Your Top Dental Implant Questions, Answered

By: Dr. Elizabeth Eggert

Dental implants are becoming one of the most common dental procedures. At Eggert Family Dentistry we are working with our patients to replace missing teeth with dental implants nearly every week. If you’re missing teeth, implants help restore your smile long-term. Most of our patients have a lot of questions about this procedure. Here are some of the questions we hear most frequently.

1. What are dental implants?
Dental implants are medical-grade titanium posts that are placed in the upper or lower jaw by an oral surgeon or periodontist. Implants provide an anchor for replacement teeth. They are very strong. Once implanted, new bone fuses with the device, holding it in place. This process is called osseointegration. Sometimes, dentists can install replacement teeth immediately after placing dental implants. Other implants require osseointegration to be complete before replacement teeth can be installed. This can take up to several months.

2. Who is a candidate for dental implants?
Patients who are missing one or more teeth are likely good candidates for dental implants. Replacing missing teeth can help improve speech, chewing, and mouth comfort. Most patients also enjoy higher confidence and a radiant, complete smile.

3. Will my body reject a dental implant?
The materials used to construct a dental implant are compatible with the human body. It is rare that a patient’s body rejects a dental implant. In most of these cases, the patient is allergic to titanium (which is very rare) or the patient is severely immunocompromised.

Sometimes, a patient’s body will reject a dental implant due to inadequate oral hygiene and care post-surgery. Replacement teeth require the same care as our natural teeth. Regular brushing, flossing, and recare visits will greatly reduce the chance that your dental implants would fail.

Also, occasionally, a bone graft is needed in order to get enough anchorage into the bone by the dental implant. In rare instances, there can be complications with the graft material.

4. How long do dental implants last?
Dental implants can last decades with the proper care. This includes following good oral hygiene habits such as regular brushing, flossing, and preventative care visits to Eggert Family Dentistry. We’ve had patients whose dental implants have lasted the rest of their lifetimes.

5. Will people notice I have dental implants?
Nope! It’s possible you may not even be able to tell which of your teeth are natural and which are the replacement. We design each replacement tooth to match the shape and color of your surrounding teeth so it fits seamlessly with your smile. The only time you’ll see it is on your annual x-rays.

6. What can I expect during my dental implant surgery?
If you’re getting a single implant, the surgery will likely take 30 to 45 minutes. Placing multiple implants can take more time. Once the surgeon places the implant, either a temporary crown or an implant cover is most often placed as it heals and integrates into the body. Most people only need over-the-counter pain medications after implant surgery, if that.

7. How much do dental implants cost?
Dental implants do require an investment. A single implant can cost between $3,000 and $5,000. But remember, they last for decades and can improve your quality of life immensely. Plus, failing to treat the cause of why your tooth is missing in the first place can be much more expensive over the years than fixing the problem now.

8. Will my dental insurance cover the cost of dental implants?
It depends. Some dental insurance carriers will cover at least some of the cost or some of the components of your dental implants. . If you’re considering dental implants, we’ll help you understand what your insurance may or may not cover.

We’d love the opportunity to talk with you further about dental implants and determine if you’re a good candidate. Contact Eggert Family Dentistry today to schedule your consultation with Dr. Elizabeth or Dr. Jeff.

TMJ and Its Link to Headaches and Sleep Apnea

By: Dr. Elizabeth Eggert

Most everyone suffers from throbbing headaches at some point in their lives. But when headaches are chronic, it’s a cause for concern. Also, most everyone has now heard of sleep apnea, a serious condition in which the body pauses breathing or takes shallow, short breaths while sleeping, but is there a link between the two?

These conditions may seem unrelated, but new research has found a connection between chronic headaches and sleep apnea and TMJ disorder. The TMJ, or temporomandibular joint, connects your upper and lower jaws. When it is properly aligned, it works silently and seamlessly. When it’s not, it causes pain, soreness, and an off-center bite. People with severe TMJ disorder have trouble sleeping and can even experience lockjaw. Now, studies show TMJ disorder can cause more serious health concerns, too.

The Link between TMJ Disorder and Headaches
When the TMJ is not working properly, the muscles that stabilize the joint work overtime to support it. These muscles get fatigued, which leads to pain. If untreated, this pain can radiate from the jaw to the temples, back of the head, and down the neck, causing headaches. Sometimes this pain is subtle—maybe you feel a little foggy or have trouble concentrating. Other times, TMJ disorder can cause throbbing headaches or even migraines that are impossible to ignore.

The Link between TMJ Disorder and Sleep Apnea
Since the temporomandibular joint is so close to the sinuses and airways, TMJ disorder can affect breathing. A misaligned TMJ can cause improper tongue position that blocks the airway during sleep. A recent study of people with TMJ disorder found 75 percent of participants experienced sleep-disordered breathing (SDB).

Diagnosing TMJ Disorder
Most TMJ disorder patients we diagnose complain about soreness along their jawline, feeling a clicking or popping sensation when they open and close their jaws, headaches, and trouble sleeping. To help get you the right treatment, we look for the following symptoms:

  • Clicking and popping in the temporomandibular joint
  • Malalignment of the teeth and bite
  • Pain in your forehead, temples, neck, and back of the head
  • Head posture, especially where the head is in front of the shoulders rather than centered over the shoulders
  • Evidence of grinding teeth or clenching the jaw during the day or while sleeping
  • Snoring during sleep
  • Restless sleep

How to Treat TMJ Disorder and Prevent Headaches and Sleep Apnea
Once we’ve diagnosed you with TMJ disorder, we’ll discuss your options for treating it. Many patients benefit from an oral appliance, also known as a splint. There are different ways we design splints, but typically these devices are custom-made for you. When worn, they keep your bite in a better position and more comfortable alignment. They also protect your teeth from grinding and clenching. Essentially, they give your jaw muscles a break.

Some patients can eliminate headaches and sleep apnea symptoms by wearing an oral appliance. With a properly aligned jaw, the tongue can rest in a more natural position, clearing the airway. But if an appliance alleviates TMJ pain without solving your sleep apnea, we often have to delve in deeper, sometimes working through different trial splints before we know which is the best for you. We also most likely would work with your sleep and general doctor to make sure we are getting your apnea or other sleep disordered breathing under control.

If you’re experiencing jaw pain, headaches, or troubling sleeping, schedule a consultation with Eggert Family Dentistry. We’ll determine if you’re suffering from TMJ disorder or possibly sleep issues and recommend treatment to alleviate it.

A Brighter, More Even Smile – Julie’s Story

By: Dr. Elizabeth Eggert

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

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

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

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

When Do I Start Brushing My Baby’s Teeth and Gums?

By: Dr. Elizabeth Eggert

Baby teeth are more than just placeholders for your child’s adult teeth. They help young children chew and even speak clearly. Taking good care of your child’s baby teeth lays a healthy, strong foundation for their permanent teeth, too.

Gum Care Starts at Birth
You can start building healthy oral health habits as soon as your little one arrives. Wipe down your newborn or infant’s gums twice a day, preferably just after feeding. Use a soft, moistened washcloth or a bit of damp gauze.

When It’s Time for the Toothbrush
When your child’s first tooth appears, it’s time for the toothbrush. Choose one with soft bristles and a large handle. The bristles and head will be comfortable for your baby, while the large handle is easier for you to handle.

Parents often ask us if it’s okay to use toothpaste for their young children’s new teeth. We recommend just using water at first, and then introduce fluoride-free toothpaste around age 1. When your child can adequately spit into the sink, it is time to start using fluoride toothpaste, generally using the standard pea-sized amount.

Another question we get is when it’s okay to have your kids start brushing their own teeth. If your child can hold their brush themselves, they can start brushing their own teeth—with your supervision, of course! This means mom or dad should ALWAYS follow up the brushing, looking for and pointing out any areas that were missed, especially in the far back. Children really don’t have the dexterity and understanding to fully brush completely alone until age 8-10.

Why Good Oral Care Matters for Kids
Can wiping down your newborn’s gums and brushing your child’s single baby tooth really make that much of a difference? Yes. Baby teeth are susceptible to tooth decay just like permanent teeth are. Brown or white spots on baby teeth, pits in baby teeth, cavities, and other signs of decay can be painful for your child and prevent them from chewing properly.

To prevent tooth decay in young children, we suggest you stick to breast milk, formula, and water before 6 months. After your child is eating solid foods, continue to avoid sugary drinks, including soda and juice. Never put sugar or honey on your child’s pacifier.

A Quick Word on Teething
Teething is a natural process that occurs through age 2-3, when most baby teeth have been pushed through your child’s gums. Erupting teeth can cause discomfort or even pain for your child. If your little one is drooling more than usual, has swollen gums, or a higher than normal temperature, chances are he or she is teething. Alleviate the pain with a cold washcloth or teething ring. Rubbing their gums with a clean finger can also provide relief.

We look forward to seeing your little one for their first dental appointment around their first birthday. We’ll help you build healthy habits and can give you tips on tooth care, teething, and thumb sucking. Schedule your child’s recare visit today.

How to Get a Flawless Floss

By: Dr. Elizabeth Eggert

FlossFlossing guilt. The phenomenon is real. We know flossing is important for maintaining dental health yet many of us don’t incorporate it into our daily routine. Worse yet? At regular dental checkups, according to the American Association of Periodontology, up to 25% of us stretch the truth about our flossing frequency. (As if it isn’t evident by our swollen gums from our hasty, pre-visit floss!) Let’s cut out the excuses and commit to investing daily in our dental health by taking a look at guidelines for an easy and effective floss and addressing some common questions.

HELPFUL FLOSSING POINTERS
• There are two common types of floss – nylon and monofilament. Nylon floss has a lower price point and comes in waxed and unwaxed varieties and different thicknesses and flavors. Monofilament floss, on the other hand, is a single-strand floss that doesn’t shed or tear and is typically made of plastic or rubber. You will often hear us recommend woven floss as our favorite type of floss. Woven floss is made of multiple fibers twisted together and is a very effective way to pick up significantly more plaque.

• Break off 18-24” of floss and wind it around either your middle or index fingers on both hands and secure it with each thumb.

• Don’t snap the floss into place which can be extremely painful and irritating to your gums. Instead glide the floss back-and-forth between your teeth in a sawing motion.

• As you floss, roll the dirty ends of the floss around your finger to avoid reintroducing the plaque and bacteria you’ve already removed.

• When you insert the floss between your teeth curve the floss into a “c” shape around each tooth and slide it up and down. Be sure to target the left, right and back sides of each tooth.

• Out of sight but certainly not out of mind. The back of your mouth is just as prone to plaque buildup as the rest of your mouth. Remember to floss behind the back side of your back teeth!

A FEW COMMON QUESTIONS

How about those floss forks?
According to the ADA, floss forks are not as effective as strand floss because it is much more difficult to create the C-shape and curve the floss around each tooth. Additionally, they are not environmentally friendly and cost significantly more per use than traditional floss.

When is the best time of day to floss?
The optimal time of day to floss is right before your last brushing of the day. That way your teeth have the maximum amount of time to enjoy their particle-free environment. But, like we have told many of you before, flossing anytime during the day is better than never flossing!

If you are concerned about your smile and want to ensure proper care, Eggert Family Dentistry would love to help! Please don’t hesitate to contact us with any questions you may have!

Gingivitis: An Overview & Prevention Tips

By Dr. Elizabeth Eggert

Gingivitis – inflammation of the gums – is no laughing matter. Typically caused by a bacterial infection, gingivitis is all-too-common and if left untreated can result in periodontitis and tooth loss and increase the risk of diabetes, heart disease, stroke and lung disease. Fortunately, proper care goes a long way in keeping away this unwanted guest. Here’s everything you need to know to identify, treat and ultimately prevent gingivitis.

HOW DOES IT ALL BEGIN?
Plaque, a thin layer of bacteria, forms on and between your teeth every day. This is why daily brushing and flossing is absolutely imperative. If plaque is allowed to sit on or between the teeth it will harden into tartar, or calculus, which forms a layer of protection for bacteria. With tartar as its accomplice, these bacteria can make their way below the gum line, setting up camp and infecting the gums, causing the condition we know as gingivitis.

SYMPTOMS OF GINGIVITIS
So what kind of havoc exactly does gingivitis wreak? Unfortunately the list is long, some symptoms of which include:

• swollen, tender, discolored or bleeding gums
• bad breath
• sensitive teeth
• pain when chewing
• pus within the gums
• gums that pull away from teeth
• loose teeth

HOW IS GINGIVITIS DIAGNOSED?
Dr. Jeff and Dr. Elizabeth Eggert or one of our wonderful hygienists will measure the depth of any pockets around your teeth with a small ruler. This is a good way to check for inflammation of the gums. A healthy depth is 1-3mm. We will also examine your dental x-rays to look for evidence of bone loss.

TREATMENT
Many methods of treatment exist for healing gums and teeth from the effects of gingivitis. In addition to regular brushing, flossing and mouthwash, deep periodontal cleaning with a process called scaling and root planing is an effective technique for removing tartar and the underlying bacteria that cause this gum disease. We also have the option to introduce laser energy into the gingival pocket, which has been found to be another way to kill those nasty bugs! There are also a number of effectual antibiotic medications in the form of injected gels, mouthwashes, antiseptic chips and oral antibiotics.

RISK FACTORS THAT INCREASE YOUR PROPENSITY FOR GINGIVITIS
While there are many ways to be proactive in warding off gingivitis including incorporating proper daily dental care and limiting or eliminating tobacco and alcohol consumption, there are also a number of additional risk factors that increase the likelihood of developing gum disease. Some of these risk factors include diabetes, a compromised immune system, crooked teeth, pregnancy and the intake of certain oral medications likeoral contraceptives, steroids, anticonvulsants, calcium channel blockers and chemotherapy.

PREVENTION
Daily dental care is the best defense against gingivitis. Thorough brushing with fluoride toothpaste, flossing and rinsing with mouthwash is a great start. A soft-bristled toothbrush is less irritating on the gums and just as effective as a medium or hard-bristled brush. Also, a diet rich in calcium, essential vitamins and B12 is a great way to bolster the health of your teeth and gums as well as your overall health. Last but certainly not least, regular dental recare visits, including a professional cleaning, are fundamental. Dentists and hygienists have tools to remove stubborn and hard-to-reach plaque and tartar that regular toothbrushing and flossing can’t.

If you’re concerned about your smile and want to ensure proper care, Eggert Family Dentistry would love to help! Please don’t hesitate to contact us with any questions you may have!

Quinn’s Story

By: Dr. Elizabeth Eggert

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

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

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

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

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

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

 

 

 

Stay Healthy This Holiday Season

How Oral Health and Heart Disease Are Connected

By: Dr. Elizabeth Eggert

Did you know that gum disease and heart disease may be connected? It’s true! Your oral health can indicate if other medical conditions exist long before you’re feeling unwell. Gum disease and heart disease may share an even stronger connection.

A Study of Heart Disease Studies
Recently, researchers analyzed the findings of more than 120 scientific studies. Together, they found a connection between gum disease and heart disease. But doctors still aren’t sure if this connection is direct or causal.

This wide-spread data base found gum disease as a risk factor in coronary artery disease, stroke, and diseases involving the blood vessels and arteries. One study found a direct link between gum disease and clogged arteries in the legs.

But despite the findings, there still isn’t a consensus on whether or not gum disease increases your risk for heart disease. What doctors do know is that the bacteria that causes gum disease can spread through your blood stream and into your heart. The bacteria can cause damage and inflammation within the heart. People with gingivitis or advanced periodontal disease are more likely to have heart disease, too.

Gum Disease Symptoms
While doctors may not be certain of a direct link between gum disease and heart disease, we recommend patients don’t use that as an excuse to ignore their gum health. Red, swollen and sore gums that bleed when you floss, brush, or eat are signs of gum disease. So are recessed gums, bad breath, and loose teeth. If you’re experiencing these symptoms, please contact Eggert Family Dentistry to schedule a consultation.

Preventing Gum Disease
Fortunately, preventing gum disease is easy. Brush your teeth twice a day and floss daily as well. And if you smoke, stop. Visit us at least twice a year for your recare checkup. Feel free to ask us about the link between heart disease and gum disease during your checkup. Also let us know if you already have heart disease. We’ll take extra care to evaluate your gum health and recommend appropriate treatment.

Ready to discover if your gums are in good shape or may be indicating underlying health issues? Schedule your recare appointment with Eggert Family Dentistry today.

 

‘Tis the season for choosing just the right gift!

We have received a number of emails, calls and questions from patients about Waterpiks. Waterpiks can make wonderful gifts.

Waterpiks are effective at forcing food particles and flushing bacteria out from in between the teeth and below the gums where floss can’t always reach, the surge of the water is an excellent source of stimulation as well. All of these things aid in healthier gums. Waterpiks cannot take the place of flossing, however, because floss mechanically removes plaque off the sides of the teeth and slides through the contacts between the teeth, a very important action needed to help prevent cavities.

If you have any compromises that don’t allow you to floss like braces or health or dexterity limitations, then the Waterpik can be a very helpful oral hygiene tool. Beware though, They can be messy and just like flossing they do take practice to be successful.

We recommend, floss to loosen plaque and then use the Waterpik to flush away loose plaque & food debris, followed by brushing with a fluoride toothpaste.

So by all means add a Waterpik to your daily routine , Santa knows just where to find one!

Teen Nutrition Tips for a Healthy Mouth and Body

By: Dr. Elizabeth Eggert

Have you noticed how busy teens are today? In addition to school and a few hours of homework every night, they’ve got soccer practice, dance lessons, and marching band. On weekends, the stress continues with all-day tournaments and a packed social calendar. While being so on-the-go, it’s easy to see how good eating and oral health habits get pushed down the priority list. We’ve definitely seen it with our own teenage boys Peter and Luke!

But building a healthy mouth and body during adolescence is one of your teenager’s most important jobs. The habits they build now will last long into adulthood. That’s why Dr. Elizabeth and Dr. Jeff encourage their teen patients to take the time to slow down, make healthy eating choices, get enough sleep, and of course carve out time at the beginning and end of their days to brush and floss.

Here are a few healthy tips to share with your teen.

You Are What You Eat (and So Is Your Mouth)

Food is the fuel our body uses to build muscle, grow healthy bones, and help the brain to function optimally. Your mouth is ground zero for the food you eat. If that food is high in sugar and very acidic, it wreaks havoc on your teeth and gums. It’s not that great for the rest of your body, either, since sugary foods provide little or no nutrition.

The great news is that the foods that are healthy for your teeth and gums are also healthy for your entire body. Whole foods rich with fiber and protein provide excellent nutrition without leaving sugars behind on your teeth. Drinking lots of water helps your brain and body stay hydrated and working efficiently. It also helps wash away any food left in your mouth after eating.

Take the Time to Eat Breakfast and Brush and Floss Your Teeth

Think about it—when you get up in the morning, your body has not eaten for hours! It needs fuel to wake up and get moving. Fiber and protein-rich breakfasts provide great nutrition and keep you feeling full all morning. Try a breakfast burrito or egg sandwich on a whole-grain English muffin.

Morning breath is usually enough of a motivator to brush your teeth in the morning. But after a full day of school, homework, and practice, it’s tempting to collapse into bed without brushing and flossing.

Think about it—all the sugar and food particles from the entire day will sit in your mouth for hours if you don’t brush and floss! All that sugar is a feast for bacteria that causes tooth decay. Yikes!

We encourage our teen patients to create and stick to a bedtime brushing and flossing habit. It only takes a few minutes and goes a long way toward maintaining a healthy mouth. Dr. Elizabeth or Dr. Jeff may also recommend sealants to support your good habits. Sealants fill in the grooves in the top of your back teeth. These areas are hard to clean and are prone to decay. Sealants help make your job a lot easier.

Has it been awhile since you’ve seen us? Schedule your recare appointment with Dr. Elizabeth or Dr. Jeff today.