If you look better, you feel better!”

Roxanne was also so kind to write a 5-Star Google Review of our practice and noted “Dr. Elizabeth and I completed a 9 month process of realigning my bite and correcting my dysfunctional jaw. Along with a complete restoration of my upper and lower teeth. The results were everything I had hoped for. I appreciate her knowledge and dedication everyday when I look at my new smile!” Thank you Roxanne! You truly are a treasure for us! We look forward to reading other 5-Star Google Reviews from our patients. Submit yours today!

What to do When You Have Missing Teeth? – Jasmine’s Story

By: Dr. Elizabeth Eggert

How did this start?

Jasmine came to us in the summer of 2020 with several concerns that included advanced periodontal disease, several missing teeth, and current tooth and gum infections. She was having a lot of pain. Unfortunately, her situation was compounded due to complications from trauma that had occurred from an accident thirty years prior.

What did she want?

After several years of treatment for periodontal disease with a periodontist to try to save her natural teeth, Jasmine wondered if it was time for complete dentures. She had a friend in China with complete dentures that she liked very much. Dr. Jeff Eggert talked with Jasmine about all tooth replacement options including implant supported options as well as full traditional dentures. Jasmine noted it was important to her that she get out of pain, but she wanted her tooth replacements to be very stable and allow her to chew naturally as she was only using her front teeth now. She was very concerned about the costs involved with implant supported dentures and didn’t like the idea of full dentures slipping all over her mouth. After many discussions of the pros and cons to all treatment options, Jasmine decided that she wanted to do removable partial dentures. She felt this would be the best option for her because it would be less expensive overall and she would still have some anchorage from her remaining natural teeth. Even though Jasmine has suffered from periodontal disease, she still had a number of natural teeth to work with that could help support a partial denture.

What was involved?

Jasmine and Dr. Jeff discussed several options and decided to do both upper and lower partial dentures. Jasmine had two remaining upper teeth that were severely infected from periodontal disease. These teeth had to be removed, otherwise the new partial denture would increase the infection. The planning for Jasmine’s partial dentures was done before these teeth were extracted and on the day Jasmine underwent the final fitting for her new partial dentures, Dr. Jeff Eggert removed the two teeth. Jasmine was excited to have her new partials. She was given care instructions and guidance for inserting and removing the partial dentures on her own.

What does she think?

Jasmine was a little nervous before the procedure because she had had some poor experiences with a temporary partial denture made by one of her past dentists, but she had lost a lot of teeth and her chewing was really affected. She says that everything now is much better especially now that she can use her lower left side for chewing hard foods. She notes, “They fit in my mouth very well and feel comfortable.” She was pleased with the cost and how well the new partials look and feel. Of Dr. Jeff’s work, she notes “This clinic can do partials very well and is affordable!” Congratulations on your new partial dentures Jasmine! Thanks for putting your trust in us at Eggert Family Dentistry!

The Power of a Great Bite – Steve’s Story

By: Dr. Elizabeth Eggert

How did this start?

Steve came to us in 2020 and talked to us about how his bite never felt right after a new crown had been done at another dental office. Steve said that he even had undergone two rounds of Invisalign trying to make his bite feel normal again. He told us he chose our office because he researched and found that Dr. Elizabeth Eggert had the experience he was looking for in regard to helping people feel better about their bites. He told us, “I am not happy with my bite and I really just want my jaw to feel better.” He was not concerned cosmetically about his teeth, but wanted to be comfortable with his bite and to be able to eat again without feeling like he would break his teeth.

What was involved?

Steve underwent the Records Process and some interesting things were noted from the analysis. Dr. Elizabeth was able to obtain Steve’s pre-Invisalign records and noticed that he started with spaces between many of his front teeth.

Pre-Initial Invisalign

The analysis helped her find that Steve had a strained muscle and jaw position and therefore, it made sense for Steve to start his treatment with splint therapy to help find a consistent bite position for jaw and muscle comfort. The best appliance for Steve was an Anterior Deprogrammer to help his muscles release and decrease pressure and stress on his functional system. After splint therapy, it was clear that Steve’s bite had unevenly high points and his body seemed to crave more space in his mouth because his lower jaw wanted to be forward from where it was. It was almost like he was “locked” into an uncomfortable position. Dr. Elizabeth suspected that because Steve’s first Invisalign treatments closed the spaces between his teeth, that a cascade of muscle imbalances followed for him.

She recommended that Steve undergo Invisalign AGAIN in order to open the spaces back up and then restore his teeth to fill in the gaps.

Invisalign helped gain space back and Steve’s muscles were finally able to relax again, however his teeth still hit somewhat unevenly in the back. Therefore, equilibration was also completed for Steve to even out the bite forces on his teeth now that his muscles were in a calm position. After the 3^rd round of Invisalign and the equilibration, Steve told us “My muscles feel REALLY GOOD!”

Before restoring his anterior teeth with porcelain veneers to fill in the gaps, Steve also wanted the rest of his teeth whiter. Steve completed the Zoom bleaching procedure and brightened up at least 5 shades!

What does Steve think?

Steve is very happy with the final results and said that during the procedure he did not have any worries.

“I think it was a good process and I didn’t have any sensitivity with my teeth.” He told us his muscles and bite feel much more stable and he no longer gets the feeling that he is going to break his teeth. He said “The timeline was good and it went by fast.” His family also likes the results, but Steve says “It really wasn’t about the cosmetic aspect for me, but it was worth it to have the stability in my bite!”

Congratulations Steve – your results are amazing! We are so happy we were able to get your bite back for you. This case was a fun puzzler for Dr. Elizabeth because she was able to figure out how important your “pre-condition” was to a future successful outcome! We appreciate you putting your trust in us!

What Can Composites Do for You? – Liv’s and Gretchen’s Stories

By: Dr. Elizabeth Eggert

How did this start? Liv’s Story

Liv came to us for an evaluation with Dr. Elizabeth Eggert prior to beginning Invisalign treatment. Liv was about to start Invisalign with Dr. Wang, but she and her parents wanted to discuss her options for addressing the spacing she had between some teeth.

Liv was born with undersized lateral incisors, sometimes called “peg laterals.” With this condition, there often are spacing issues because the tooth size doesn’t match the arch size. In Liv’s case, this left a space between her two front teeth that she wasn’t fond of. It even kept her from smiling in public!

Pre-planning was done so that after Invisalign treatment, Liv would be left with even spacing, an expanded arch, and a broader smile. Then, Dr. Elizabeth would be able to change the size of her teeth with composite and finish building Liv a beautiful smile.

What was involved?

When Liv completed her Invisalign, she noted she wanted whiter teeth too, so before we completed her restorations, Liv underwent the Zoom Whitening procedure. Her teeth brightened up very nicely.

Dr. Elizabeth then discussed pros and cons with Liv and her parents regarding restoration options. There are two materials available for veneers – composite resin (plastic) or porcelain. Both are conservative options, both will give a nice color match, and both hold up well. Composite can stain over time, but initially isn’t as much of an investment. Because Liv is still young and her body will continue to evolve, it was decided to do two composite veneers now and in a few years’ time, reevaluate the need for porcelain, possibly extending to more teeth in the future. Dr. Elizabeth did a mock-up of the possible restorations and after seeing this mock-up, Liv was really excited and ready to proceed!

What does she think?

Liv is very happy with how everything turned out. She said she was excited to use composite, which will leave things more flexible for her future. She thought it seemed like the best option for her age. She said “It is easy to maintain and it feels very natural and normal. I smile more now and I actually show my teeth. I didn’t used to do that.” This is what now makes her parents very happy!

When asked what she would say to someone considering getting this done, she said that is quick and not a long procedure: “It was very easy for me!”

We are so happy that we could work with Liv and collaborate with her team of doctors to help give her a smile she can be proud of!

How did this start? Gretchen’s Story

Gretchen came to us as a new patient and Dr. Elizabeth noticed she had decay around an existing composite veneer on her right-side lateral incisor as well as decay on her right-side central incisor. While Gretchen certainly would benefit from a more comprehensive treatment plan to address her bite and wear pattern, Gretchen was nervous about replacing her existing composite veneer and was concerned about costs. Therefore, after some encouragement to at least address the decay, Gretchen agreed to move forward with a new composite veneer and filling.

What was involved?

Since Gretchen wanted a more limited approach, no pre-planning was completed and all the treatment was done free-hand by Dr. Elizabeth in one appointment. Gretchen wanted a better color match (her original veneer was much brighter than the current shade of her natural teeth), she didn’t want to feel the gap with her tongue on the back of her current veneer (due to the decay), and she wanted the shape and contour to remain similar to her original veneer.

What does she think?

Gretchen is happy with her results and she said “It doesn’t feel like there is a gap in the back anymore.” She is also happy she can still use her original retainer. This was a concern for her as well. Even in a more limited approach, composite can give beautiful results!