The Records Process Archives - Eggert Family Dentistry Blog

“Can I Get a New Night Guard?” – Sleep Questions Addressed with the Seattle Protocol and a New Splint – Ann’s Story

By: Dr. Elizabeth Eggert

How did this start?

Ann returned to Eggert Family Dentistry a few years ago after concerns arose at her previous dental office, where she often felt she was being “up-sold” on dental recommendations. In addition, her husband and mom have been patients at Eggert Family Dentistry for years and have been very happy with their experiences. Ann made it very clear from the start that her main concern is overall tooth health, and while she wants a beautiful smile, she is happy with her smile, so she didn’t feel the need to discuss cosmetic options. Ann mentioned at her new patient appointment that she had undergone a sleep study and she was told she didn’t have sleep apnea, but she has been told she snores so she wonders if she is as rested as she could be. She was also told by her previous dentist that she had “TMJ” or Temporal Mandibular Joint Disorder (TMD) and wanted Dr. Elizabeth’s opinion on that. Ann really didn’t have many symptoms of TMD and she wanted to better understand what the previous dentist was seeing.

What was revealed during the records process?

Dr. Elizabeth invited Ann to come back for The Records Process in order to help Ann understand her current dental conditions, including the status of her potential TMD. In the Records Process, we used models, photos, and x-rays, as well as results from an extensive analysis of how Ann’s teeth function. The details of The Records Process revealed that Ann had some evidence of an unstable bite and while it wasn’t causing Ann day-to-day problems, it has the potential to cause faster breakdown of her jaw joints, muscles, and teeth. In addition, with her snoring, Ann had the option of working through the Seattle Protocol, an innovative approach to treating sleep disordered breathing with dental resources, like dental splints. Even though Ann did have evidence of TMD (without current symptoms), she wasn’t interested in pursuing treatment for that, which may have included orthodontics, but she was interested in helping her snoring, so she elected to undergo the Seattle Protocol.

What was involved?

The Seattle Protocol helps us determine the jaw position that best alleviates the patient’s likely airway compromise. The protocol moves the patient through a series of diagnostic steps and treatments using various trial splints (using the myTap system) to find the most effective solution specific to each individual patient. The goal is to move through incremental vertical and horizontal increases to the jaw position. Each step builds upon the last, but patients don’t necessarily need to complete the entire process as the purpose of the protocol is to determine the phase that provides the best relief of the patient’s symptoms.

Seattle Protocol Six Steps

1. Nasal breathing therapy

2. Lower jaw orthotic trial splint

3. Lower jaw anterior repositioning trial splint

4. Dual arch trial splint

5. Dual arch repositioning trial splint

6. Dual arch repositioning trial splint in more forward position.

For Ann, like all patients starting with the Seattle Protocol, we started with Nose Clearing and Mouth Taping, with the goal of rerouting Ann’s breathing through her nose. Ann ended up moving through the first 4 stages and found relief from her snoring and reported sleeping better with stage 3.

What does Ann think?

We asked Ann what she thought about the process of undergoing the Seattle Protocol. She told us she found it very easy and the time went pretty quickly. “Both Dr. Eggert and Tracy helped me move fast through the treatment and my appointments always went smoothly and started on time.” She also found it to be really helpful and that the mouth taping was very beneficial, she even recommended it to some of her friends that she felt it would help.

Ann liked the different options of oral appliances and finding the right one for her after going through all the Seattle Protocol. We asked Ann what she would tell a friend or family member if they were having similar symptoms or issues and she said that she would highly recommend the treatment and working with Eggert Family Dentistry. “You really have to sleep on it! Literally, you have to sleep with the different splints as it is not possible to know how they will benefit you until you try them out. If one version does not work for you, you will know it.”

Congratulations Ann! Thank you for letting us be part of your journey. We’re happy to have found a conservative treatment option that addresses your goals and current conditions. We look forward to working with you and your family for many more years to come!

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

By: Dr. Elizabeth Eggert

How did this start?

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

What did Kris want?

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

What was involved?

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

What does Kris think of her results?

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

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

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

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.

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!

Seattle Protocol Therapy – Molly’s Story

By: Dr. Elizabeth Eggert

How did this start?

Molly came to us with questions during her recare appointment. She had recently had a sleep study done with her doctor and had been diagnosed with Mild Sleep Apnea. She was given a CPAP (Continuous Positive Airway Pressure) machine to try, but wanted to know her other options as the CPAP wasn’t working out that well for her. CPAP therapy is the “gold standard” treatment for sleep apnea, but due to the high air pressure needed to prevent the collapse of the airway, some patients find that they just can’t tolerate the therapy. Molly knew about the Seattle Protocol from our blog articles and wanted to know more.

Molly suffered from acid reflux and had severe demineralization and decay with her teeth. She told us she never really slept well and had been taking Ambien for 15 years to help with her sleep issues. Despite the medication, she still found that most afternoons or evenings she needed a nap to help combat her excessive fatigue.

What did Molly want?

Molly wanted to sleep better. She didn’t want to be so fatigued. And, she wanted something more comfortable than the CPAP option for her sleep issues. We talked to Molly about the possibility to undergo the Seattle Protocol to see if using a nighttime appliance could help her sleep better. The Seattle Protocol is a six-step process that runs patients through different types of appliance options to see what is the most non-invasive appliance/splint to improve sleep. Typically at one of the six stages, patients will feel better and the symptoms they have from sleep-disordered breathing or sleep apnea will improve significantly. With the Seattle Protocol, each step builds upon the last, but patients don’t necessarily need to complete the entire process as the purpose of the protocol is to determine the phase that provides the best relief of symptoms.

What was involved?

We did a comprehensive evaluation of Molly’s bite and function to be sure that having her wear a nighttime appliance wouldn’t trigger any joint, muscle, or teeth issues for her. Then, we started Molly with the first phase of the Protocol – Nose Clearing and Mouth Taping. The purpose of mouth taping is to keep your body breathing through your nose, which is the most healthy way to breathe. Mouth taping should only be done under a doctor or dentist supervision, however. Molly did well with the mouth taping and then we worked her through the Protocol using the myTap appliance. The different stages of the Protocol involve different parts of myTap.

Moving through the stages of the Protocol, Molly reported that she was sleeping better and napping less. She found the Stage 3 version of the myTap appliance to be the most effective for her. In this stage, the patient wears a lower arch appliance that holds them in a more forward position.

Molly tried stages 4 and 5 as well, but really felt the most comfortable and the most rested in the Stage 3 appliance so we took impressions of her mouth and had a Mandibular Pull Forward appliance fabricated to custom fit her mouth.

What does Molly think now?

Molly loves her nighttime appliance. She has been wearing it nearly 3 years now and doesn’t want to go back! She reports, “It has just made such a huge difference in being able to function in everyday life. I used to have to take an hour nap every day, but don’t have to anymore.” Molly has had no issues with her teeth or bite changing, as this can be a real side-effect of traditional sleep apnea appliances. She finds her appliance very comfortable.

Molly notes that it might be easy to perceive the Seattle Protocol as being a “great inconvenience,” but she wants to assure people that “IT JUST IS NOT!” Getting used to mouth taping and having an appliance in her mouth were something new, but Molly is so glad she did it because “I couldn’t tolerate the CPAP and my appliance is just SO much better!”

She was very happy to work with Dr. Elizabeth Eggert and liked the attention she paid to having a shared goal. If you have sleep issues, Molly would recommend you have a conversation with the team at Eggert Family Dentistry.

“The entire team is amazing!”

Full Mouth Reconstruction: The Importance of Treatment Planning

By: Dr. Elizabeth Eggert

Whether you’re dealing with extensive tooth loss from injury or aging or severe tooth decay, if you have an array of dental issues that have been causing you problems, you may be a candidate for a full mouth reconstruction.

A full mouth reconstruction is a comprehensive dental treatment that involves restoring or replacing all of the teeth in a patient’s mouth. This process usually includes a combination of restorative, cosmetic, and orthodontic or surgical procedures to address a variety of dental problems, such as missing teeth, tooth decay, gum disease, and bite issues.

As with all complex processes, it’s imperative to plan your course of action ahead of time if you want the best outcome. For a full mouth reconstruction, Eggert Family Dentistry provides quality treatment planning which involves careful assessments, diagnosis, and treatment.

Let’s take a look at the importance of treatment planning for a full mouth reconstruction:

1. Getting an Accurate Diagnosis and Assessment

Treatment planning for a full mouth reconstruction starts with a comprehensive dental examination as part of our Records Process. The Records Process includes gathering x-rays, photographs, and impressions of the teeth and gums. The examination will allow Dr. Jeff Eggert and Dr. Elizabeth Eggert to take note of any bite issues, jaw problems, or esthetic concerns. With this information, we can then make an accurate diagnosis that will help us develop a treatment plan that meets your specific needs and goals.

2. Creating a Customized Treatment Plan That Meets Your Unique Needs

Because every patient’s dental needs and goals are unique, there’s no one-size-fits-all approach to a treatment plan for a full mouth reconstruction. A customized treatment plan will be developed based on your dental assessments and preferences.

At this stage, Dr. Jeff Eggert or Dr. Elizabeth Eggert will provide a detailed explanation of why we recommend a certain course of treatment and what it involves. This plan will outline the recommended procedures and expected timeline for completion. We will review the entire treatment plan with you, including follow-up visits, and provide you with instructions to support your treatment plan at home. During this stage, we may also create a dental mock-up, or a 3-D model of your smile that will show you the expected outcome of your treatment.

3. Taking A Comprehensive Approach to Treatment

A full mouth reconstruction typically involves multiple dental procedures, such as dental implants, crowns, bridges, and veneers. Oftentimes, ways to improve the bite, like splint therapy or orthodontics may also be indicated. Dr. Jeff Eggert or Dr. Elizabeth Eggert will work to improve the overall look of your smile. The entire treatment will likely take multiple office visits.

4. Minimizing Treatment Time and Cost

Treatment planning for a full mouth reconstruction is essential for minimizing treatment time and cost. By carefully outlining the procedures and optimizing their outcomes, we can reduce the number of visits needed and the duration of the treatment. Additionally, a detailed treatment plan will help you understand the cost of each procedure and plan accordingly, avoiding unexpected expenses.

5. Creating a Better Patient Experience

Treatment planning for a full mouth reconstruction is critical for ensuring a better patient experience. A comprehensive approach that addresses prior dental issues and meets all your goals will help minimize pain, discomfort, and anxiety during the treatment. Additionally, a detailed treatment plan will help you understand the process, prepare for the procedures, and have realistic expectations about the outcome.

Let the Experts at Eggert Family Dentistry Plan Your Treatment

At Eggert Family Dentistry, we understand that quality treatment planning is crucial for a successful full mouth reconstruction. If you’re considering a full mouth reconstruction, it’s essential to work with a qualified and experienced dentist who can develop a detailed treatment plan and guide you through the process. If you’re interested in talking to Dr. Jeff Eggert or Dr. Elizabeth Eggert about a full mouth reconstruction, contact us today or give us a call at 651.482.8412. We look forward to creating a plan to achieve your healthiest, most beautiful smile!

How Eggert Family Dentistry Uses “The Records Process” and Mock-Up Procedures to Create New Smiles

By: Dr. Elizabeth Eggert

Our smile is often the first thing that people notice about us, and it plays a significant role in our self-esteem and overall well-being. People who experience frequent dental problems, however, can feel robbed of that sense of contentment and confidence. Fortunately, advances in modern dentistry have made it possible to transform even the most challenging smiles into works of art.

At Eggert Family Dentistry, we believe that everyone deserves to feel proud of their smile, which is why we use a combination of the records process and mock-up procedures to create new, beautiful smiles for our patients.

While the records process provides the foundation for developing a comprehensive treatment plan, dental mock-ups provide a visual “preview” of the proposed treatment outcome. Let’s explore how these techniques work and find out if they can help you achieve the smile of your dreams.

What is The Records Process?

The records process is a crucial step in the diagnostic and treatment planning process. It involves gathering and organizing all the necessary information about your dental and medical history, current oral health status, and treatment goals to create a comprehensive care plan.

The records process typically includes the following steps:

Comprehensive dental exam: For this exam, Dr. Jeff Eggert or Dr. Elizabeth Eggert will perform a thorough examination of your teeth, gums, and oral tissues. This may include taking dental x-rays, photographs, and impressions or scans of your teeth and bite.
Medical and dental history: We will then review your medical and dental history, including any medications or supplements you are taking, past dental treatments, any relevant medical conditions, or pain issues.
Diagnostic tests: We may order additional tests or procedures to aid in the diagnosis and treatment planning process. This may include periodontal (gum) assessments, oral cancer screenings, and sleep questionnaires.
Occlusal (Bite) Analysis: We will ask you to move your jaw through different motions as well as palpate your TMJ and muscles to check for consistencies with your bite.
Treatment plan: Based on the information gathered during the records process, we’ll develop a customized treatment plan that addresses your unique needs and goals. This plan may include splint, restorative, cosmetic, or orthodontic procedures, as well as recommendations for sleep or medical follow-up, at-home oral hygiene, or preventive care.

Patient Stories:

The records process is essential for ensuring accurate diagnoses, effective treatment planning, and successful outcomes. It also provides a baseline for monitoring our patients’ progress and adjusting treatment plans as needed.

For example, our patient “M” had recently undergone corrective jaw surgery, but was still experiencing issues with his bite. To make sure we got a holistic picture of M’s oral issues post-op, we put him through the records process and were able to determine that he needed to have his front teeth lengthened slightly to correct his occlusal imbalance. (Read M’s full story here.)

The records process also helps us to determine external factors that may be contributing to our patients’ dental problems. For example, our patient Tom needed a full mouth reconstruction, but we were concerned that his bruxism would damage his new implants if we didn’t correct the underlying cause of it. Because the records process provided comprehensive knowledge of Tom’s other symptoms, Dr. Elizabeth Eggert was able to recommend further treatment that allowed Tom to sleep better and breathe easier at night. (Read Tom’s full story here.)

What is a Dental Mock-Up?

If the records process is the “blueprint” for your treatment plan, then the dental mock-up is the architectural model.

A dental mock-up is a procedure used to create a three-dimensional replica of your teeth, gums, and surrounding tissues. It involves creating a temporary model of the desired outcome of a dental procedure, such as a full mouth reconstruction, to allow you and Dr. Jeff Eggert or Dr. Elizabeth Eggert to preview the results before moving forward with the treatment.

During the mock-up process, Dr. Elizabeth Eggert or Dr. Jeff Eggert will use dental material, such as wax or composite resin, to build up or reshape your teeth. This will allow you to see how your new smile will look and make any necessary adjustments.

Dental mock-ups are most commonly used for cosmetic procedures, such as porcelain veneers or an arch of new dental crowns. They are a valuable tool for both our office and our patients, as they allow for better communication and collaboration in the treatment planning process.

Are You Experiencing Constant Dental Problems?

At Eggert Family Dentistry, we take a holistic approach to oral health and want to make sure our patients not only have a beautiful smile, but a comfortable one too. If you’re experiencing a constellation of oral health problems and are interested in learning more about these unique smile-transformation techniques, please contact us or call us at 651.482.8412 to schedule an appointment!

Implant Supported Dentures vs. the All-on-4 Technique: Which is Right for You?

By: Dr. Elizabeth Eggert

While traditional dentures are an effective solution for some patients, they also can come with a few downsides. Because the bony support that holds the dentures in the mouth changes over time, traditional dentures tend to move while patients eat or talk.

Luckily, when it comes to choosing dentures, our patients have more options than ever. Patients who are looking for a stronger, more tooth-like restoration solution may consider either Implant supported dentures or the All-on-4 technique.

While both of these options rely on dental implants to support the denture, these solutions have key differences as well. Below, we’ve compared each to help you decide which treatment option is right for you.

Implant Supported Dentures

What are they?

Implant supported dentures are a more stable, modern version of regular dentures. Just like traditional dentures, implant supported dentures can replace a full set of upper or lower teeth. Unlike traditional dentures, however, the dentures have much better anchorage as the implants are stabilized into the jaw bone. Usually, the denture is attached to 4-6 implants that act like tooth roots and help them stay in place.

Dental implants are artificial tooth roots, often made of titanium, that are surgically implanted into the jaw after a tooth has been removed. During the healing process, the implant will fuse with the jawbone, creating a permanent replacement for the missing tooth. Implants keep bone intact, therefore preventing the bone loss that’s common with traditional dentures.

The Implant supported dentures snap onto the implants, which hold them securely throughout the day. This significantly decreases denture movement, and gives them a greater biting force than traditional dentures, putting crunchy foods like apples and granola back on the table for patients with these dentures.

Who Can Get Them?

The best candidates for Implant supported dentures are patients who’ve recently lost their teeth since these patients still have better bone density to support the dental implants. The longer a patient is without teeth, the more bone loss will occur and it is difficult for implants to integrate successfully.

Patients who have been wearing traditional dentures may still be able to switch to Implant supported dentures if they haven’t yet experienced major bone loss. These patients will need to discuss their options with Dr. Elizabeth Eggert or Dr. Jeff Eggert to see if their jawbone can still support this type of denture. Occasionally, it is possible to place bone grafts to improve the chance of a successful outcome.

All-on-4 Technique

What is it?

The All-on-4® technique is a revolutionary method that offers full-arch replacement on as few as four implants. The All-on-4 technique is similar to Implant supported dentures in that it uses implants to secure the prosthesis. However, this implant technique is designed to maximize the existing jawbone and stays fixed in the mouth, which helps to make everything look and work much more like natural teeth.

Who can get them?

The best candidates for the All-on-4 technique are patients who need a full arch dental replacement option and that want the prosthetic to look and function the most like their natural teeth.

What is the procedure like?

The All-on-4 technique requires digital pre-planning so the surgery can be completed virtually first. Because of this pre-planning, the surgery goes smoothly and most often a temporary version of the prosthetic is placed onto the implants on the same day as the surgery!

What is the recovery period?

The recovery period is the same as it would be for Implant supported dentures, with the initial post-surgery recovery including 72 hours of rest, and the full recovery period lasting anywhere from 6-12 months.

Have Questions About Dentures?

If you’re still unsure whether you’re a candidate for Implant supported dentures or the All-on-4 technique, call Eggert Family Dentistry and schedule an appointment to talk with Dr. Jeff or Dr. Elizabeth Eggert about your unique dental situation. We’ll be happy to walk you through all your options and help you choose the treatment that best suits your needs. Contact us today or call us at 651.482.8412 to schedule your next appointment. We look forward to helping you have a smile you can be proud of!

All About Partial Dentures: What Can You Expect When You Get Them?

By: Dr. Elizabeth Eggert

When most people think of dentures, they think of a prosthetic that replaces the entire upper or lower set of teeth (or both). But when you only have a few teeth missing, and your remaining teeth are healthy, partial dentures can be an effective solution to bridge the gap.

Partial dentures help fill in your smile, improve speech, and make chewing more comfortable, among other benefits. If you’re considering partial dentures, you likely have many questions. The purpose of this blog is to help answer as many of those questions as possible.

Here’s a snapshot of what to expect with partial dentures, as well as tips for taking good care of them.

What Are Partial Dentures and How Do They Work?

Partial dentures are a type of prosthetic restorative that fills in gaps left by sections of missing teeth. They function similarly to full dentures, but for a smaller portion of your mouth.

When you get partial dentures, they will be matched to the shape and color of your teeth and gums. The dentures sit on a base that rests on your gums, which is typically made of acrylic. The artificial teeth themselves are typically made of porcelain or acrylic. Finally, a set of fasteners that grasp the adjoining teeth will hold the partial dentures in place. These connectors can be made from metal or plastic.

Partial dentures are removable. Unlike a dental bridge, partial dentures usually don’t require much change to the surrounding teeth to hold them in place.

Creating your partial dentures is a simple, painless process:

Dr. Elizabeth Eggert or Dr. Jeff Eggert will take impressions of your teeth and measure your jaw.
They’ll then have a partial denture framework made, which they’ll use to double-check the fit and make necessary adjustments.
Once the framework fits well, they will ask for a try-in version of your partial denture and that will be checked again before the final partial denture is made.
Then you’ll get your final partial denture and you can start wearing it right away.

This process can take several appointments over multiple weeks (or in some cases months). Dr. Elizabeth Eggert or Dr. Jeff Eggert can give you a more detailed timeline of how long it will take to get your partial dentures, depending on your personal situation.

How to Care for Partial Dentures

Caring for your partial dentures isn’t difficult and won’t take a lot of extra work. But there are a few things you should do to keep them in top shape as long as possible.

Putting Them In

Putting your new dentures in properly will take some practice. It may be difficult at first, and they may feel bulky or uncomfortable. Over time, you’ll adjust to them and they’ll feel more comfortable in your mouth.

Never force your dentures into place when inserting them. If you bite down on them when they’re in the wrong position, you could break something.

Cleaning

Partial dentures are easy to clean. Simply brush them at least twice daily (or after each meal, whenever possible).

However, don’t use your regular toothpaste and toothbrush to clean your dentures. Instead, use a soft-bristled denture brush and a denture cleaner. Regular toothpaste or other cleaners can be too harsh and cause damage to the plastic of your dentures. And since dentures can break, it’s best to clean them over a bowl of water or a towel in case you drop them.

In addition to cleaning your dentures properly, you’ll also want to pay special attention to the gums and natural teeth on either side of the partial dentures to ensure they stay healthy.

Storage

You should wear your new dentures at all times, except at night. Take your dentures out at night because your dentures need a break from all their hard work (and so does your mouth!).

Before you go to bed, remove your partial dentures, clean them, and then soak them in cold water or a denture cleaning solution overnight. It is important to keep dentures moist at all times, so never skip this step.

Are Partial Dentures Right for You?

Now that you know what to expect with partial dentures, you might have a better idea of whether they would be a good solution for your missing teeth. Of course, Dr. Elizabeth Eggert and Dr. Jeff Eggert will be more than happy to help you make this determination as well.

Simply schedule an appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert to discuss the available options to meet your dental needs and determine if partial dentures are the right choice for you.