Eggert Family Dentistry Blog

How Thumb Sucking and Pacifier Use Affects Dental and Facial Development in Children

By: Dr. Elizabeth Eggert

How Thumb Sucking and Pacifier Use Affects Dental and Facial Development in Children

Thumb sucking and pacifier use are common soothing behaviors for infants and toddlers. While these habits provide comfort and are appropriate for the first few months of life, they can significantly affect your child’s dental and facial development if they continue too long. As a parent, understanding the potential consequences of prolonged thumb sucking and pacifier use is crucial for ensuring your child’s healthy development.

What happens?

When thumb sucking or pacifier use persists beyond the age of 12 months, it can start to impact the alignment of your child’s teeth and the shape of their jaws. These habits create constant pressure on the developing mouth, which can lead to problems such as an open bite, where the front teeth do not meet when the mouth is closed, or a crossbite, where the upper teeth sit inside the lower teeth when biting down. Dr. Elizabeth Eggert and Dr. Jeff Eggert at Eggert Family Dentistry in North Oaks, MN, have seen firsthand how these habits can alter a child’s dental structure, leading to the need for orthodontic or other interventions.

In addition to dental alignment issues, thumb sucking and pacifier use can also affect the overall facial development of your child. Prolonged use of a pacifier or habitual thumb sucking can lead to changes in the shape of the jaw bones and the position of the teeth, which can impact the symmetry and esthetics of your child’s face. This can also contribute to speech and swallowing difficulties due to improper tongue positioning.

What can be done?

The good news is that the sooner you help your child break these habits, the more likely they are to develop a healthy dental and facial structure. Stopping thumb sucking and pacifier use at a young age allows your child’s mouth and jaw to develop correctly because they can get their tongue in a position that promotes proper development. This can then prevent the need for extensive dental work later on. You might be surprised by the positive changes that occur when these habits are stopped early, as the mouth and facial muscles begin to realign naturally. Here are some before and after photos of during pacifier use and after simply stopping pacifier use. You can see the teeth have mostly self-corrected on their own.

How to help your child give up their pacifier or thumb

To help your child give up their pacifier, consider gradually reducing its use by limiting it to certain times, such as bedtime only. You can also introduce a reward system to encourage your child to go without the pacifier during the day. If your child is older, you might try explaining why it’s important to stop using the pacifier, using age-appropriate language to help them understand. Dr. Elizabeth Eggert and Dr. Jeff Eggert often recommend these strategies to parents at Eggert Family Dentistry, as they have proven effective in many cases.

For thumb sucking, positive reinforcement is key, especially since you can’t keep the thumb away from the child! Praise your child when they refrain from sucking their thumb, and consider offering a small reward for keeping their thumb out of their mouth. You can also try using a bandage or a thumb guard to remind your child not to suck their thumb. If the habit is particularly persistent, consulting with the dentists at Eggert Family Dentistry, Dr. Elizabeth Eggert or Dr. Jeff Eggert, can provide additional guidance and support tailored to your child’s needs. At Eggert Family Dentistry, we have found setting young children up with the Myobrace Infant Trainer can prove especially effective because it develops correct muscle posture as well as gives the child something to keep in their mouth.

By addressing thumb sucking and pacifier use early, you can help ensure your child develops a healthy, beautiful smile. At Eggert Family Dentistry in North Oaks, MN, Dr. Elizabeth Eggert and Dr. Jeff Eggert are here to support you and your child through every stage of their dental development, offering personalized advice and care to help your child achieve the best possible outcomes. Call us today with questions about how to help you and your family! 651-482-8412.

Orofacial Myofunctional Disorder and Its Effect on Breathing

By: Dr. Elizabeth Eggert

Oxygen is essential for life. Without it, we wouldn’t survive, and without an adequate amount of it, our bodies don’t function properly. We breathe in oxygen through our nose and mouth. From there, oxygen enters our bloodstream and moves into every cell of our bodies, affecting every organ and system. However, certain factors can inhibit our body’s ability to access ample oxygen, which can, in turn, affect our overall health in some major ways.

One primary culprit of inadequate oxygen is Orofacial Myofunctional Disorder or OMD. Alarmingly, 38% of the population is affected by OMD. Let’s take a few minutes to learn what OMD is, causes and symptoms of OMD, and the importance of nasal breathing for optimal health.

The Basics of Proper Breathing

Breathing is part of the parasympathetic nervous system, and for most people, it occurs naturally, without much thought.

As a result, you may not realize there is a right way and a wrong way to breathe, and improper breathing lends itself to some serious problems.

When the face, mouth, and jaw structure as well as the soft tissue structures and tongue placement are aligned and functioning as intended, proper breathing is effortless, and our bodies get the oxygen they need. However, when one or more components of the orofacial structure are misaligned or not working properly, breathing is compromised and can negatively affect a person’s health.

Habits and Issues That Can Cause Orofacial Myofunctional Disorder

Taking charge of your health and your children’s health can, in many ways, minimize the risk of OMD.

Thumb-sucking is a developmentally normal and healthy reflex that helps babies self-soothe and fall asleep. However, if this reflex becomes a habit and continues past the age of one, or definitely into the toddler years, it can exert too much force against a child’s developing front teeth and cause a high and narrow palate. Over time, it can train a child’s tongue to anchor down and forward instead of resting on the roof of the mouth. Ultimately, it can lead to OMD and affect speech and breathing.

Extended use of pacifiers, bottles, and sippy cups can have the same negative effects on a child’s mouth and facial development, resulting in impaired speech and restricted airflow.

According to the Mayo Clinic, up to 10% of babies are born with ankyloglossia, also known as a tongue tie. If not corrected, ankyloglossia, which affects the position and movement of the tongue, can make it difficult to close the lips properly, speak without a lisp, and breathe properly. In other words, a tongue tie can affect oral posture and lead to OMD. If you think your child has a tongue tie, Dr. Elizabeth Eggert and Dr. Jeff Eggert would be happy to assess your child in our office and advise if surgery would be the best course of action to avoid a cascade of future health issues.

Nail-biting, bruxism, and tongue, lip, and cheek-sucking are other habits proven to cause muscle and structural disorders of the face, mouth, and jaw. If you struggle with these bad habits, behavior modification, a custom night splint, or other interventions may help preserve proper alignment and function, minimizing the risk for OMD related issues.

Neurological deficits and developmental delays—causes out of a person’s control—can also lead to OMD.

Read Lizzie’s story here and see how Dr. Elizabeth Eggert detected early signs of OMD and, together with Lizzie’s parents, pursued early treatment to help set her up for a lifetime of health!

Symptoms of Orofacial Myofunctional Disorder

Some of the most common symptoms of OMD include:

Tongue thrust
TMD
Headaches
Sleep-disordered breathing/sleep apnea
Fatigue, anxiety, or depression
Lisp
Drooling
Difficulty swallowing
Mouth breathing

In addition, people with OMD often present with a sluggish face and weak, parted lips, a tight chin, and a facial grimace.

Improper Orofacial Structure Can Lead to Mouth Breathing

Let’s take a closer look at mouth breathing.

When the face, mouth, or jaw is misaligned or working improperly, nose breathing can be difficult. Because of our inherent need for oxygen, our bodies will do whatever is necessary to get proper airflow. That’s why both children and adults with OMD often resort to mouth breathing, especially when they’re asleep.

Mouth breathing is inferior to nasal breathing because air that passes through the mouth isn’t filtered like air through the nose. The nasal cavity also humidifies air before it enters the lungs. Additionally, our bodies take in more oxygen when we breathe in through our noses, and our nervous systems shift into a more parasympathetic state, reducing oxidative stress.

Health Implications Beyond the Mouth

Why is mouth breathing a big deal?

Over time, mouth breathing can permanently alter the position of the jaw, tongue, and lips, move the tongue low and forward to facilitate airflow, and lead to malocclusion—an uneven bite.

Poor oxygen and higher oxidative stress can affect children’s cognition, behavior, and academic performance and lead to hyperactivity. Left untreated, it can also lead to high blood pressure, diabetes, heart disease, and stroke in adults.

Clearly, Orofacial Myofunctional Disorder is nothing to take lightly. If you believe you or your child is dealing with OMD, schedule an appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert at Eggert Family Dentistry. They will assess your mouth, face, and jaw and determine if everything is working properly. If they conclude that OMD is present, they will help you create a plan for the best path forward. This could encompass one of many interventions, including a night splint, dental or orthodontic treatment, a custom Myobrace® appliance, or behavior modification. Give our office a call today at 651.482.8412!

Which Splint is Right for You?

By: Dr. Elizabeth Eggert

When it comes to dental health, particularly addressing issues related to your bite, splints or also known as “dental appliances” can be a game-changer. At Eggert Family Dentistry in North Oaks, MN, Dr. Jeff Eggert and Dr. Elizabeth Eggert offer a variety of splints designed to cater to your specific needs, ensuring you receive the best care possible. Understanding the different types of splints available and their benefits can help you make an informed decision about your dental health.

Splints Available at Eggert Family Dentistry, Explained!

One of the splints offered is the anterior deprogrammer. This appliance is designed to temporarily disengage the bite, allowing the muscles of the jaw to relax. It’s particularly useful for diagnosing bite problems and can provide relief from muscle pain caused by bruxism (teeth grinding). If you experience frequent headaches or jaw pain, an anterior deprogrammer might be recommended to help alleviate these symptoms and to determine if your bite is a contributing factor.

For those dealing with temporomandibular joint disorder (TMD), TMD splints or orthotics are an excellent option. These splints are custom-made to fit your mouth and are designed to reposition the jaw to a more comfortable position, reducing stress on the TMJ. Patients with TMD often suffer from jaw pain, clicking or popping sounds, and difficulty in opening their mouths fully. A TMD splint can help reduce these symptoms by providing a stable and balanced bite.

Another specialized appliance is the Tanner appliance, which is used for treating bruxism and in designing a new bite. The Tanner appliance is a full lower arch anatomical splint. It is the best adjusted version of a TMD splint and it often is worn only at night. This appliance helps us to determine where the muscles sit in a comfortable position and analyze the tooth position there. Often after wearing a Tanner appliance, you will have a great idea of how the positioning of your teeth affects your overall health and well-being and it helps us plan for a new bite so you can enjoy the improved effects day in and day out!

For those who need a more flexible solution, softguards offer a comfortable and adaptable option. Made from a softer material, these guards are ideal for light bruxism. They are especially useful for patients who may not tolerate harder materials well or those who need a lot more support for their joints over their muscles. If you experience occasional teeth grinding or clenching, a softguard may provide the necessary protection without discomfort.

Essix retainers are another versatile option, primarily used to maintain tooth alignment after orthodontic treatment. These clear, thin, removable retainers are comfortable and virtually invisible, making them a popular choice for post-orthodontic care. If you’ve recently had braces or other orthodontic work done, an Essix retainer will help keep your teeth in their new positions. For some people, it can help protect teeth from the effects of bruxism, but typically, for moderate to heavy bruxism, the retainers will wear out quickly.

For more comprehensive protection, custom fit occlusal guards (also known as night guards) are highly effective. These guards are tailored to fit your mouth precisely, providing robust protection against moderate and severe bruxism. They are made from durable materials and are designed to withstand significant grinding and clenching forces. The downside to a standard occlusal guard is that if the bruxism is caused by an airway compromise, by wearing the occlusal guard, the airway collapse may be more significant while wearing the appliance because it helps to keep your muscles relaxed. Therefore, an accurate diagnosis of why you are bruxing is important.

The Seattle Protocol is an innovative approach to diagnosing and treating TMD and related issues where airway compromise is suspected. This protocol involves a series of diagnostic steps and treatments, including the use of various trial splints to find the most effective solution for each patient. By systematically evaluating different treatment options, Dr. Jeff Eggert and Dr. Elizabeth Eggert can pinpoint the best appliance to best improve your airway, which should improve any signs or symptoms you are having from sleep apnea. If you find yourself waking up tired or experiencing frequent sleep interruptions, the Seattle Protocol is a suitable option to explore.

Finally, for patients suffering from diagnosed mild or moderate sleep apnea, a mandibular advancement appliance can be a lifesaver. This device works by holding the lower jaw forward, keeping the airway open during sleep. If you suffer from obstructive sleep apnea, this appliance can significantly improve your sleep quality and overall health by reducing snoring and apneic events and associated risks. You will find your sleep quality will improve significantly because your body can get the oxygen it needs!

How You Can Get Help

At Eggert Family Dentistry, Dr. Jeff Eggert and Dr. Elizabeth Eggert utilize a comprehensive evaluation process known as the Records Process to determine the best splint for your needs. This process involves a thorough examination of your bite, jaw function, and overall oral health. By analyzing this data, they can recommend the most appropriate splint to address your specific issues. Whether you need relief from TMD, protection from bruxism, or help with sleep apnea, Eggert Family Dentistry will guide you through each step, ensuring you receive the best possible care tailored to your needs.

Choosing the right splint can make a significant difference in your dental health and overall well-being. At Eggert Family Dentistry, you can trust that you will receive personalized, expert care designed to meet your unique needs. Call us today! 651-482-8412!

The Impact of Teeth Grinding on Your Oral Health: Risks and Consequences

By: Dr. Elizabeth Eggert

Clenching or grinding your teeth — also known as bruxism — is common, but that doesn’t mean it’s something you should ignore.

While some consequences of bruxism are simply annoying, others are more serious and can negatively affect your oral health. Let’s take a few minutes to dive into the impact of teeth grinding, signs to watch for, serious consequences that can occur, and how to treat and prevent it.

Understanding Teeth Grinding and Its Causes

Teeth grinding can affect children and adults alike. Small children are notorious for grinding when they’re cutting baby or permanent teeth, but they generally grow out of it. Not everyone grows out of bruxism, however, and adults often report their sleeping partners grinding so loudly it actually wakes them up out of a sound sleep!

While you might think of bruxism occurring only when you’re asleep (sleep bruxism or SB), it can occur just as frequently during your awake hours (awake bruxism or AB). In either case, the person generally doesn’t realize they’re clenching or grinding their teeth and often attributes their symptoms to the wrong causes.

Teeth grinding — and the uncomfortable side effects of it — generally has one of several root causes: improper alignment of teeth; stress, anxiety, anger; caffeine consumption, alcohol consumption; tobacco use; prescription medications; or airway issues.

Stress

Stress affects the human body in a variety of ways. It causes surges of adrenaline and cortisol, as well as increased heart rate and breathing.

When this happens, our bodies shift from “rest and digest” mode into “fight or flight” mode, and our muscles tense up and prepare for action. This tension is often noticeable in our neck, shoulders, and hips. Our jaw muscles often tense up too, and we grind unconsciously to cope with the pressure.

Caffeine

We love coffee and other foods and beverages with caffeine because they give us energy. But they’re also a muscle stimulant and can increase muscle activity in the jaw, resulting in grinding.

Tobacco

Just like caffeine, tobacco is a stimulant and increases muscle activity in the jaw.

Alcohol

Not only does alcohol consumption affect our sleep patterns, but it actually alters the neurotransmitters in our brain. Consequently, jaw muscles can overcompensate and become tense, resulting in grinding.

Also, if not properly managed, alcohol consumption can lead to dehydration, which makes our mouth dry and can lead to teeth grinding.

Airway Issues

Sleep disordered breathing can result in teeth grinding. If you’re having a difficult time breathing at night, you may unconsciously move your teeth around or grind them to open up your airway. This also occurs during the day, unconsciously. For example, if your body feels that your airway is more “open” with your jaw in a position that puts more stress on your teeth, but less stress on your airway, your body will choose to keep your airway open over keeping pressures off your teeth.

Prescription Medications

Some prescription medications, including antidepressants and psychiatric meds, can alter neurotransmitters in the brain and cause jaw tension and teeth grinding.

Tip: If you suspect you’re grinding your teeth as a result of a prescription medicine, talk to your prescribing doctor to see if your dosage can safely be adjusted or if there is another medication choice you can try.

Impact of Teeth Grinding: Signs and Symptoms

Do you think you or your loved one might be dealing with bruxism? Here are some signs to watch for:

Tooth damage: chipped, worn down, fractured, or loose teeth
Tooth sensitivity
Headaches or earaches
A jaw that clicks or doesn’t open and close smoothly
A sore jaw
Irritated cheek tissue
Tongue indentations
Gum recession
Gingivitis
Damaged dental work

Tip: If you catch yourself clenching or grinding, place the tip of your tongue on the roof of your mouth behind your top teeth. This will automatically unclench your teeth and relax your jaw. This isn’t a permanent fix but can help provide relief from jaw tension in the moment.

Preventive Measures and Lifestyle Changes

You and your loved ones don’t need to live with the uncomfortable and potentially damaging effects of teeth grinding.

Successful treatment of bruxism addresses the root cause: If the root cause is physiological, dentistry, orthodontia, or airway treatment could help; If the root cause is stress, managing it is imperative. In other words, there are several effective treatment options! Let’s take a closer look:

Splint/Occlusal Appliance

In order to protect your teeth from chipping, cracking, or wearing down during sleep bruxism, Dr. Elizabeth Eggert or Dr. Jeff Eggert can create a custom in-mouth appliance, or splint. This splint will fit your teeth perfectly, protect their surfaces, and absorb bite force. There are different ways to design splints based on your individual needs. Dr. Jeff and Dr. Elizabeth are happy to help you determine which might be best!

Dental Restorations

When teeth grinding has been undetected or left untreated for a long time, teeth can become permanently damaged.

If needed, Dr. Elizabeth Eggert or Dr. Jeff Eggert can create crowns or veneers for your teeth to restore their strength and integrity and improve the appearance of your worn-down teeth. Properly shaping the teeth can also help relieve extra pressure on your jaw.

Orthodontia

If Dr. Elizabeth or Dr. Jeff determines that the root cause of bruxism is due to severely misaligned teeth or jaw bones, they will refer you to an orthodontist for a consultation or sometimes we can even do the orthodontics in our office with Inivisalign. Braces and other orthodontic interventions can widen your palate, realign teeth, and reposition the jaw, correcting your bite. They can even help with breathing issues!

Treatment for Airway Issues

If Dr. Elizabeth Eggert or Dr. Jeff Eggert suspects that sleep disordered breathing is a factor for you, they will schedule an evaluation and discuss possible treatment options, including the reputable Seattle Protocol.

Botox

If the grinding is persistent and the effects are severe, Botox injections can provide temporary relief. Botox is a neurotoxin that can be injected and has been found to temporarily relax muscles and reduce nerve signals in the jaw that lend themselves to teeth grinding.

De-Stressing Techniques:

If you’re under significant stress and it’s the likely cause of your teeth grinding condition, pursuing de-stressing techniques, such as therapy, breathwork, stretching, and journaling, can help reduce stress or help you manage it better. These interventions can also help alleviate overall body tension and stress-induced pain.

If you’re dealing with symptoms of teeth grinding, we’d encourage you to schedule a bruxism evaluation appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert. Give our office a call at 651.482.8412 to schedule your appointment.

When the Puzzle Pieces Aren’t Fitting Together, How to Improve Crowded Teeth – Lisa’s Story

By: Dr. Elizabeth Eggert

How did this start?

Dr. Elizabeth Eggert has been working with Lisa since 2016. Initially, Lisa was having issues due to a cracked tooth on her lower right side. After a crown was done for that tooth, it historically and occasionally flares up for Lisa. Dr. Elizabeth noticed that due to Lisa’s crowded teeth, the teeth in her lower jaw sit at an angulation toward her tongue, instead of straight up and down. This puts extra forces on teeth and often will contribute to cracking. Lisa also admitted that she finds herself clenching her teeth together, most of the day and probably at night. This also produces more force than the teeth are prepared to handle. Therefore, the fact that Lisa’s teeth are often sensitive comes as no surprise.

Initially, Lisa thought she would try a standard occlusal guard (or night guard) to help alleviate the pressure she experiences from clenching her teeth. Lisa wore the appliance regularly and she believed it helped, but she still had sensitivity from time to time and when a second tooth started having symptoms of cracked tooth syndrome on her lower right, she knew it was time to take action. She decided she wanted a more permanent solution to her bruxism and that is when the discussion of Invisalign began.

What did Lisa want?

Lisa wanted to straighten her teeth, avoid getting more cracked teeth, and help stop her grinding at night. Lisa didn’t want to have the wires and brackets of traditional braces, so she was excited about the option of Invisalign. When Dr. Elizabeth was planning Lisa’s case, she helped Lisa notice that the small lateral incisors on her upper jaw played a role in why the bottom teeth were crowded. Because of the smaller lateral incisors, the lower teeth had to be more “squished in” and crowded. Dr. Elizabeth talked with Lisa about how after Invisalign treatment, there would be spaces left between her teeth on the upper arch. Luckily, Dr. Elizabeth had a solution, which involved widening those teeth with veneers. Lisa was excited about the prospect of straight teeth and understood why the veneer restorations were necessary so she decided to go forward with treatment.

What was involved?

Lisa underwent the Invisalign records process with Dr. Elizabeth so a treatment simulation could be done. Her treatment was expected to take 10-12 months with the goals of unraveling the crowding, creating space for upper veneers, and providing support for her joints and muscles.

To help with her bruxism, Dr. Elizabeth added bite ramps to Lisa’s Invisalign aligners. These are a way to help keep her muscle more calm because they don’t allow for easy clenching. Despite the bite ramps, Lisa’s strong muscles did continue to clench somewhat, although things were improving for her joints and muscles throughout treatment. Her continuous clenching did slow down her progress and after her initial set of 20 aligners, Lisa’s bite still wasn’t quite perfect. Therefore, Dr. Elizabeth recommended a “refinement” treatment with Invisalign and Lisa’s treatment continued on for another 6 months. During this time, Dr. Elizabeth also gave Lisa exercises to help stretch her jaw muscles so that her clenching wouldn’t continue to impede the progress for her Invisalign treatment.

After 18 months of Invisalign, it was time to plan for Lisa’s veneer restorations. Some simple bite equilibration was also needed for Lisa to finalize her bite position and give her solid stops for her back teeth. Lisa wanted whiter teeth so she decided to try the Opalescence Go! professional white strip whitening system to brighten her smile. Lisa chose to only restore her 2 lateral incisors. Dr. Elizabeth reviewed the pros and cons of completing veneers for her upper 4 front teeth, including better size proportioning, and continued color matching, but Lisa felt that 2 veneers was the right choice for her. So, a laboratory wax-up was done as a blue print for the final restorations and the 2 porcelain veneers were completed for her upper lateral incisors. Lisa was very excited about finishing her treatment after spending the time to move her teeth into a better position!

What does Lisa think of her results?

When we asked Lisa what she thought about undergoing the procedures before she had things done, she said “I kind of knew what Invisalign did – it was going to straighten my teeth and work out problems like cracks in my teeth and help me stop grinding at night.” Lisa didn’t understand that the spacing issues she had were causing her crowding until we started analyzing things.

The process took longer than she was initially expecting, but she understood that her clenching was slowing things down so she worked hard to do her exercises. In the end, she is happy with how everything looks and the outcome. “It looks good!” She really is hoping to slow down any new cracks from forming on her teeth. In talking with anyone considering similar treatment, Lisa would tell them to talk to Dr. Elizabeth because this too may be an option for you and it is definitely a better alternative to brackets!

Why Choose Eggert Family Dentistry for Your Child’s Dental Care

By: Dr. Elizabeth Eggert

When it comes to your child’s dental health, choosing the right dentist is crucial. At Eggert Family Dentistry in North Oaks, MN, Dr. Jeff Eggert and Dr. Elizabeth Eggert provide comprehensive dental care tailored for the entire family, including children. With our extensive experience and a deep understanding of dental health from infancy through adulthood, we offer a comforting and thorough approach to pediatric dental care in addition to adolescent and adult care. Our practice is equipped with the latest technology and designed to create a welcoming environment for young patients, ensuring that your child feels at ease during every visit.

One of the key advantages of bringing your child to Dr. Jeff and Dr. Elizabeth Eggert is our ability to monitor your child’s growth and development from an early age. Unlike pediatric dentists who might be well versed to take care of extensive childhood decay in a hospital setting, since they focus solely on children, they don’t always have the perspective of what happens in adulthood if some disorders are left untreated. The Eggert’s bring a family-focused perspective that allows us to see the bigger picture of your child’s dental health in the context of the entire family’s oral care and development. By having your child visit the same dentist from a young age, you can ensure that their development is continuously monitored, and any potential issues are identified and addressed promptly.

Parents often face the dilemma of choosing between a general family dentist and a pediatric specialist for their children. While pediatric dentists have specialized training in child-specific dental issues, especially when related to severe decay on primary teeth, Dr. Jeff and Dr. Elizabeth Eggert’s broad expertise means they can provide high-quality care that meets the needs of your entire family. We are happy to start seeing your child before the age of 1 years old, but for children over the age of 8, it is especially beneficial for them to see Dr. Jeff and Dr. Elizabeth because this is a crucial time for growth and it allows for a consistent approach to dental health. We can track developmental milestones and intervene early if necessary. This continuity of care can lead to better long-term dental health outcomes for your child.

Moreover, our practice is designed to make dental visits a positive experience for children. We use child-friendly language and techniques to help young patients understand the importance of dental hygiene without feeling intimidated. The warm and inviting atmosphere at Eggert Family Dentistry, combined with our gentle approach, helps in building a positive relationship with dental care from an early age. Choosing Dr. Jeff and Dr. Elizabeth Eggert at Eggert Family Dentistry ensures that your child receives personalized, attentive care that will set the foundation for a lifetime of healthy smiles. Call us today at 651-482-8412 to schedule your child’s next dental visit!

The Impact of Healthy Childhood Habits on Airway and Oral Health

By: Dr. Elizabeth Eggert

In many ways, the stage for lifelong health is set in childhood. Often overlooked amid the busyness of parenting, mouth-breathing can affect your child’s airway and oral health and affect their quality of life. As a parent, you are your child’s biggest advocate. That’s why we want to take some time to educate you on the topic of airway and oral health, including signs to watch for and what you can do if you suspect your child’s airway is compromised.

Contributing factors that affect airway and oral health

While it may be necessary during allergy season or when fighting a head cold, long-term mouth-breathing will result in airway issues or sleep-disordered breathing.

Certain malformations such as crooked, misaligned teeth, improper jaw alignment, a narrow palate, and abnormalities of the head or skull can also make nasal breathing difficult. Children who deal with these challenges often unknowingly default to mouth-breathing. Interestingly, sometimes it’s a matter of what comes first – the chicken or the egg, because in children who mouth breathe, their development will occur in a more vertical pattern, resulting in the malformations noted above. This also makes things more difficult the longer we wait for intervention.

When your child breathes through their nose, their body filters toxins and debris through the nose’s cilia. Nasal breathing also helps the body produce nitric oxide, which makes it easier for the lungs to absorb oxygen. Plus, nasal breathing warms and humidifies the air in the nasal cavity, keeping the tonsils and adenoids moist and healthy.

Mouth-breathing, on the other hand, dries out tonsils and adenoids, making them irritated and inflamed and exacerbating breathing issues. A dry airway is also more prone to collapsing, and will cause childhood sleep apnea.

Additionally, mouth-breathing deprives your child of oxygen by up to 20% and increases CO2 levels in their blood.

Over time, stressors resulting from mouth-breathing can even lead to hypertension, heart disease, diabetes, lung malfunction, and enlargement of the right ventricle of the heart.

How do I know if my child is a mouth-breather or dealing with an airway obstruction?

When a child is mouth-breathing, their mouth is drier and doesn’t have adequate saliva to protect their teeth and gums against damaging bacteria. The increased presence of bacteria often results in more plaque, tooth decay, and gum disease. Generally, if the lips are apart, breathing is occurring through the mouth instead of through the nose.

Some additional signs that your child may be mouth-breathing as opposed to nasal breathing include:Snoring
Poor speech
Halitosis
Dry lips
Bedwetting
Fatigue/dark circles under the eyes
Insomnia
Brain fog
Academic struggles
ADHD symptoms
Forward head posture (bent neck)
Sleeping with their neck extended

The role of healthy childhood habits on airway and oral health

Fortunately, as a parent, you’re not a helpless bystander when it comes to detecting airway issues in your child…or when it comes to helping prevent them. There are many healthy habits you can help your child develop that will decrease their risk.

If you notice your child mouth-breathing, encourage them to breathe through their nose instead. Sometimes, children continue to mouth-breathe long after a cold or allergies have subsided. Consider teaching your child relaxing nasal breathing techniques they can practice during the day and while they’re falling asleep at night. Always think “tongue up, lips sealed, breath goes in through the nose.”

Encourage your child to eat healthy and stay hydrated. Healthy food is an important part of keeping your child’s immune system strong. Proper hydration ensures adequate saliva production, which keeps your child’s oral biome healthy.

Make sure your child gets plenty of sleep. Just like healthy food, good sleep helps strengthen weak immune systems and keeps healthy immune systems strong!

Make sure your child stays active. Physical activity strengthens the respiratory system.

Encourage your child to brush and floss their teeth every day. It reduces the buildup of bacteria in your child’s mouth that could irritate their airways.

The importance of regular recare visits

Last but certainly not least, perhaps the most important thing you can do to help your child prevent airway issues and ensuing long-term health issues is to schedule regular recare visits at Eggert Family Dentistry! We recommend starting your child’s recare visits before their first birthday! Our recare visits are thorough! We go above and beyond simply looking for cavities and cleaning your child’s teeth. In addition to cavities, we look for various dental problems that can be linked to airway issues or sleep-disordered breathing. These dental problems include:

Bruxism
Functional tooth wear and fractures
Erosive tooth wear
TMD/myofascial pain
Malocclusion, especially anterior open bite and crossbite
Facial development
Periodontal disease
Abfractions
Impacted teeth
Orthodontic or orthognathic relapse

If Dr. Elizabeth Eggert or Dr. Jeff Eggert is suspicious your child is struggling with airway issues or sleep-disordered breathing, they may suggest a myobrace appliance, which is kind of like a mouthguard, to correct their bite and facilitate nasal breathing. In some cases, they will refer your child to an ENT.

Being proactive is key. When you partner with Dr. Elizabeth Eggert or Dr. Jeff Eggert for your child’s dental care, they help your child grow up healthier and have an optimal quality of life. At Eggert Family Dentistry, we recognize that airway and oral health are critical for lifelong physical health and self-esteem and set your child up for academic and athletic success throughout childhood, adolescence, and adulthood. Call us today at 651.482.8412 to set up your child’s next recare visit in our office!

Want to learn more?

If you’re interested in the connection between dental problems and airway issues, we highly recommend these books:

Sleep Interrupted by Steven Park, MD
The Chronic Cough Enigma by Dr. Jamie Koufman
No More Allergies, Asthma or Sinus Infections by Dr. Lori Jones
Close Your Mouth by Patrick McKeown
The Oxygen Advantage by Patrick McKeown

“Say Cheese!” – Composite Bonding and Veneers – Grace and Abigail’s Stories

By: Dr. Elizabeth Eggert

What happens when you are young, undergoing orthodontics, and there is what we call a “space/size discrepancy?” A “space/size discrepancy” is when teeth are narrower than the space your tongue and muscles need to function properly. When this occurs, it usually is best to allow your tongue to have the space, otherwise the teeth will move later and orthodontic relapse is guaranteed. What this means, however, is due to the narrow shape of the teeth, spaces between the teeth will be present. Luckily, Dr. Jeff Eggert and Dr. Elizabeth Eggert of North Oaks, MN have great solutions for this situation. Generally, we need to change the shape of the teeth with restorations and close these spaces. With young patients, due to expected changes in growth and development over time, we often recommend composite bonding, also known as composite veneers. This procedure allows for the perfect smile. This month, we share two patient stories – Grace and Abigail. Both of these lovely young ladies found themselves in this situation, with spaces between teeth after orthodontics due to a “space/size discrepancy.” With composite veneers done by Dr. Elizabeth, they now have the confidence they need when it’s time to “Say Cheese!”

How did this start? – Grace

Grace came to us already in the middle of her orthodontic treatment. She had been going to the pediatric clinic and her orthodontist, Dr. DeVoe, informed her and her family that she would have spaces present between her teeth after orthodontics. They were told that the pediatric dentist wasn’t prepared to handle this situation and through friends found Dr. Elizabeth. Her first appointment with Dr. Elizabeth was to verify her current status. Dr. Elizabeth suggested a few movement tweaks she wanted from Dr. DeVoe before the braces came off. Dr. Elizabeth then confirmed tooth positions and the braces were ready to come off.

What did she want?

Grace had spacing around her upper lateral incisors due to the narrow shape of her laterals. While spaces like this don’t have a negative impact on your oral health, they can affect confidence and speech. Grace wanted her teeth to be fuller and the spaces closed. She also noticed that her gum tissue was very thick and “bulbous” in the area of the spaces when the braces came off and she was hoping this could be fixed as well. Finally, Grace wondered about the color of her teeth, noting that she was hoping her teeth could be brighter.

What was involved?

The first thing to address was the gum tissue. Dr. Elizabeth suggested that Grace use a rubber-tip tool to stimulate her gums for a few weeks. The extra gum stimulation allowed Grace’s thick gum tissue to heal and shrink. Grace was dedicated to using her rubber-tip tool and the results were beautiful and healthy gum tissue. Alternatively, a laser procedure could have been done for the gum tissue, but this was not needed for Grace!

To help Grace and her family visualize the end result, Dr. Elizabeth did a mock-up of what restorations for the front four teeth would look like and she was able to simulate this scenario in Grace’s mouth before moving to final restorations. Dr. Elizabeth did a couple of simulations looking at what Grace’s tooth shape and size would be if restorations were only done for the lateral incisors vs having restorations placed on the front four teeth. Being able to share spacing with 4 teeth instead of only 2 allowed Dr. Elizabeth not only to create more natural tooth width proportions, but also allowed her to increase the length of Grace’s central incisors a little as well. Because Grace is still a teenager and will be moving into adulthood, Dr. Elizabeth recommended composite veneers at this time and discussed with her that she will likely want to move to porcelain veneers sometime in her life.

Grace started bleaching using over-the-counter white strips and shortly after the mock-up appointment, Grace and her mom returned for a two-hour procedure and in that short amount of time, Dr. Elizabeth bonded composite resin material to Graces front 4 teeth to change the tooth size and shape. Like the mock-up, the composite filled in the gaps as well as lengthened Grace’s central incisors.

What does Grace think?

Grace was very pleased with her results. “It went really well – and even better than I expected! It was really worth it. Also, it didn’t hurt at all!” Grace was able to undergo the procedure without getting numb so she was very excited not to have to get a “dredded shot.” Grace notes that she would tell her friends underoing a similar procedure not to worry at all, it goes really smoothly.

How did this start? – Abigail

Abigail’s parents have been long-time patients of Dr. Elizabeth, but Abigail didn’t become a patient until the fall of 2017 as she had been going to the pediatric clinic. She was interested in getting braces on and had questions about the gaps in her front teeth. Dr. Elizabeth referred Abigail to Dr. Wahl, another local orthodontist for a consultation. Abigail noted that she noticed herself clenching and grinding her teeth. She also had a history of some speech issues because she was born with a tight connection of her tongue to the floor of her mouth. This is also known as ankyloglossia, or tongue-tied. What does a tongue-tie do to your teeth? Most often, we see patients with untreated tongue and lip ties needing braces to properly align crowded, crooked teeth caused by a narrow palate. Since the tongue is held so tightly to the floor of the mouth, it often can’t rest at the roof of the mouth and development and speech are affected.

What did she want?

Even after orthodontics, Dr. Wahl was not able to close the spaces between Abigail’s front four teeth because of her “space/size discrepancy.” Abigail has undersized laterals as well as narrow central incisors and forward swallowing forces due to her tongue limitations. Abigail preferred to have the spaces closed, however, to help improve her esthetics. Orthodontics was able to improve her overall bite, as well as perfect the tooth positions before addressing the spacing with restorations. Improving her bite excited Abigail because she had a fair amount of jaw pain and occasionally she noticed that her jaw would lock up on her.

What was involved?

Once Dr. Wahl completed orthodontics, Dr. Elizabeth helped Abigail and her family visualize what was possible with restorations. Abigail and her parents weren’t sure they were ready to commit to 4 restorations, worrying about being conservative, as well as the overall investment. Abigail also noted that “having smaller teeth is part of my identity.” Dr. Elizabeth was concerned that by only addressing two teeth with restorations, that the lateral incisors would look wide and out-of-proportion. She was also worried that by doing no restorations, Abigail’s teeth would continue to move over time, shifting to positions out of ideal function. Dr. Elizabeth suspected that this would cause Abigail’s jaw pain and jaw locking to return. Therefore, Dr. Elizabeth waxed up and simulated both restoration options. She did a simulation for 2 teeth only on Abigail’s left side and a simulation for 4 teeth on Abigail’s right side. After some contemplation, Abigail and her family agreed that the spacing for only 2 restorations was not preferred and they agreed to complete 4 composite veneers. Composite (resin) veneers can be used to correct gapped, chipped, poorly shaped, and stained teeth. They can be created chairside and can often be placed in as little as one visit.

Abigail is known to breathe more through her mouth, this creates more plaque on the teeth, therefore, it is important to be especially diligent with brushing and flossing. Dr. Elizabeth reminded Abigail of this throughout treatment because this will also help her future restorations be more successful. The presence of plaque can lead to compromised esthetics, bonding, and overall outcome. Abigail also still had to work hard on her tongue position to help keep her teeth from moving. Abigail was great about doing tongue exercises with her speech therapist.

When she was ready, Abigail returned for a two-hour procedure and in that short amount of time, Dr. Elizabeth bonded composite resin material to Abigail’s front 4 teeth to change the tooth size and shape. Like the mock-up, the composite filled in Abigail’s spacing. Abigail did not do any bleaching before her composite veneer procedure, but she did want to go just slightly lighter with the shade for her restorations. Also, the decision to move to 4 composite veneers was made after Abigail’s orthodontics had already come off. If possible, Dr. Elizabeth would have liked a little more tooth movement to help Abigail’s central incisor gingival positions be more level.

What does Abigail think?

Abigail is very pleased with her results. She wasn’t really sure what she was getting herself into and was afraid that it was going to hurt. But, in the end, she says “I am glad I did it and I would recommend it, my bite feels so much better and I am glad the veneers can help it stay that way.” It’s so rewarding when we cannot only help people get out of pain, but when we can help create that winning smile while doing so!

Congratulations Grace and Abigail – you both look magnificent! Thank you for putting your trust in us! It’s always our pleasure to work with you!

“Invisalign Has Been Really Nice!” – Ashley’s Story

By: Dr. Elizabeth Eggert

Where did Ashley start?

Ashley came to Eggert Family Dentistry as a new patient in the fall of 2016 with pain in the areas of her wisdom teeth, also known as 3^rd molars. The panoramic image shown below shows the need to have her wisdom teeth extracted due to the impacted angle and their inability to erupt on their own. They were also putting a lot of pressure on her erupted second molars. With the impaction, Ashley’s teeth were also becoming more crowded, which she didn’t like. Dr. Jeff referred Ashley to an oral surgeon to have her wisdom teeth extracted and that took care of one problem.

Ashley was also experiencing tissue recession, mostly due to the crowding and current position of her teeth. One option Dr. Jeff discussed with Ashley was the possibility for gingival grafting (gum-tissue grafting). In a grafting procedure, tissue is added to the root surface to cover the root back up again and increase gingival height and thickness. For Ashley, this may have worked, however, due to her crowding, the ability for the graft to last a lifetime was very unlikely. Therefore, Dr. Jeff suggested Ashley consider orthodontically moving her teeth. Ashely was most interested in Invisalign and had read about it from our blogs, learning that we do that procedure here at Eggert Family Dentistry in North Oaks, MN with Dr. Elizabeth Eggert. Dr. Elizabeth met with Ashley and determined she would be a great candidate for Invisalign!

What was involved?

Ashley went through the “Invisalign Records Process.” At that time, we took impressions and photos of her teeth and sent them to Invisalign so they could create a 3D simulation of how her teeth could move with Invisalign treatment. Ashley was very happy with the simulation, which showed a significant improvement to her crowding.

During the Invisalign Records Process, Dr. Elizabeth also noted with Ashely a fair amount of muscle tension and while Ashley didn’t initially report having frequent headaches, throughout treatment, she noticed a difference in her tension and that she no longer was having headaches. It is amazing how people learn to live with what ails them, but how much better they can feel working their way to healthy!

Ashley’s case was expected to consist of 28 aligners that she would wear 22 hours a day. Ashley’s case called for a few “buttons,” which are attachments on the teeth. Basically, these small buttons allow the Invisalign aligners to grip onto your teeth more effectively (similar to a traditional orthodontic metal bracket). These attachments help move the teeth more effectively. Ashley was very compliant and consistent in wearing her aligners as instructed and was able to complete her case after the expected 28 aligners, needing no refinements!

What does Ashley think?

When we asked Ashley what she thought about the Invisalign process, she said her only thought is that it was more appealing than getting traditional braces. “It’s been really nice! It has reduced my headaches and that was the biggest thing, and it has reduced the crowding too.” She says that if she were discussing Invisalign with someone considering the treatment she would tell them, “It’s definitely worth it. Don’t get discouraged the first few weeks; it gets better. It may be uncomfortable at first, but it gets much better.”

We are so happy that we could help Ashley on her journey and fulfill our motto of providing “Dentistry for a Lifetime of Smiles!” Congratulations, Ashley on your wonderful results!

Eggert Family Dentistry: Supporting Future Leaders with Scholarships

By: Dr. Elizabeth Eggert

For nearly 20 years, Eggert Family Dentistry in North Oaks, MN, has proudly supported the aspirations of high school seniors through their dedicated scholarship program. This initiative reflects Dr. Elizabeth Eggert and Dr. Jeff Eggert’s commitment to investing in the future of their community. The scholarship program has evolved over the years, but its core mission remains the same: to recognize and reward deserving students for their hard work, achievements, and potential, especially those interested in a career in dentistry. Dr. Elizabeth and Dr. Jeff are still very thankful for the scholarships they received for college and dental school and therefore, they have made it their mission to “pay it forward” by supporting current high school students.

The scholarship program at Eggert Family Dentistry has grown significantly since its inception. Initially focused on a small group of candidates, the program now invites nominations from the entire community, aiming to reach a broader pool of talented students. Each year, the Eggert’s carefully review submissions to select one or two outstanding seniors who have demonstrated exceptional academic performance, community involvement, and a clear vision for their future. This comprehensive approach ensures that the scholarships are awarded to truly deserving individuals who are poised to make a positive impact in their chosen fields.

This year, Eggert Family Dentistry is excited to announce that they are still accepting applications for their 2024 scholarships until June 1, 2024. If you know a high school senior who exemplifies excellence and dedication, now is the time to nominate them. To submit a nomination, simply prepare a one-page summary detailing why this student deserves the scholarship. Include information about their high school accomplishments, future plans, and any relevant achievements. While the Eggert’s want to foster and nurture those considering a career in dentistry and therefore have a preference for students entering the dental field, they welcome and consider all nominations.

To nominate a deserving senior, email your submission to info@eggertfamilydentistry.com. The scholarship recipients will be announced at the end of the school year, providing an inspiring conclusion to their high school journey and a strong start to their future endeavors. The continuous acceptance of nominations throughout the year ensures that every deserving student has an opportunity to be considered.

For more information about the Eggert Family Dentistry scholarship program and its evolution over the years, please visit the Scholarship Winners scholarship page on their website. Dr. Elizabeth and Dr. Jeff Eggert are passionate about supporting young leaders and are honored to contribute to their educational journeys. Your nomination could help a talented senior achieve their dreams, fostering the next generation of professionals and community leaders. Don’t miss this chance to make a difference in a young person’s life—submit your nomination today! Call our office with questions, 651-482-8412.