Category: Patient Stories

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!

Just a Few Crowns Can Make a Difference! Nina’s Story

By: Dr. Elizabeth Eggert

How did this start?

Nina has been a patient since 2012 when she came for an emergency visit because of a tooth ache and jaw pain. She had recently moved to the area and she was in need of some extensive treatment for several teeth. During her initial comprehensive exam with Dr. Elizabeth, she and Nina talked about what was going on, what Nina’s treatment options were, and how to proceed. At that time, Nina needed a referral to the Oral Surgeon for some extractions. Unfortunately, her emergency tooth ache was because of teeth that could no longer be saved.

What did Nina want?

Nina was concerned about getting too much treatment at her age but knew that due to the problems she had been experiencing she was in need of intervention. Ultimately Nina wanted to stabilize her mouth long-term and prevent further problems. Also she knew how important her teeth are for eating, speaking, and confidence.

What was involved?

Nina and Dr. Elizabeth worked for several years to treat the decay on many of her back teeth with fillings and new crowns. Nina never did like, however, the shape and color of her front teeth, always asking what could be done for them? They were getting decay, but the big issue was that they had lost a lot of enamel from wear and chipping over the years and filling material was not able to stand up to the forces Nina put on those teeth. Recently, Nina decided she wanted to move forward with putting crowns on three of her front teeth. This not only would look better, which Nina was excited for, the porcelain crowns would be able to protect the remaining tooth structure and stop the spread of decay, which was becoming more and more of an issue. Because the teeth are very visible in her smile it was important to move forward with all 3 at the same time to ensure a good match. Dr. Elizabeth prepared the three teeth for crowns, working with Nina to choose the right color, and sent them to Twin Cities Lab for fabrication.

What does Nina think?

Nina was very happy with the natural looking results! When asked about the crowns she said “I just love them!” Nina knew it had gotten to the point where it was the best thing for the teeth and that it would help keep her healthier. She only wishes she had done it a long time ago. She would recommend it to anyone in need of new crowns and said she feels just wonderful about her smile. Notice how easy it is for her to smile bigger now!


Thanks Nina! We just love working with you!

What Happens When You Are Born Without A Tooth? – Tyler’s Story

By: Dr. Elizabeth Eggert

Meet Tyler

Tyler came to our practice with his mother as a new patient because he had been forwarded one of our blog articles highlighting a patient with a very similar story. Tyler was born without an upper left lateral incisor tooth. He had recently completed orthodontic treatment. During orthodontic treatment, a “fake” tooth was held in place by his orthodontic wires. But, he and his mother were looking for more permanent options to replace the missing tooth as the flipper/retainer he had fabricated after his orthodontics was not comfortable to wear and he was concerned about his friends noticing.

What did he want?

Tyler had just recently completed over 5 years of orthodontics and wanted to feel more confident about his smile after investing so much of his time and care with braces. He and his mom were looking for an option that would give him a natural look that can last until he is finished growing and can have an implant placed to replace the tooth. He was also interested in brightening his smile and discussed several bleaching options with Dr. Elizabeth as a part of his treatment.

What was involved?

After doing a comprehensive exam and bleaching consult, Dr. Elizabeth recommended a composite veneer for his right side lateral incisor (since it was undersized) and a composite bonded bridge to replace his left side lateral incisor. Tyler had impressions of both his upper and lower teeth taken so that Dr. Elizabeth could complete a mock-up of what the results would look like. This gave Tyler and his mom the confidence to move forward with the treatment. Tyler also decided to proceed with ZOOM whitening and bleached his teeth in one day before the restorations to make sure he had the perfect shade for his pearly whites!

Bonded restorations like Tyler’s can be placed in just one visit. The procedure took Dr. Elizabeth a little over one hour as she custom-designed his new teeth and made sure they fit into the harmony of his bite. As extra protection Tyler also decided to have essix retainers and an athletic mouth guard made to keep his smile well protected and looking its best.

What does he think?

Tyler and his mom were very happy with the results. They thought everything looked natural and were glad to find another option for him! Tyler is happy he no longer needs to wear the flipper/retainer all the time and feels much more confident in the color and his overall smile. He thinks it was a great solution for him and highly recommends it to anyone considering this treatment!

 

A New Smile with Veneers – Lauri’s Story

By: Dr. Elizabeth Eggert

How did this start?
Lauri was interested in whitening her teeth and was concerned about some progressing decay around her current veneers. To find out her options, she completed the records process with Dr. Elizabeth. This process allows our doctors to use models, x-rays, and photos of the patient’s teeth, gums, and bite to better understand the cause of any problems and determine the best course of treatment. Lauri was invested in improving both the health and beauty of her smile!

What did she want?
Lauri was very interested in our KOR bleaching option, but also wanted to ensure the decay that was found was also addressed. She was interested in using this opportunity to have new veneers made to take her smile to the next level. Dr. Elizabeth took all of her requests and desires into consideration during the records process and incorporated that into her recommendation.

What was involved?
During the treatment presentation, Dr. Elizabeth gave Lauri some recommendations to consider such as orthodontics, replacement veneers, splint therapy, and discussed whitening as well. Lauri decided to move forward with a consultation with an orthodontist to get more information. After a lot of consideration, she decided orthodontics wasn’t right for her at this time. Therefore, splint therapy was started to confirm a consistent jaw position before completing new restorations. During this time she was also fitted for KOR bleaching trays to use at home and received her KOR in-office whitening treatment. By doing the KOR bleaching, Lauri was able to minimize the number of veneers she had fabricated as her color was improved for her lower teeth with the bleaching alone.

What does she think?
Lauri had veneers done in the past so the procedure wasn’t new to her. She is excited to say that she does like her teeth much better now that she had them re-done. She really wanted her new teeth to match the shape and contours of her previous veneers and was focused on improving the color, but still wanted her teeth to look completely natural. She thinks the outcome was a “slam dunk!” We asked Lauri if she would recommend this procedure to someone who unhappy with their smile and she replied, “If they didn’t like their teeth, they should do it – unquestionably!” We just love looking at that beautiful smile!

If you think veneers might be the smile solution you’re looking for, contact Eggert Family Dentistry today!

One Method to Replace Missing Teeth: Traditional Bridgework

By Dr. Elizabeth Eggert

How Did This Start?
Laurie had an existing bridge for her upper front teeth for 35 years and felt it looked dull and didn’t fit quite right. With her son’s wedding planned for April of 2017, she started looking into her options to improve her smile before the big day. Dr. Elizabeth spoke with Laurie about her concerns related to gum recession, bleeding, and darker margins with the existing bridge. They discussed the timeline needed in order to make improvements before the April wedding and decided that taking complete records and formulating options for treatment was the best way to start.

What Did Laurie Want?
Laurie wanted a brighter and more natural looking smile. She had considered implants in the past but had been happy with her existing bridge so the time needed to complete implants didn’t seem necessary. The existing bridge was causing gum related problems and the fit wasn’t quite right after the many years it had been in her mouth. Laurie had also been experiencing issues with migraines for years and was open to exploring options that might improve her jaw function and ultimately improve her health.

What Was Involved?
Dr. Elizabeth recommended that Laurie start with full records so that she could asses the current health of the teeth and gums, and the function of her jaw and muscles. After the records were taken Dr. Elizabeth was able to formulate the best available options to address all of Laurie’s concerns. Ultimately Laurie and Dr. Elizabeth decided the best option was to start with splint therapy, using an anterior deprogrammer. Laurie also wanted to have custom bleaching trays fabricated and then replace the existing bridge to match her brighter teeth.

Benefits of Splint Therapy with an Anterior Deprogrammer
Laurie wore her anterior deprogrammer for 8 weeks and started bleaching prior to doing impressions for the new bridge. She noticed after the first 3 weeks of splint therapy that her jaw felt looser and her teeth felt more in place. By the end of the 8 weeks, she noticed her migraines had decreased so dramatically that she hadn’t had headaches in a month and she was sleeping much better at night. Dr. Elizabeth took impressions for her new bridge and sent them to the dental lab for fabrication. Laurie then went in to Edgar Jimenez’s Dental Studio for a custom shade appointment so they could ensure she would be happy with the end result. After 4 months of planning, preparation, and treatment we were able to place the new bridge in time for her son’s wedding!

What Does She Think?
Laurie loves her new smile and said that it exceeded her expectations! She was skeptical about the splint therapy at first but now she has few if any migraines and has a hard time sleeping without her, now full, splint. The records process was an interesting experience and she enjoyed learning so much about the function of her mouth. Laurie says, “The doctors really know what they are doing. Dr. Elizabeth made it really easy.” Laurie feels much more confident about her smile and is surprised with both the improvement in her gum tissue and the natural, bright looking results we were able to achieve.

Congratulations to Laurie on her beautiful new smile! If you’re interested in tooth replacement options including bridges, please contact Eggert Family Dentistry today at 651-482-8412.

Eric’s Story – Using the All-on-4® Implant Technique

By: Dr. Elizabeth Eggert

How did this start?
Eric’s complex medical history and treatment needs led to dental issues like severe dry mouth. Because of these factors and despite good homecare, cavities and decay spread quickly for him and required extensive treatments. Over the course of 10 years he required 9 new crowns and multiple fillings in an effort to save his teeth. It was when Eric had to start having some teeth extracted in 2016 that he and Dr. Elizabeth agreed it was time to find a better-lasting, long-term solution. Based on the records Eric had taken in 2013 and his treatment since, Dr. Elizabeth proposed the All-on-4® treatment concept as the best solution to stabilize the health of Eric’s mouth.

What did he want?
Eric spends half of his time at home in Minnesota and the other half at his home in Maui. Keeping up with complex dental needs and many appointments on top of numerous health problems made coming for consistent dental visits difficult so he wanted to come up with a permanent way to improve his oral health. Eric wasn’t overly concerned with the esthetics of his mouth, but he felt that as long as he was considering doing more comprehensive work that he would like to see a whiter, more even smile.

What was involved?
The process started in August of 2016 when Eric had all of his remaining upper teeth extracted and 6 implants placed by Dr. Karl Andreasen of Momenta Oral Surgery. In March of 2017 Eric took the next step in the process and had all of his lower teeth extracted and 5 implants placed to prepare for his final full-arch prostheses. After each of these surgical appointments, an interim (temporary) prosthesis was placed in order to sustain most of his normal function as well as give him teeth to smile with. Eric’s time in his interim prostheses was extended because his health conditions kept one lower implant from fully integrating.

This implant was replaced and after a successful integration check, Eric was ready to take impressions for his final All-on-4® prostheses in March of this year. He decided he preferred the full zirconia, all porcelain material due to its strength and esthetics and he was able to select the shade for his brand new smile! Eric came in for a try-in 3 weeks later and gave the go-ahead for Dr. Elizabeth to have the lab move to final creation. On May 2nd Eric came back and had both of his new arches placed and left with a brand new set of teeth.

What did he think?
After years of treatment planning, Eric was very excited to have a new and healthy set of “teeth” to chew, smile, and talk with. After looking at the final result he was very pleased with how the entire treatment turned out and said, “I shouldn’t have waited so long!” Eric was leaving for his home in Maui just days after the procedure was done and felt relieved to know he was traveling with a stable and healthy mouth. When asked how he felt about the All-on-4® treatment process Eric said, “It was totally worth it. I have one less thing to worry about!” His especially likes the even white color of his new smile! Congratulations Eric! Thank you for putting your trust in us!

Randi and Dr. Elizabeth’s Invisalign® Success Story

By: Dr. Elizabeth Eggert

In August of 2016, Dr. Elizabeth and Randi decided to become Invisalign® patients to help them make desired changes to their smile! Their participation also helped our team get a much more in-depth understanding of Invisalign®. Randi had braces as a teenager, however, she lost her retainer and her front teeth started to cross-over each other. She wanted to feel more confident with her smile.

Dr. Elizabeth had braces in middle school and her teeth started shifting as well, especially noticeable at the midline and at her right side lateral incisor. She wanted to test Invisalign® and see if it could address her concerns.

We sent models, photos, and x-rays of their teeth to Invisalign® where they created a 3D simulation of how both Randi and Dr. Elizabeth’s teeth could move with Invisalign® treatment. They were both pleased with the results of the 3D simulation and decided to proceed. Both treatments required about 20 aligner changes and were expected to take 9 months. Each of them committed to visits every 6 weeks to ensure the teeth were moving as expected.

Small composite buttons or attachments were strategically placed temporarily on the front surfaces of some of the teeth to help with movements. These buttons were removed once their Invisalign® treatments were complete and as you can see were hardly visible.

Randi responded well to her aligners and other than having to have one button replaced, she had no complications. Randi says, “I am so happy!” She gets positive compliments from friends and family since going through Invisalign® and loves to show off her smile. She also learned great hygiene habits while wearing the aligners and would tell anyone to go through with Invisalign®. “My confidence has grown so much and I am excited to smile!”

Dr. Elizabeth said there was an adjustment period when she first began because she felt her mouth was drier after talking with patients all day, but otherwise she felt as though Invisalign® fit seamlessly into her life. She thinks it would be a great option for most people. Dr. Elizabeth says, “I am very happy with the movement. Wearing the aligners was easy and the time went fast.” She is very happy with the alignment of her front teeth and feels confident in recommending Invisalign® to her patients! She was especially happy that the treatment actually only took 7 months overall since the movements occurred so quickly!

Wondering if Invisalign® could help improve your smile? Contact us at Eggert Family Dentistry today or call (651) 482-8412 to schedule an appointment.

A Brighter, More Even Smile – Julie’s Story

By: Dr. Elizabeth Eggert

How did this start?
Julie came to us in February of 2016 hoping to replace the bridge that was placed when she was in the 10th grade because it no longer matched her other anterior teeth. She was interested in improving the look of her smile, but it was very important to her to make sure her teeth had a natural appearance. Julie had heard our team was experienced in cosmetic dentistry and was interested in what we could do for her!

What did Julie want?
Julie wanted to start her transformation by achieving a brighter smile with the Philips 2 week at-home system. Her goal was to get a natural-looking white and more consistent coloring in her front teeth. After the whitening, she was interested in getting more even length and spacing in her upper front teeth with veneers and a new bridge.

What was involved?
We started out by taking records to get a better picture of what treatment would be required to reach Julie’s goals. Dr. Michael Furey recommended Julie start with Invisalign to allow for the most even looking smile and then placing veneers on 3 front teeth as well as a new bridge for the other 3 front teeth. Julie received her first set of Invisalign trays in June of 2016. She was great about following the Invisalign treatment plan and schedule, and was able to complete the treatment in 7 months. Julie then met with Dr. Elizabeth to create a plan to place the veneers and bridge. It turned out Julie needed the help of Dr. Alejandro Aguirre to retreat a root canal on her traumatized tooth. After that was completed, Dr. Elizabeth completed the procedures needed for her new teeth.

What does she think?
Julie felt some anxiety and skepticism at first, but knew the work needed to be done to create the look and function she desired. She felt much more confident after meeting with the doctors and team. Julie said, “I’m so glad I did it! You all have helped me get through it! I catch myself in the mirror looking at how great they look. I’m very happy!” Julie has even motivated her sister to go through similar treatment and says she encourages anyone to go forward with it. We are so happy to have worked with Julie. She came to us as a “cosmetic” patient and she now sees us for her recare and maintenance as well. It means the world to us that Julie has placed her trust in us!

Quinn’s Story

By: Dr. Elizabeth Eggert

How did this start?
Quinn came to us as a new patient. He was in his second round of braces with his orthodontist, Dr. Liu. Dr. Elizabeth noticed the midline of his front teeth wasn’t quite centered. Quinn also had uneven spacing in his front teeth.

What did Quinn want?
Quinn noticed that some of his front teeth appeared small and left some spacing on the right side of his smile. He was already focused on straightening his teeth, but he also wanted a more even and fuller looking smile. Quinn wanted to make sure that after he completed his orthodontics his teeth would not only be straight, but symmetrical as well.

What was involved?
Dr. Elizabeth worked with Dr. Liu to make sure we were all aiming for the same goal. Dr. Liu set up a plan to move Quinn’s front teeth to center with his upper lip and leave space around his undersized laterals to make Quinn’s smile more symmetrical and broader.

Near the completion of Quinn’s orthodontic treatment, Dr. Elizabeth presented him and his mom with some options to make the undersized laterals broader and showed them a mock-up of how the teeth would look after the procedure. Quinn decided to take Dr. Elizabeth’s recommendation and do composite bonding now, knowing that porcelain veneers will be a good option when he is done growing.

Quinn felt good about the current color of his teeth. Therefore, he could move right into the bonding procedure. The mock-up was used to create the composite veneers in the office in one day. Dr. Elizabeth performed a very minimal preparation on the teeth and made sure the coloring of the composite veneers matched his natural teeth.

What does Quinn think?
Quinn feels much more comfortable with his smile. He likes the fuller look of his front teeth and thinks they look more natural. He was very happy that Dr. Elizabeth didn’t have to make much adjustment to his teeth. He loved that the procedure wasn’t painful at all. Quinn and his mom feel the investment made in Quinn’s oral health and esthetics was well worth it!

 

 

 

Rebuilding Worn Teeth – Gina’s Story

By Dr. Elizabeth Eggert

How did this start?
Gina came to us as an established patient at one of her routine recare appointments. Dr. Elizabeth noted decay around her front teeth and Gina mentioned how she noticed wear on her teeth and she was frustrated that her teeth were deteriorating despite her efforts in caring for them. Dr. Elizabeth recommended Gina go through our records process so she could delve deeper into underlying causes behind her decaying and worn teeth.

What did Gina want?
Gina noticed a lot more wear lately and wanted to keep as many of her natural teeth as possible. She was concerned because she recently needed a root canal for one tooth and needed another tooth extracted because of a vertical root fracture. Gina wanted to take action before other teeth declined. She also wanted her teeth whiter, more even, more uniform looking and wanted things to function better. Gina wanted a conservative, comprehensive plan for restoring her teeth.

Before

What was involved?
Dr. Elizabeth used photos and x-rays of Gina’s teeth along with the results of a thorough muscle and joint evaluation to develop Gina’s plan. The details of the records process revealed that the position of Gina’s teeth caused multiple interferences when she chewed. This is why her teeth were seriously starting to break down.

Dr. Elizabeth and Gina decided that Gina’s best option for restoring her teeth would first require moving her teeth to a better position with orthodontics. Gina worked with Dr. Brian DeVoe, a local orthodontist, until she had an even biting surface. Dr. Elizabeth then worked with a local lab and together they designed a blueprint of Gina’s new front teeth out of wax. This blueprint, called a laboratory wax-up, provided the ability for Dr. Elizabeth to create Gina’s new smile. Gina wanted to be as conservative as possible so it was decided to proceed with three porcelain crowns to remove the decay and to rebuild the worn edges of Gina’s front teeth.

After

What does Gina think?
“It sounded like a lot to do at first with the orthodontics and the crowns, but I knew I needed to do something to address the cause of the breakdown. I definitely didn’t want to lose any more teeth. I am so glad I went to the consultation with the orthodontist and went through with braces. My bite feels comfortable and everything feels so good! I would tell anyone considering getting this done to do it right away.”