Category: Recare & Prevention

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.

Second Round

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.

Third Round

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!

After

Canker Sores vs. Cold Sores [and How to Treat Each!]

By: Dr. Elizabeth Eggert

When someone discovers that they have a blister or sore in or around their mouth, there are two questions that usually come to mind: 

1. “What is it?”

2. “How do I get rid of it as fast as possible?”

Most oral blisters or sores are usually either a canker sore or a cold sore. Both of these types of sores can appear in varying degrees of severity, but luckily, they both go away in a relatively short amount of time. 

However, there are steps you can take to prevent these sores from occurring, and ways to treat them so that they heal faster. Let’s take a look at each type of sore to find out how to identify, prevent, and treat them. 

Canker Sores

Canker sores, also called aphthous (ulcers), are small, shallow lesions that develop on the soft tissues in your mouth, your gums, or your tongue. 

They are usually oval in shape and white or yellow in color, with a red edge. They may appear as a single sore, or in clusters. Canker sores are not contagious. 

Canker Sore Symptoms

Canker sores can be very painful, and can make it difficult to eat, drink, or talk. While they only last a couple of weeks, it can feel like a very long time for someone suffering from a canker sore. 

Along with pain from eating, drinking and talking, other canker sore symptoms may include: 

  • Tingling or burning sensation
  • Swollen lymph nodes 
  • Fever 
  • Feeling ill 

Causes of Canker Sores

It’s still unknown what exactly causes canker sores, but it is a fact that the sores erupt as a result of the immune system attacking the lining of the mouth. There are many reasons why your immune system would respond this way, including: 

  • Viral infection
  • Injury to the mouth
  • Eating too hot or too spicy foods
  • Friction between a dental product and your mouth (dentures, braces, retainers, etc.)
  • Chewing tobacco 
  • Sodium lauryl sulfate in certain toothpastes
  • An allergic reaction 
  • Celiac disease
  • Emotional stress 
  • Vitamin deficiencies
  • Hormonal changes 
  • Problems with immune system
  • Illness 

Canker Sore Treatment

Most canker sores will go away on their own and don’t require treatment. However, you should see Dr. Elizabeth Eggert, Dr. Jeff Eggert, or your doctor if your canker sore lasts longer than 2 weeks, becomes infected, or is extremely painful. 

If you have a severe canker sore(s), your primary care doctor or Dr. Eggert may prescribe:

  • Coating Medication: Mouth rinses containing anti-ulcer drugs that reduce pain and promote healing.
  • Viscous Lidocaine: A numbing agent that comes in gel form. It’s the most commonly used prescription canker sore medication.
  • Topical Disinfectants: These are prescribed to people suffering from severe canker sores to prevent infection.
  • Steroids: Prescribed for severe canker sores, steroids come in liquid and gel form and reduce inflammation and pain.

For most canker sores, though, over-the-counter pain-relief treatments are usually effective. These usually include topical numbing agents, such as benzocaine and lidocaine, that can be applied directly to the canker sore. 

At-home remedies such as applying ice to the affected area, applying milk of magnesia a few times a day, or rinsing with a mix of baking soda and water, can also help with pain relief and even promote healing. 

At Eggert Family Dentistry, we treat canker sores using Debacterol, an especially effective liquid topical agent. Debacterol is the only treatment for canker sores that completely stops the pain, seals damaged tissues, and aids the natural healing processes. It only requires one application, which takes only minutes to perform. 

Canker Sore Prevention

To prevent canker sores, it’s important to keep your immune system performing at its best, protect your mouth from injury, and to keep bad bacteria out of your mouth. If you eat healthy, avoid irritants, and maintain good oral hygiene habits, you will lessen the likelihood of developing canker sores.

Cold Sores 

Cold sores, also known as fever blisters, appear as small, painful blisters that first form a cluster and then burst, creating a sore. Once the blisters burst, the sore will begin to scab over as the body heals. 

Cold sores usually appear on the lips and area surrounding the mouth, but can also appear on the nose, cheeks, or eyes. Cold sores are very contagious, and can be passed on even when the blisters and sore are not present through a process called viral shedding. 

The good news is that cold sores are very common, and easily manageable. By taking the right precautions and treatments, you can significantly reduce the frequency and intensity of your cold sore flare-ups. 

Causes of Cold Sores 

Cold Sores are most commonly caused by Herpes Simplex Virus Type-1, and less commonly by Herpes Simplex Virus Type-2. As we mentioned earlier, the virus is very contagious. Approximately 90% of people in the world have at least one form of HSV. 

Once you have the virus, it does not leave the body, but for the most part it will stay dormant. Still, there are a variety of triggers that can cause HSV to be active, resulting in flare-ups. Major triggers include: 

  • Weakened immune system: Your immune system can be weakened by excessive stress, fatigue, and illness, among other things. Many people report stress as being a frequent cause of flare-ups. 
  • Trauma: Any sort of injury to the lips or inside of the mouth can trigger an outbreak. That includes sporting injuries, cosmetic injections, and biting, chewing, and picking at your lips. 
  • Sunburn and dryness: Letting your lips become too chapped can cause an outbreak, as can getting sunburned on your face.

Miscellaneous causes include some food allergies, hormonal changes, and vitamin B deficiency.

Cold Sore Symptoms

Cold Sores can be very painful and can make eating or drinking difficult. They can also be unsightly, which is often stressful for the afflicted person, especially school-age children. 

The first flare up is often the worst, as it is your body’s first time dealing with the virus. Afterward, your body will develop antibodies to fight the virus, and you may never experience another flare-up. However, many people experience recurring cold sores.

Cold sores occur in stages: 

  1. Tingling and itching: You will first notice tingling, itching, or burning sensation in a small area with slight discoloration. 
  2. Blisters: 12-24 hours later, a cluster of blisters will appear and the area will become red and swollen. Within a day or two, the blisters will pop and weep. This stage can last up to three days. 
  3. Healing: A scab will form over the sore as the body heals, though it may crack or bleed. The scab will fall off once the area is healed, which usually takes about two weeks.

Symptoms that can accompany cold sore outbreaks include: 

  • Swollen lymph nodes 
  • Fever 
  • Illness 
  • Sore throat 
  • Headache 
  • Upset stomach 
  • Fatigue 

Learning to recognize the signs of an oncoming cold sore will help you catch it early and manage it better with treatment. Caught early enough, you may even be able to prevent the cold sore from appearing at all. 

Cold Sore Treatment 

While there’s no cure for cold sores, cold sore treatments can significantly reduce outbreak frequency and intensity. There are three types of treatment options available, and many people use a combination of treatments to manage their cold sores

  1. Topical creams: Creams that contain antivirals Acyclovir (Xerese) and penciclovir (Denavir) need a prescription, but will speed up the healing process dramatically. You can also use over-the-counter docosanol (Abreva), which will also speed up healing and numb the area. 
  2. Prescription Pills: Taking an antiviral pill can knock out a cold sore before blisters even appear. These include Acyclovir (Sitavig, Zovirax), famciclovir (Famvir), or valacyclovir (Valtrex). Companies like Nurx allow patients to order valacyclovir online. 
  3. Injections: This type of treatment is usually reserved for severe cases of HSV. Medicines such as cidofovir (Vistide) or foscarnet (Foscavir), and acyclovir can be injected into your bloodstream.

At home treatments include applying an ice pack to the affected area, keeping the cold sore moisturized, and ibuprofen for pain. 

Cold Sore Prevention

To prevent cold sore outbreaks, you should aim to: 

  • Manage your stress levels
  • Eat healthy to support a strong immune system 
  • Keep your lips moisturized 
  • Wear sunscreen on your face and lips
  • Avoid picking, biting, or chewing your lips 
  • Get a good night’s sleep to avoid fatigue

If you get recurring cold sores, or if you want to avoid coming into contact with HSV, the main precaution to take is to be mindful of direct and indirect contact. 

Cold sore transfer often occurs through direct contact, like kissing, or indirect contact, such as sharing a drinking glass with someone who has an infection. It’s good practice to avoid sharing drinks, utensils, or razors with others.

Even touching a sore and then not washing your hands can pose a risk of transfer. There is also a risk of transferring the virus from one area of your face (i.e., your lip) to another (your nose, cheeks, or eyes). Make sure to wash your hands frequently and avoid touching your face when experiencing a flare-up.

The Bottom Line

With the right treatment and precautions, cold sores and canker sores can be less frequent and much more manageable. If you have questions about canker sores or cold sores, call Eggert Family Dentistry today to find out if you need further treatment. Our friendly team can answer any questions you may have! 

10 Dental Sealants FAQs: What They Are, Why They’re Important, and When to Get Them

By: Dr. Elizabeth Eggert

There’s no doubt about it, children love sugary snacks and sweets. That’s why the first step in ensuring your child’s optimal dental health is to teach them good oral hygiene habits, including brushing twice a day and flossing once a day. 

But, if you want to give your child an extra layer of protection, consider having dental sealants applied at Eggert Family Dentistry. Sealants are a preventative measure that many parents take to keep their children’s teeth healthy throughout childhood. 

But what are dental sealants and how exactly do they work? Let’s go over the 10 most frequently asked questions about dental sealants. 

1.) What are Dental Sealants? 

Dental sealants are thin, plastic coatings that are “painted”and then bonded onto the chewing surfaces of the teeth. Sealants are usually applied to the back molars, where bacteria and germs can easily hide, making these teeth harder to clean. 

2.) How Do Dental Sealants Work? 

Just as a raincoat will protect you from getting wet, the sealant protects the tooth by covering it, keeping bacteria and acid away from the tooth’s most susceptible surfaces. Less contact with bacteria, germs, and acid means fewer cavities and less tooth decay!

3.) How Long Do Sealants Last?

Sealants last for many years and can be reapplied if necessary.

4.) How are Dental Sealants Applied? 

First, the tooth is cleaned with an etchant and rinsed. The sealant is then “painted” over the adhesive as a liquid. Dr. Jeff Eggert, Dr. Elizabeth Eggert, or an Eggert Family Dentistry team member will then use a special blue light to harden the liquid, creating a barrier between the teeth and any plaque, food particles, or bacteria.

5.) When Should My Child Get Dental Sealants? 

We recommend that children have sealants applied to their molars as soon as they come in. Permanent molars first come in at around 5-7 years of age, with a second set coming in between the ages of 11-14. The sooner the sealant is applied, the more protected the new teeth will be from cavities, saving you money and time in the future. According to the Center for Disease Control, “School-age children without sealants have almost three times more cavities than children with sealants.”

6.) Can Adults Get Dental Sealants?

Of course! Dental sealants can be applied at any age, though they’re most effective when applied from childhood. If you’re looking to prevent cavities for yourself as well as your family, ask Dr. Jeff Eggert and Dr. Elizabeth Eggert about scheduling an appointment to have dental sealant applied. 

7.) Will It Hurt to Get Sealants? 

Not at all. Sealant application is a pain-free procedure with no drills or shots necessary! 

8.) Do Sealants Make the Teeth Look or Feel Different? 

Sealants are white like your teeth so they don’t make the teeth look different. After sealants are applied, some patients report feeling like something is covering their teeth or experience the sensation of needing to bite down. But the sealant is thin, and the sensation will fade after a few days. Also, the Eggert Family Dentistry team can adjust on the sealants before you leave the office, if necessary, to reduce any strange feeling with your bite. 

9.) How Long Should My Child Wait to Eat After Getting Sealants?

You or your child can eat right away after getting dental sealants. However, we recommend staying away from certain foods, such as hard candies, jaw breakers, ice, or especially chewy foods, as these are more likely to break the newly applied sealants. 

10.) Are Dental Sealants Expensive?

No! Some dental insurance plans will cover sealants, but even without coverage, sealants are still very affordable. And dental sealants are a much cheaper option than having to get fillings done to fix cavities!

Let Eggert Family Dentistry Protect Your Family’s Dental Health 

Do you have more questions about dental sealants? Dr. Jeff Eggert or Dr. Elizabeth Eggert will be happy to answer any questions you may have. Call Eggert Family Dentistry today to find out if dental sealants are right for your family, or to schedule an appointment. We look forward to helping your family’s smiles be the healthiest they can be! As always, our motto is “Dentistry for a Lifetime of Smiles!”

How Occlusal Equilibration Helps Jaw Pain and TMD

By: Dr. Elizabeth Eggert

According to the National Institute of Dental and Craniofacial Research, as many as 12 million U.S. adults suffer from pain in the Temporomandibular Joint (TMJ), a disorder known as TMD (Temporomandibular Joint Disorder).

If you suffer from TMJ dysfunction, you know how painful it can be. When your jaw is misaligned, it can cause agonizing joint problems as well as increased wear on your teeth.

Jaw pain caused by TMD is often solved using devices like splints and mouthguards, or even surgery. But if you have jaw pain related to TMD, there’s another solution that could help: occlusal equilibration.

Read on to learn more about this procedure and how occlusal equilibration helps jaw pain and misalignment.

Is Your Jaw Pain Caused by Jaw Misalignment?

Jaw pain can be caused by a number of factors. Some of the most common causes include: decayed or abscessed teeth, gum infection, migraines, sinus or ear infections, heart disease, bruxism (teeth grinding), and TMD.

The treatment for your jaw pain will depend on what is causing it. If your jaw pain is caused by jaw misalignment or TMD, occlusal equilibration could help relieve it. 

But how do you know if your TMJ is causing your TMD and jaw pain?

The simple answer, of course, is to visit Dr. Elizabeth Eggert or Dr. Jeff Eggert to determine the cause of your jaw pain. But if you are experiencing the following symptoms, TMD may be at the root of your pain:

What Is Occlusal Equilibration?

Occlusal equilibration is the process of subtly and precisely reshaping the biting surfaces of your teeth to correct the alignment of your bite and positioning of your jaws. 

A well-aligned jaw allows your upper and lower teeth to fit together properly when you bite down. But when your jaw is misaligned, your bite becomes uneven, putting stress on individual teeth as well as the jaw joint and especially the surrounding muscles. When the misalignment is corrected with occlusal equilibration, those muscles relax, reducing or eliminating pain and sensitivity. 

This procedure is generally pain-free, and doesn’t require anesthesia. It’s quick and affordable, and the adjustments are generally so slight that they don’t change the appearance of your teeth.

How Occlusal Equilibration Helps Jaw Pain and TMJ

When something keeps your bite from being evenly distributed throughout your mouth (tooth loss, clenching, grinding, and so on), it can cause occlusal trauma. 

This can manifest as worn or chipped teeth, sensitive areas on the teeth, gum recession, headaches, or a “popping” sound when you open and close your mouth. In addition, an uneven bite places pressure on teeth and this can accelerate periodontal disease including bone loss and loosening of teeth.

Occlusal equilibration redistributes that pressure so your bite is even, eliminating spots of excess pressure and allowing the bones and ligaments to heal.

During this procedure, Dr. Elizabeth Eggert or Dr. Jeff Eggert will note all of the areas where your teeth don’t align properly, then re-shape and adjust on the teeth using the dental handpiece. This restores your correct mouth structure and alleviates pain caused by misaligned jaws.

Many of our patients who have had occlusal equilibration have seen results quickly, saying they can feel the difference in their bite within even minutes of the procedure.

Determining if Occlusal Equilibration Is Right for You

At Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff both love helping their patients who would benefit from occlusal equilibration and they can help you determine if this treatment is right for you.

The first step is to schedule a diagnostic appointment, where Dr. Elizabeth Eggert or Dr. Jeff Eggert will assess your mouth’s structure and analyze how your teeth move against one another. This will allow them to determine if adjusting the biting surfaces of your teeth could help reposition your jaws properly. If they determine occlusal equilibration is right for you, our office will help you schedule a separate appointment for the procedure.

Ready to find out if occlusal equilibration could help your jaw pain? Contact us to schedule your diagnostic appointment.

Dry Mouth and Diabetes: Causes, Symptoms, and Treatments

By: Dr. Elizaabeth Eggert

While anyone can experience dry mouth, it’s one of the most common side effects of diabetes I and II. Dry mouth, or xerostomia, is an uncomfortable condition in which your body under-produces saliva, leaving your mouth feeling dry, rough, sticky, and just plain uncomfortable. 

As we expanded on in a recent blog, saliva is extremely beneficial for your dental health. Since dry mouth is a reduction in the amount of saliva produced in your mouth, this condition can wreak havoc with your oral health.

But here’s the good news: dry mouth is a completely manageable condition that can be managed with at-home techniques, or treated here at Eggert Family Dentistry. But first, let’s explore the connection between dry mouth and diabetes.

Why Does Diabetes Cause Dry Mouth?

The two most common causes of dry mouth in people with diabetes are high blood sugar and the side effects of diabetes medications. 

High Blood Sugar: 

High blood sugar, or hyperglycemia, is a common side effect of diabetes that isn’t well managed. While healthcare providers aren’t quite sure why high blood sugar causes dry mouth, chronic dry mouth is often the first noticeable symptom that someone with diabetes experiences.

Diabetes Medications: 

Side effects of certain diabetes medications, including Metformin, include dry mouth. ACE (angiotensin-converting enzyme) inhibitors, which are used to treat hypertension and diabetes, can also cause dry mouth. 

Symptoms of dry mouth include: 

  • Bad breath
  • Burning feeling in the mouth
  • Difficulty eating, chewing, swallowing, or speaking
  • Dry, cracked lips
  • Mouth that feels dry nearly all the time
  • Sores or infections in the mouth
  • Tongue that feels rough and dry

If you experience these symptoms consistently, be sure to schedule an appointment with your healthcare provider to make sure it isn’t a sign of another underlying condition. If your case of dry mouth is diabetes-related, you’ll be happy to know that it’s manageable at home and in our office! 

How to Manage Dry Mouth With Diabetes 

Everyone has different advice on how to manage dry mouth when you have diabetes, but all advice follows the same thread: 

1.) Make sure you’re hitting your targets

2.) Take steps to moisten your mouth and encourage saliva production. 

Here are some at-home remedies for managing dry mouth: 

  • Manage your blood sugar levels.
  • Avoid salty, spicy, or sugary drinks and foods.
  • Stay hydrated by drinking water throughout the day.
  • Avoid caffeine, which can dry out your mouth.
  • Chew gum or suck on hard candies that do not contain sugar. 
  • Do not use tobacco.
  • Limit alcohol consumption.
  • Use alcohol-free mouthwash.
  • Use lip balm (to manage chapped lips). 
  • Use a humidifier while you sleep at night.

To manage the effects of dry mouth on your dental health, brush your teeth at least twice a day with fluoride toothpaste and floss regularly. Because dry mouth accelerates the process of tooth decay and gum disease, you want to be extra vigilant when it comes to taking care of your teeth! 

How Eggert Family Dentistry Can Help 

For patients with severe dry mouth, Dr. Jeff and Dr. Elizabeth can prescribe medications that stimulate saliva production, such as pilocarpine (Salagen) or cevimeline (Evoxac).

With the right medications and at-home management, dry mouth can be a thing of the past! Let Dr. Elizabeth and Dr. Jeff be your partner in managing the effects of diabetes on your dental health. Contact us or call us at 651.482.8412 to schedule an appointment today!

What Your Saliva Can Tell You About Your Oral Health

By: Dr. Elizabeth Eggert

Saliva: you know, that stuff we normally call “spit.” While most people may cringe and call it “gross,” dentists know that saliva is actually a healthy mouth’s best friend! 

Healthy saliva production is a good indicator that your oral health is in tip-top shape. On the other hand, if your saliva production or the consistency of your saliva is unusual, it may be a warning sign of some underlying conditions that need to be addressed. 

What is Saliva? 

Saliva is a clear liquid that’s created by your mouth 24 hours a day, seven days a week. Produced by the salivary glands, saliva keeps your mouth moist and comfortable, but it also performs a number of other important functions. 

Within your saliva are tiny amounts of some very important substances, including mucus, proteins, minerals, electrolytes, antibacterial compounds and enzymes. These minerals and enzymes have a huge role to play when it comes to your overall health. For example, the enzyme amylase allows saliva to aid in digestion, by turning starches into sugars which your body can more easily absorb. Unsurprisingly, saliva also plays a key role in your oral health, protecting you from a host of dental problems.

3 Ways Saliva Protects Your Mouth

Apart from good dental health habits, when it comes to fighting off bacteria and disease in your mouth, consider saliva your superhero. From killing germs and preventing bad breath, to defending against gum disease and tooth decay, you can count on your saliva to save the day! But how does it do it? 

  1. Every time you swallow, saliva sweeps away food and bacteria. This reduces the amount of bacteria in your mouth and neutralizes acids that would otherwise break down enamel and cause tooth decay. 
  2. Saliva also contains antimicrobial agents that kill disease-causing bacteria. Without this daily “cleaning service,” you’d find that you’d develop gingivitis, gum disease, and other oral infections much faster. 
  3. When acid does manage to damage tooth enamel, saliva actually repairs the tooth’s protective surface in a process called remineralization. Calcium, phosphorus, fluoride, and other minerals contained in saliva work together to coat and repair your enamel. 

Saliva Symptoms and What They Mean 

Aside from protecting your mouth, sometimes your saliva can be a key indicator that something is wrong in your body. Unusual production or consistency in your saliva can be a red flag to let you know that there’s a problem. 

Not Enough Saliva

This is a condition known as dry mouth. Without enough saliva to coat your mouth, it can feel dry, sticky, and very uncomfortable. Dry mouth can be caused by a number of things, including: 

  • Dehydration
  • Certain medications
  • Medical treatments
  • Diabetes
  • Anemia
  • Hypertension

…and more. Depending on the cause, dry mouth can be relieved by hydration, special oral rinses, medication to promote saliva production, and more.

Too Much Saliva: 

Also known as hypersalivation, having too much saliva in your mouth can be just as uncomfortable as dry mouth. You may find yourself having to constantly spit or swallow throughout the day, which can even cause anxiety. Causes of hypersalivation include: 

  • Nausea
  • Inability to swallow 
  • Inability to keep mouth closed 
  • Sinus or throat infections 
  • Ulcers, inflammation, or pain in the mouth 
  • Parkinson’s disease 

…and more. In minor cases, hyper salivation can be treated at home with remedies such as brushing your teeth and using mouthwash to temporarily dry out the mouth. Hypersalivation can also be treated with medication, periodic botulinum toxin (Botox) injections, or in extreme cases, surgery.

Unusual Consistency 

If your saliva is thick and opaque, that may be a sign that you have a yeast infection called oral thrush. This condition is more common in children and the elderly, and is treated with antifungal medications taken orally. 

If your saliva is bloody, that may be an indication that you have developed gum disease. Bloody saliva will be most noticeable in the sink after brushing or flossing. If you think you have gum disease, call Eggert Family Dentistry and schedule an appointment right away. Treatments for gum disease include periodontal scaling and root planing. 

Have Concerns About Your Saliva? 

If you find that you’re producing excessive amounts of saliva, are experiencing bouts of dry mouth, or have noticed an unusual consistency in your saliva, call our office to schedule an appointment. Dr. Jeff Eggert or Dr. Elizabeth Eggert will be able to diagnose any problems and recommend or prescribe any treatments you may need. Call us today at 651-482-8412.

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Diabetes and Your Dental Health

By: Dr. Elizabeth Eggert

If you have type I or type II diabetes, you’re at a higher risk for developing cavities, gingivitis, and periodontitis. That means it’s especially important that you take good care of your teeth and gums by brushing and flossing regularly. 

If you or a loved one has been diagnosed with diabetes, Dr. Elizabeth and Dr. Jeff Eggert can answer any questions you may have about how to best take care of your oral health. With the right strategies, managing the effects of diabetes on your dental health can be easy! Read on for more information about how diabetes can affect your dental health, and how the team at Eggert Family Dentistry can help.

What is Diabetes? 

To understand how diabetes affects your dental health, we need to understand how diabetes works. 

Most of the food you eat is processed as sugar. When your blood sugar reaches a certain level, a hormone called insulin is released. Insulin allows the sugar in your blood to be transferred to cells and used as energy. 

With diabetes, however, your body doesn’t make enough insulin, or can’t use it as well as it should. Without enough insulin, too much sugar stays in your bloodstream. 

High blood sugar can also weaken white blood cells, which are your body’s main way to fight infections. Over time, this decreased immune response can cause serious health problems, such as heart disease, vision loss, and kidney disease.

How Does Diabetes Affect Dental Health? 

Everyone has billions of tiny bacteria living in their mouths. Some are good bacteria, and some are bad. When a person doesn’t brush their teeth or floss enough, the bad bacteria surrounding your teeth are given the opportunity to enter the gums and cause irritation, inflammation, and bleeding.

According to the American Diabetes Association, “If you have diabetes—especially if you’re not meeting your targets—you will have more of an inflammatory response [to the bad bacteria], which could result in a loss of supporting tissue for your teeth.” Too much loss of this gum and bone tissue that supports a tooth could result in the tooth needing to be removed.

To put it simply, diabetes accelerates the negative effects of bad bacteria in your mouth. While it may take a while for someone without diabetes to develop cavities and gum disease, for someone with diabetes, these processes occur at an accelerated rate and the damage is more severe. 

Once you have an infection, diabetes can make it hard for your body to fight it. High blood sugar can weaken white blood cells, which means your overall immune response is also weakened.  

Diabetes can also cause dry mouth. The lack of saliva from dry mouth means food debris, sugar, acid and bacteria don’t get washed away as easily. This leads to the formation of more plaque, which erodes the enamel and causes the aforementioned infections.

How to Protect Your Dental Health 

Developing and maintaining good oral health is the best way to prevent cavities, gingivitis, and periodontal disease, whether you have diabetes or not. But if you do have diabetes, it’s extra important that you create good dental health habits.

The cornerstones of good dental health are: 

  • Brushing your teeth twice a day 
  • Flossing between your teeth once a day 
  • Regularly scheduling dentist cleanings/appointments

Good blood sugar control will also help your body fight any bacterial or fungal infections in your mouth. The better you’re hitting your targets, the better equipped your body will be to protect itself against gingivitis and gum disease. It will also help relieve dry mouth caused by diabetes.

Don’t Let Diabetes Hurt Your Dental Health—Eggert Dentistry Can Help!

If you’ve been diagnosed with diabetes, come see Dr. Elizabeth Eggert and Dr. Jeff Eggert. We have experience in helping our patients with diabetes protect against tooth decay, gingivitis, periodontal disease, and more with regularly scheduled recare visits and fluoride treatments.

To talk with us about any questions you may have, or to schedule an appointment, call our office at 651.482.8412. We’re here to help you maintain a happy, healthy mouth! We provide “Dentistry for a Lifetime of Smiles!” 

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Sensitive teeth? How to prevent issues and make yourself more comfortable.

By: Dr. Elizabeth Eggert

For people who struggle with sensitive teeth, eating or drinking anything too hot or cold can be uncomfortable. Sometimes, even brushing your teeth or using floss can be uncomfortable if you have sensitive teeth. 

But what causes tooth sensitivity and will you ever be able to enjoy hot coffee or cold ice cream again? 

Causes and Symptoms of Sensitive Teeth

Sensitive teeth are caused by enamel on the teeth that gets worn down. Enamel is the hard outer layer that protects the softer interior of your teeth. When the enamel gets worn down, the softer, more sensitive part of your teeth are exposed. When the dentin or dentin tubules that run to the nerves in your teeth are exposed to heat, cold, or pressure from chewing, the nerves get hyperactive and can send a jolt of pain through your mouth. 

The things that most commonly wear down the enamel on your teeth are:

Tooth sensitivity is often caused by underlying tooth problems. By finding and fixing those problems, discomfort from sensitive teeth often resolves on its own. Some of the most common causes of sensitive teeth include:

  • Infrequent brushing
  • Overly aggressive brushing 
  • Gum recession
  • Periodontal disease
  • Clenching or grinding your teeth
  • A dysfunctional bite

What to Do if You Have Sensitive Teeth

If you have mild tooth sensitivity, Dr. Elizabeth and Dr. Jeff can recommend a desensitizing toothpaste or prescription fluoride toothpaste to use at home. The ingredients in these toothpastes help prevent hot and cold sensations from reaching your mouth. Regular fluoride varnish treatments at our office can also help reduce pain. 

There are also at-home remedies we found online, you could try these to get relief: 

  • Salt-water rinse: Add ¼ to ¾ teaspoon of salt to a glass of lukewarm water. Gargle the salt water twice daily for up to 30 seconds. 
  • Hydrogen peroxide rinse: Add two caps of 3% hydrogen peroxide to an equal amount of warm water, and swish in your mouth for up to 30 seconds. The mild antiseptic and disinfectant can help deal and prevent inflammation. 
  • Honey and warm water: Mix a spoonful of honey with warm water, and rinse your mouth with the mixture. Hone is an antibacterial agent that helps speed healing and reduce pain, swelling, and inflammation. 
  • Turmeric: Massage ground turmeric on your teeth and gums twice a day for pain relief. Turmeric is an anti-inflammatory treatment and enhances wound healing. 

If you have severe tooth sensitivity, you may need more involved treatment to resolve your discomfort. When sensitivity is caused by decay or when teeth are worn or decayed, we may recommend a filling, crown, or bonding to fix the root issue. Also, if a dysfunctional bite is keeping the nerves of your teeth hyperactive, changing the tooth positions is an important part of the healing process. 

Addressing the Underlying Issues That Cause Tooth Sensitivity 

Another way to make huge improvements in relieving tooth sensitivity is to look for and treat underlying issues with your bite. By undergoing our records process, we can determine if improvements to how your teeth come together and how you chew can stop your tooth sensitivity – often for good!

One of the best ways to improve sensitive teeth is by developing healthy oral hygiene habits, including regular visits to the dentist. To schedule an appointment with Dr. Elizabeth or Dr. Jeff, contact our office at 651-482-8412.

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How Does Laughing Gas Help, and What Does It Do?

By: Dr. Elizabeth Eggert

What Is Laughing Gas?

Nitrous oxide gas – also known as laughing gas – is the most commonly used option to reduce anxiety in dentistry. Nitrous oxide is considered an anxiolytic, which means it doesn’t sedate you, but helps you feel comfortable, free from your usual dental anxieties and able to relax while dental procedures are performed.

Laughing gas is commonly used to help patients who have:

  • Dental anxieties or phobias
  • Trouble sitting still or cooperating (typically pediatric patients)
  • Special needs
  • Strong gag reflexes
  • Trouble breathing in and out the nose
  • An inability to respond adequately to local anesthesia alone

It also works well for children who need to have longer procedures done.

How Does It Work?

Laughing gas is given to patients through a mask that’s placed over the nose. When you breathe, you inhale the gas mixture and fall into a relaxed, nearly euphoric state. This leaves most patients feeling anxiety-free, with all their fears in the distant background.

Although the name laughing gas might make you think the medicine would make you giggly, that’s not how it works. The nitrous oxide slows your nervous system, which makes you feel less inhibited. It might make you feel light or tingly, and some people even say it makes their arms or legs feel like they are floating. The result, however, is that you feel calm and comfortable.

What Are the Benefits of Laughing Gas?

It is used commonly in dental offices because it works quickly and safely to help patients relax. It is given throughout your dental procedure and when the procedure is over, patients breathe pure oxygen through the mask, allowing the effects of the nitrous oxide gas to wear off quickly. Therefore, patients are able to drive themselves home.

In addition, although laughing gas helps you relax, it doesn’t put you to sleep. This helps ensure patients are still able to hear Dr. Elizabeth and Dr. Jeff and respond to any questions or instructions.

What Are the Side Effects?

When laughing gas is given correctly, most patients don’t have any negative side effects when it wears off. However, if the level of nitrous oxide rises too quickly, or if the amount being inhaled changes too quickly, patients may experience side effects such as:

  • Headaches
  • Shivering
  • Excessive sweating
  • Nausea or vomiting
  • Sleepiness

To prevent headaches, patients are given oxygen for five minutes at the end of the procedure. This helps clear the remaining gas from the lungs, and it helps you become more alert and awake.

You can also help prevent nausea or vomiting by eating lightly before your procedure and avoiding a large meal for up to three hours after your appointment. If you do start to have any of the side effects, Dr. Elizabeth or Dr. Jeff can turn the nitrous oxide level down and by simply breathing more straight oxygen, any adverse side effects diminish quickly.

Interested in Using Laughing Gas at Your Next Appointment?

Laughing gas is a helpful strategy for managing severe pain or dental anxieties. Talk with Dr. Elizabeth or Dr. Jeff if you’re interested in learning more about using nitrous oxide gas at your next appointment. To schedule an appointment, call our office at 651-482-8412.

Tooth Swelling: What Causes It and What Can Be Done About It?

By: Dr. Elizabeth Eggert

Swelling of your teeth or gums can be painful. It can make chewing and swallowing difficult, and in some cases the pain can be so severe that it disrupts your life. Tooth and gum swelling can also be signs of a potentially serious dental issue, and shouldn’t be ignored or left untreated.

The good news is that good oral care and regular exams by your dentists at Eggert Family Dentistry can help prevent tooth swelling and the various conditions that cause it.

Let’s take a closer look at the symptoms and causes of gum and tooth swelling, as well as the ways Dr. Jeff and Dr. Elizabeth can treat the underlying issues and get you back to feeling your best.

Symptoms of Tooth and Gum Swelling

Swelling and pain can often come on suddenly. Pain can range from mild to severe, and can be constant and throbbing or may come and go. With tooth or gum swelling, you might experience:

  • Swelling around a single tooth or in larger areas inside your mouth
  • Swelling of the jaw or face
  • Painful chewing
  • Bleeding gums
  • Sensitivity to hot, cold, or sweet foods
  • Pain in your head, ears, or jaw

In some cases, tooth pain and swelling can be accompanied by a fever or even trouble breathing or swallowing. If this happens, it’s important to receive care immediately.

Common Causes of Gum and Tooth Swelling

There are a wide range of underlying issues that can cause swelling of the teeth and gums. These include:

Tooth Abscess

Caused by a bacterial infection, a tooth abscess can present at the tip of the root (periapically) or on the side of the root (periodontally). You can also experience an abscess in your gums (gingival). An abscess in a tooth typically follows a cavity or dental injury of some kind, as cracks in the teeth provide a pathway for bacteria to enter. If you have a tooth abscess, you may experience:

  • Throbbing toothache that may spread to your neck, ear, or jawbone
  • Swollen lymph nodes
  • Fever
  • Sensitivity to heat and cold
  • Face or neck swelling
  • Painful biting or chewing

Always seek dental treatment from your professionals at Eggert Family Dentistry for an abscess. Even if it drains on its own, you should still visit us to make sure the infection hasn’t spread. We can help you treat the abscess by draining it and may prescribe antibiotics to treat the underlying infection. In some cases a tooth extraction or root canal may be necessary.

Irritation From Wisdom Teeth

As wisdom teeth come in, you may experience some swelling and pain. This can happen if wisdom teeth are impacted (trapped beneath your gums). It can also happen as they break through the gums, leaving spaces where bacteria can cause a gum infection and painful swelling. The solution in this case is typically removal of the wisdom teeth.

Gingivitis

Gingivitis is an early form of gum disease. It commonly causes swollen, red, and irritated gums that may bleed when you brush your teeth. Gingivitis can be addressed with improved oral care and avoiding sugary food and drinks, but you should also have your dentist do a thorough examination. They may recommend additional treatments.

Dental Injury

Dental injuries can also cause swollen teeth or gums. Dental trauma is a common occurrence that can happen to anyone. Some of the dental injuries we see often are:

  • Lost crowns or fillings
  • Damaged braces
  • Broken or chipped teeth
  • Partially dislodged or knocked-out teeth

Learn more about dental trauma in our recent blog, including ways to avoid it and what to do in an emergency.

Medications or Allergic Reaction

Some medications can have side effects that include tooth or gum swelling. If you think your swelling and pain could be caused by medication, check with your medical doctor to determine if that is a common side effect.

Some people may also react to certain ingredients in their toothpaste or mouthwash. If you notice irritation of your teeth or gums after brushing your teeth or using mouthwash, stop using it and switch to a different brand or type to see if it clears up. If not, consult with your dental professionals at Eggert Family Dentistry to determine if another issue could be the cause of the irritation.

In addition to the above, tooth or gum pain and swelling can also be caused by tooth decay, a loose filling, or various medical issues, including a vitamin C deficiency, sinus infection, mouth sores, or problems with the jaw.

What Is the Treatment for Tooth Swelling and Pain?

Swollen or painful gums or teeth can be a serious issue, and it’s important to treat it as such.

If you are experiencing any of the symptoms listed above, the first thing you should do is reach out to our office so Dr. Jeff and Dr. Elizabeth can determine your best course of action — especially if your symptoms last more than a couple of days.

We will ask a series of questions and do a thorough examination to determine the cause of your pain and swelling and can then recommend the best treatment. Questions will include information about your dental history and the details of the pain — when it started, what it feels like, what other symptoms you’re having, and so on. We will also take x-rays to determine the extent of the issue.

The treatment will depend on the root cause of your swelling. We may prescribe antibiotics or other medications to treat the pain and target any infection.

In addition, there are a few things you can do at home to care for yourself and minimize your pain. These include:

  • Rinse or gargle with warm salt water to help rinse away any bacteria.
  • Over-the-counter pain relievers like Advil or Tylenol can help reduce swelling and pain.
  • Eat easy-to-chew foods and avoid very hot or very cold beverages.
  • Lie with your head propped up on a pillow. Lying flat can make dental pain feel worse.
  • Hold a cold compress against the side of your face to relieve pain and reduce swelling.

It’s important to note that while these things will provide some relief, they won’t solve the underlying issue causing your tooth or gum swelling. Visiting your dentists at Eggert Family Dentistry will still be necessary for a full recovery.

If you aren’t able to get in to see us right away, and your tooth pain and swelling is accompanied by a fever, facial swelling, or trouble breathing or swallowing, you should visit the emergency room for treatment.

Preventing Tooth and Gum Swelling

Luckily, most of the issues that cause tooth or gum swelling can be prevented with good oral care and regular exams with Dr. Elizabeth or Dr. Jeff here at Eggert Family Dentistry.

Excellent oral care includes brushing after meals with fluoride toothpaste and a soft toothbrush, and flossing daily with traditional dental floss or a water flosser. Eating a healthy diet and avoiding sugary foods and tobacco products will also help keep your teeth and gums healthy.

Keep Tooth and Gum Swelling at Bay by Scheduling Your Next Dental Appointment

Whether you are currently experiencing swelling or pain in your teeth or gums, or it’s simply time for your regular recare visit, take the time to schedule your next dental appointment now. To schedule an appointment with Dr. Elizabeth or Dr. Jeff, call our office at 651-482-8412.

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