Eggert Family Dentistry Blog

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.

How to Deal with Dental Anxieties

By: Dr. Elizabeth Eggert

What Is Dental Anxiety and How Do You Know if You Have It?

According to the Dental Research Journal, as many as 14% of people struggle with dental phobia, and even more people have less severe dental anxieties. The cause of dental anxieties varies by person, but the irrational fears and feelings of terror are present among many people.

Signs and Symptoms of Dental Anxieties

Many people with dental anxieties dread doing to the dentist. They may avoid scheduling routine dental appointments, or they may skip appointments that they’ve already scheduled. Other signs of dental anxieties can include:

Sweating
Racing heart or heart palpitations
Low blood pressure
Fainting
Visible distress or crying
Using humor or aggression to mask fears

How Eggert Family Dentistry Helps Reduce Dental Anxieties

To help all our clients feel as comfortable as possible, we offer a variety of ways to help during your appointment:

Music: Many people feel more comfortable when they’re listening to their favorite music. If you’ll more comfortable with headphones on, please do it. Our team can work around headphones for routine cleanings and most procedures. We ask that you bring your own headphones and music device.
Cable TV: We have cable TVs available in every procedure room. Watch your favorite shows while our team works on your teeth.
Calming techniques: Deep breathing and visualization can help ease your nerves. Not sure what to do? Dr. Elizabeth and Dr. Jeff, and their assistants, Tracy and Heather, can coach you through some mental exercises to help bring you peace.
Hand signals: For some people, the hardest part of a dentist appointment is feeling like they can’t communicate when their mouths are full of other people’s hands. Raising your left hand during your appointment lets us know that you need a break.
Communication: Sometimes, talking about your fears and having them validated is enough to help you feel at ease. Our team is here to listen to your concerns and explain any procedures that are making you nervous.
Medicine: In many situations, these calming techniques are enough to help patients get through their appointments comfortably. However, if you have dental phobia, we also have laughing gas (also called nitrous oxide gas) available and in worst case scenarios, we can talk about some prescriptions that may help.

How to Manage Dental Anxieties

Many of the calming techniques listed above can help people work through their dental anxieties enough to get through their appointments. Some people have also found relief by using therapy techniques. If you have headphones on during your dentist appointment, listening to a meditation, guided imagery, or progressive muscle relationship can also help lower your heart rate and help you feel more comfortable. There are many apps available for this. Finally, a few short, targeted sessions of cognitive behavior therapy can help people permanently overcome their dental anxieties.

At Eggert Family Dentistry, Dr. Elizabeth, Dr. Jeff, and our whole dental team will take the time to listen to your concerns, and we’ll work together to help you feel as comfortable as possible. If you’re ready to schedule an appointment, contact our office at 651-482-8412.

What Are the Long-Term Effects of Drug Abuse on Dental Health?

By: Dr. Elizabeth Eggert

Drug and alcohol abuse have been on the rise in the last few years, and those numbers increased even more during the pandemic. Numbers from the CDC suggest that more than 10% of Americans over the age of 12 have abused illegal drugs in the last month. In addition, 24% of American adults had at least one episode of heavy drinking in the last year.

Unfortunately, drug and alcohol abuse can cause numerous dental health problems, including:

Enamel Breakdown and Mouth Sores from Drug and Alcohol Abuse

One of the most common impacts of drug abuse on dental health is enamel breakdown. Because cocaine and many other drugs are highly acidic, they can break down the enamel on teeth. Cocaine is especially damaging when it is smoked or when people use powdered cocaine in their mouths to be absorbed through their gums. This can lead to mouth sores, which can get infected.

Cocaine can also cause injuries in the mouth when it is snorted. The tissues in the upper palate are weakened, which can cause a hole to form between the nose and the mouth.

Essentially all alcoholic beverages are acidic, with some having a higher pH level than others. Wine is especially acidic and seeing tooth erosion in wine drinkers is very common. So many mixed drinks also contain mixers like juices and sodas, all of which have high levels of acidity and can cause damage to tooth enamel.

Another negative dental health consequence from drug abuse is called transient chorea. This causes muscle spasms in the jaw and mouth, which can make people grind their teeth. When people grind their teeth too much, it weakens the tooth enamel and causes the teeth to crack.

Drug Abuse Can Make Teeth Rot

Tooth rot is so common from meth use that the condition is known as “meth mouth.” Black and brown holes form all over the teeth due to decay. Meth kills blood vessels, which causes problems in the gums. Meth also makes the mouth feel dry. And without saliva, the enamel on the teeth is much more subject to the harmful bacteria that causes tooth decay.

Bad Dental Hygiene from Drug and Alcohol Abuse

When people abuse drugs and alcohol, their dental health suffers. The drugs and alcohol themselves are hard on people’s teeth. However, another side effect of the abuse is neglecting basic dental hygiene.

When people use drugs and alcohol, they often forget to take care of their basic dental needs – such as brushing, flossing, and using mouth wash. Finally, some drugs, such as meth, make people crave sugary foods and drinks, which are hard on your teeth. This combination makes it hard to keep your mouth healthy.

A No-Judgment Appointment to Discuss the Effects of Drug and Alcohol Abuse on Your Dental Health

If you’re concerned about the impact drugs or alcohol are having on your oral health, contact Dr. Elizabeth or Dr. Jeff for a no-judgement appointment. Call our office at 651-482-8412 to schedule your appointment.

What to Consider Before You Get an Oral Piercing

By: Dr. Elizabeth Eggert

What Are Oral Piercings?

Oral piercings use a needle to add a hole and jewelry to the mouth. Oral piercings can be inside the mouth, known as intraoral, or outside your mouth, known as perioral. This includes piercings in the:

Tongue
Cheek
Lip
Uvula, which is the tissue that hangs at the back of your throat
Frenum, which is the tissue that connects your lips to your gums and your tongue to the floor of your mouth

Risks of Oral Piercings

Oral piercings are a common way for people to express themselves. Unlike piercings in other parts of the body, however, oral piercings come with a host of complications because of the sensitive nature of the mouth.

Piercing any part of your mouth is riskier than piercing other parts of the body. Throughout the day, oral piercings touch your teeth and gum tissue, which each contain millions of bacteria. As a result, the risk of infection is higher.

Oral piercings can interfere with talking, chewing, and swallowing. Even if those interruptions don’t bother you, oral piercings can cause of range of mouth damage, including:

Excessive drooling
Trouble talking or breathing
Infection, pain, and swelling
Damage to the gums, teeth, and fillings
Allergic reactions
Nerve damage
Excessive bleeding
Challenges during dentist appointments
Blood-borne diseases
Endocarditis

Taking Care of an Oral Piercing If You Already Have One

While we understand piercings are becoming more common, at Eggert Family Dentistry, we believe it is much safer to consider removing mouth jewelry before it causes a problem and don’t pierce on a whim – the piercing will be an added responsibility to your life, requiring constant attention and upkeep.

If you already have an oral piercing, one of the best ways to prevent an oral infection is by consistently taking care of your mouth. Keep your piercing clean by brushing twice a day, flossing, and using mouthwash. Avoid clicking your oral jewelry against your teeth, which can chip or crack them or cause your teeth to become loose.

Finally, it’s also important to take oral piercings out when you play sports, and remember to wear a mouthguard.

When to See Help for an Oral Piercing

Because of the increased risk of infection, it’s important to visit us at Eggert Family Dentistry regularly. And if you notice any signs of infection – such redness, swelling, discharge, smell, rash, fever, or excessive bleeding – it’s important to contact us as soon as possible. Contact Dr. Elizabeth or Dr. Jeff if you’re concerned that your oral piercing may be infected. Call our office at 651-482-8412 to schedule your appointment.

Are Sports Mouthguards Worth the Investment?

By: Dr. Elizabeth Eggert

School Has Started – and so Have Fall Sports

It seems like summer just started, but alas, school time is here and so are the fall sports that go along with the season change. We want to make sure you included a sports mouthguard in your “back to school” shopping when getting what you need for your athlete.

What Is a Sports Mouthguard?

A sports mouthguard is a piece of clear (or sometimes very colorful) plastic that’s typically worn over the top row of teeth during sports. A mouthguard may also be worn on the bottom teeth, which can be very helpful for people who wear braces or have fixed dental appliances like expanders.

Mouthguards are considered essential equipment for sports that involve body contact or flying equipment, like football, hockey, soccer, volleyball, basketball, wrestling, baseball, lacrosse, and even tennis. However, sports mouthguards can also be beneficial for skateboarding, mountain biking, or other sports where falls could result in mouth injuries. Mouth guards can also prevent dental injuries for people who grind their teeth during sports.

Benefits of a Sports Mouthguard

The biggest benefit of sports mouthguards is that they can prevent a variety of dental injuries and trauma, including:

Soft tissue damage, such as biting the tongue, cheeks, or lips
Tooth fractures, including root fractures, broken teeth, or chipped teeth
Knocked out teeth
Tooth displacement
Jaw fractures
In addition, although medical research is inconclusive, some evidence suggests that sports mouthguards may absorb enough impact between the upper and lower jaws to help reduce concussions.

Mouthguards can also help people save money by preventing the costly need for dental repairs.

Types of Sports Mouthguards

When you are choosing a sports mouthguard, there are three main options to choose from:

Stock mouthguards: Stock mouthguards are the cheapest and most easily available mouthguard options. Although they come in different sizes, they often don’t fit well. And, a mouthguard that’s too loose or too small can do more damage to your teeth and gums. Finally, these inexpensive mouthguards tend to be made from cheaper materials, making them prone to breaks and tears.
Boil-and-bite mouthguards: Boil-and-bite mouthguards are also relatively inexpensive and are easily available. Because the mouthguard is boiled to soften the plastic so it can be formed to better fit an athlete’s teeth, the fit is better than what a stock sports mouthguard provides.
Custom mouthguards: Custom mouthguards are the safest, yet most costly, option available. Dr. Jeff Eggert or Dr. Elizabeth Eggert use impressions of your teeth and mouth to create a mouthguard that fits your teeth perfectly. A custom mouthguard is also the only way to create a precise fit around bridges, braces, and other dental restorations.

Contact Eggert Family Dentistry to Get Fitted for a Custom Sports Mouthguard

When you’re trying to determine which costs to prioritize, remember this: custom sports mouthguards may be more of an investment than the options available online or at retail stores, but they also provide a better fit and are made from stronger material. Finally, investing in a sports mouthguard is considerably less expensive than paying for emergency dental treatment after a preventable injury. Unfortunately, once an injury occurs, it becomes a life-long journey to address the tooth/teeth/or bones involved. In this case prevention is definitely key!

If you’re interested in getting fitted for a sports mouthguard, contact Dr. Elizabeth or Dr. Jeff today. Call our office at 651-482-8412 to schedule your appointment.

CEREC and The Primescan Up Close – Ann’s Story

By: Dr. Elizabeth Eggert

It is always ideal when your dental exam reveals no problems, but sometimes issues do arise. If your tooth has a large cavity, cracks, or is broken, Dr. Elizabeth or Dr. Jeff will likely recommend a crown to help restore the integrity of your tooth. A crown will reinforce the tooth and help keep it functioning for eating, smiling, and speaking.

Crowns have been around for decades and fortunately the materials and process for making crowns has continued to evolve and improve. Traditionally, getting a crown on your tooth involved two appointments. Currently, technology exists that allows us to make crowns in our dental office in one appointment. This offers a number of advantages, probably the biggest of which is convenience in coming to the office for only one appointment instead of two. Another advantage is the ability to take a digital impression with an intraoral scanner. This eliminates the need to take a traditional impression with putty material that sets up in your mouth. A crown in one day also means there is no need for a temporary crown. Temporaries are durable but do occasionally break or come loose, necessitating a visit to have a new temporary made or recemented. An additional remarkable feature of the “same-day crown” is the ability to replicate the shape and anatomy of an existing tooth or crown, which makes it easy for your new crown to fit well into your bite.

We have been using this technology with the CEREC system for many years and we recently upgraded our intraoral scanner to the Sirona Primescan, which makes taking digital impressions even faster and easier. Not every case can be completed in one visit, but many can, which most people find preferable. A recent patient, Ann, commented, “It is very convenient to get the crown fitted and designed in one visit versus having to come back!”

We want to share some photos with you of Ann’s case so you can see this technology in action. If one of your teeth ends up needing a crown, you can trust that our great team at Eggert Family Dentistry will take wonderful care of you too!

Call us today at 651-482-8412 to inquire about getting your next crown in one day!

What Are the Types of Dental Fillings, and What Are the Differences?

By: Dr. Elizabeth Eggert

The earliest dental fillings date back between 6,000 and 10,000 years ago. Since the first fillings were created, dental fillings have been used to help millions of people preserve their teeth.

What Are of Dental Fillings Made of?

Dental fillings can be made from a combination of materials, including metal, plastic, glass, and other materials. The most common types of dental fillings are:

Composite fillings: Composite fillings – also called filled resins – are a combination of plastic, glass or quartz fillers and can be colored to match the surrounding teeth. They bond to the existing tooth to provide extra support, and they don’t require as much of the tooth to be removed. Composite fillings hold up well, often at least 5 to 10 years, often longer!
Amalgam fillings: “Silver” fillings, are really amalgam fillings, and are made of a mix of metals including mercury. Many people have had amalgam fillings hold up at least 10 to 15 years in their mouths, but in order to make space to hold the filling, amalgam fillings require more of the natural tooth to be removed and therefore, the overall tooth strength is decreased. Amalgams are generally not requested today because of their unsightly nature.
Gold: Gold fillings can last a long time, often 15 to 20 years. Gold was a more popular choice before composite fillings were available. In today’s market, however, the cost of gold has made it impractical to use this material, not to mention the need for 2 appointments to complete a the filling.
Ceramic: Ceramic or porcelain fillings often last more than 15 years, and they are more resistant to staining than the composite resin materials. With our CEREC restoration system, a ceramic filling can be completed in one appointment.
Glass ionomer: Glass ionomer is a combination of acrylic and glass. It is typically used for fillings below the gum line or for fillings on kids. This material releases fluoride so it can help prevent further tooth decay. Glass ionomer usually lasts less than five years, but it a lot more moisture tolerant during placement so it can be a great material for certain situations.

Is It Time to Replace Your Dental Fillings?

Like all dental work, dental fillings need to be revisited and replaced with time. When you visit Eggert Family Dentistry, Dr. Elizabeth or Dr. Jeff can help determine whether it’s time to replace your fillings.

If you think it may be time to replace a dental filling, call our office at 651-482-8412 to schedule an appointment.

Crown Restorations Made in One Visit Using Our CEREC System

By: Dr. Elizabeth Eggert

Traditionally, if you went to the dentist for a crown restoration, the process would be spread across two appointments. During the first appointment, the tooth is prepared for the crown. This includes re-shaping the tooth to receive the crown and removing the damaged portion of the tooth. Depending on the amount of damage the tooth sustained, it may also require a core buildup.

After that, an impression of the tooth is taken and sent to a dental lab, where the customized crown is created. You would leave the first appointment with a temporary crown on your tooth.

Usually after two weeks, you would return for your customized crown. Your temporary is removed and the new crown evaluated for a good fit and cemented.

Can a Crown Be Fabricated in One Visit?

At Eggert Family Dentistry, crown restorations can happen in a single visit using the CEREC crown restoration system!

CEREC stands for Chairside Economical Restoration of Esthetic Ceramics. The system uses computer-aided design – also called CAD – to create permanent customized dental restorations immediately. While it used to take a dental lab a couple of weeks to create a crown, Dr. Elizabeth and Dr. Jeff use the latest technology – the CEREC crown restoration system – to create crowns in minutes.

In a single visit, we can create a variety of perfectly fitting restorations, including:

Crowns
Inlays
Onlays

Using the Prime Scan to Capture Perfect 3D Images of Your Teeth

We are happy to now be using the latest scanning unit for our CEREC crowns. The CEREC Prime Scan is a recently developed scanning unit that captures highly detailed images of your mouth.

Many of you had the opportunity to benefit from our previous scanning unit, the Omnicam, and it worked well, but the new CEREC Prime Scan can image even faster and with more detail. With the CEREC Prime Scan, Dr. Elizabeth and Dr. Jeff use a small handheld camera to scan your mouth for crisp, perfectly captured images of your teeth.

Material Options for Crowns

After taking a scan of your teeth, we’re able to create a crown restoration in minutes. New crowns can be made of compressed porcelain, emax porcelain, or compressed composite resin. During your appointment, you can talk with Dr. Elizbeth and Dr. Jeff to determine what material is the best fit for you.

Schedule an Appointment to Get Your Crown Restoration in One Visit

In the past, people procrastinated getting their recommended crown restorations for a variety of reasons. They were too busy to come in for multiple appointments. They had a bad experience with a temporary crown. Or they thought the process of getting impressions taken was uncomfortable.

With the CEREC crown restoration system, that’s all a thing of the past.

Dr. Elizabeth and Dr. Jeff Eggert of Eggert Family Dentistry can complete the dental restoration work you need in a single appointment. Call our office at 651-482-8412 to schedule your appointment.

What Is a Core Buildup, and Why Would You Need One?

By: Dr. Elizabeth Eggert

When a tooth is severely damaged – for example, from a large cavity, a fracture, or a failed filling – a crown may be necessary to restore the function and appearance of the tooth. However, if too much of the tooth is missing to support the crown, it may be necessary to rebuild part of the tooth.

A core buildup can be part of the process of preparing a tooth to receive a crown. For the crown to be successful, there are minimum size requirements for the height, width, and taper of a tooth. A core buildup ensures the tooth has a strong foundation and is stable enough to support the crown.

Is a Core Buildup Always Necessary for a Crown?

If a tooth has not suffered significant damage, Dr. Elizabeth or Dr. Jeff can often prepare the tooth for a crown without doing a core buildup. However, if the tooth is badly damaged, for example because of a fracture or an existing large filling, a core buildup is an essential part of the preparation for a new crown.

What Is a Core Buildup Made Of?

Dr. Elizabeth and Dr. Jeff usually use a composite resin or a resin modified glass ionomer to create the core buildup. Although metal-based materials have been used in the past for core buildups, they require a more invasive preparation of the tooth enamel and require an additional appointment to give the material time to fully set. By using a resin material, more of the original tooth can be saved because of the ability to bond to the tooth, which tends to result in better crown retention. Also, the material can be prepared right away and on the same day!

What Is a Post, and When Is It Needed?

When a substantial amount of the original tooth is missing and the tooth has had a root canal, Dr. Elizabeth or Dr. Jeff may need to add a post to help hold the resin material of the core buildup. The ability to use the root canal space allows for even more support for the new foundation.

Is the Core Buildup Done at the Same Appointment as the Crown?

Completing a core buildup typically takes about 5-10 minutes. If placement of a post is needed, the appointment may take longer. When the core buildup is finished, Dr. Elizabeth or Dr. Jeff can use the CEREC crown restoration system to create your new crown in minutes.

If you think you may need a crown, call our office at 651-482-8412. During your oral exam, Dr. Elizabeth or Dr. Jeff will determine whether you need a crown and a core buildup.

Restoring Teeth with Implants: When Infections Cause the Need for Creativity. Judy’s Story.

By: Dr. Elizabeth Eggert

How did this start?

Judy came to her regular 6-month recare appointment and mentioned that she thought one of her front teeth was turning darker. Joanna, our hygienist, noticed an issue right away as it looked as if Judy may be developing an infection near that upper front tooth. Joanna took an x-ray and Dr. Elizabeth did some tests and it was evident that Judy had lost a lot of bone near the roots of some upper front teeth. For an unknown reason (likely a trauma that occurred long ago), Judy’s teeth had started dying, creating an infection and bone loss. Dr. Elizabeth referred Judy to the root canal specialist and Dr. Aguirre confirmed the extent of the damage with a 3-D x-ray. Dr. Aguirre agreed that the lesion was excessively large. He was not confident that root canals alone could clear the infection so recommended that Judy work with an oral surgeon to remove the teeth, the infection, place a bone graft, and hopefully implant(s).

Because Judy didn’t remember any past trauma to her teeth and because of the extent of the bone loss could render all traditional treatment options unpredictable, Dr. Elizabeth recommended Judy undergo the records process to determine all her options going forward.

What did Judy want?

Judy wanted to be able to have front teeth and she wanted to be able to predictably clear her infection. She agreed to go through the records process to learn about her options and hopefully determine if her current bite could be part of the reason for the trauma that caused her infection. It was also important to Judy to be able to eat and speak normally after her teeth were restored. She met with Dr. Wade, an oral surgeon, who agreed that two teeth should come out. He was fairly confident that the infection was confined to only two teeth. He noted a large bone graft would be needed for Judy and implants would not be able to be placed until the graft was fully integrated. He recommended Judy have a temporary denture made to replace her teeth for awhile.

What was involved?

At the records appointment, Dr. Elizabeth took photos and x-rays of Judy’s teeth and did a thorough muscle and joint evaluation. She used the information gathered at that appointment to develop possible treatment options for Judy. It was evident after the bite analysis of the records process that Judy has an anterior open bite, which means that her upper and lower front teeth don’t meet up with each other. This concerned Dr. Elizabeth the most because it meant that Judy’s bite may not adjust well to change, but we knew Judy would undergo a change because of the infection. There was also a risk that her other two front teeth (or possibly more) could eventually become infected so any plan for Judy had to allow for flexibility in the future. Dr. Elizabeth presented Judy with multiple options, including implant-based options, a tooth-based bridge option, or a long-term removable partial denture. In the end, Judy’s treatment choice could have been limited by what would be discovered during surgery, but Judy wanted to restore the missing teeth with one implant that would hold two teeth (better for gum esthetics) and she wanted to repair her bite to make her upper and lower front teeth touch. This would help with long-term functionality and predictability.

Judy had 2 teeth extracted, the infection removed, and a large bone graft placed by Dr. Wade. Dr. Elizabeth had a temporary partial denture ready to insert after surgery. In addition, Dr. Elizabeth built up the edges of Judy’s other front teeth to mimic what her final restorations would look like.

Once the bone graft was integrated, Dr. Wade went back for another surgery to place an implant for Judy. One implant was placed that would eventually hold and replace two teeth. After three additional months of healing, Dr. Wade placed a customized healing abutment to help shape the tissue for the eventual tooth restorations. Judy continued to wear her temporary partial denture during this time. Dr. Elizabeth also wanted to influence the tissue at the site for her “other tooth” so she built up Judy’s temporary partial denture to put pressure on the tissue and shape it so it would eventually look like a tooth is emerging from the tissue.

During the healing time, Judy also decided she wanted to lighten the color of her teeth so she underwent the Zoom bleaching procedure and improved her shade to 5 times brighter! Finally, Judy did the final planning with Dr. Elizabeth, completing a lab wax-up, like a blue print, for her future restorations. When the surgeon gave the “all-clear,” Dr. Elizabeth prepared Judy’s remaining upper front teeth and got impressions of the implant site so 5 restorations could be fabricated for her 6 front teeth.

What does Judy think?

Judy had a long treatment process. She notes she learned a lot as a lot went into the decision making. Judy notes “I didn’t have a choice, it was something that had to be done. It was interesting to learn more about my bite and what it would mean to have longer teeth in the end.”

Judy notes she thinks her teeth look “very nice” and is happy to be done with everything. “It was a bigger procedure than I expected, but it turned out nice in the end!”

We’re so grateful to have you as a patient, Judy – thank you for putting your trust in us! It was a pleasure to be able to use our creative thinking skills to help you through this interesting case.