Eggert Family Dentistry Blog

Seattle Protocol Therapy – Molly’s Story

By: Dr. Elizabeth Eggert

How did this start?

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

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

What did Molly want?

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

What was involved?

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

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

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

What does Molly think now?

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

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

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

“The entire team is amazing!”

How Mandibular Advancement Appliances Can Improve Oral Health

By: Dr. Elizabeth Eggert

When you’re diagnosed with obstructive sleep apnea (OSA), your doctor may first prescribe CPAP therapy — you know, the face or nose mask attached to a machine that you have to wear at night. However, while CPAP therapy is extremely effective, many people can’t tolerate sleeping with it on every single night.

That’s why oral sleep appliances -– also known as mandibular advancement appliances — are also used to treat sleep apnea. In fact, they have an 80% compliance rate over the CPAP’s 40%.

We fit mandibular advancement appliances at Eggert Family Dentistry and have been able to help many people with OSA improve their sleep, oral health, and overall quality of life.

What is a Mandibular Advancement Appliance?

A mandibular advancement appliance (MAA) is a device that can be custom-fitted to a person’s mouth, and works by temporarily moving the jaw and tongue forward. This adjustment reduces throat constriction and opens up the airways, effectively preventing snoring and sleep apnea.

Benefits of Using a Mandibular Advancement Appliance

You probably already know that sleep apnea causes a myriad of health issues, most notably cardiovascular problems. But did you know that your sleep apnea also wreaks havoc on your dental health? People with sleep apnea also are more likely to experience TMD, bruxism, and dry mouth. Luckily MAAs can reduce and relieve each of these symptoms.

1. Relief from Tooth Grinding and Clenching

Many people who suffer from sleep-disordered breathing also grind their teeth or clench their jaw during sleep. This can lead to a host of dental problems, including tooth sensitivity, worn-down enamel, and even tooth fractures. MAAs can help alleviate these issues by positioning the lower jaw in a more forward position, which reduces the likelihood of grinding or clenching. The thought is that since the body can breathe better, the jaw doesn’t have to move around, trying to find the best position for air exchange.

2. Reducing Dry Mouth

People with OSA often sleep with their mouth open in an attempt to get more oxygen, which leads to dry mouth. Because saliva plays an important role in reducing the amount of plaque on your teeth, dry mouth can cause or accelerate tooth decay. Using an MAA will open up the airway and improve breathing, which will reduce the need to breathe through the mouth during sleep. This will reduce all dry mouth symptoms and keep tooth decay under better control by maintaining the proper amount of saliva in your mouth.

3. Reducing the Risk of Gum Disease

Gum disease is a common oral health problem that can lead to tooth loss if left untreated. People with sleep-disordered breathing are at an increased risk of developing gum disease, as the reduced oxygen flow to the gums can make them more susceptible to infection. By improving breathing and oxygen flow, MAAs can help reduce the risk of gum disease and promote overall oral health.

4. Improving Overall Sleep Quality and Quality of Life

Finally, the most important benefit of using an MAA is improved sleep quality, which can have a positive impact on your quality of life in general. Poor sleep quality has been linked to a range of health problems, and by improving breathing and reducing sleep disturbances, MAAs can help promote your overall health and wellbeing.

Want Better Sleep, Healthier Teeth, and a Higher Quality of Life?

If you have sleep apnea and would like to be fitted for a mandibular advancement appliance, Dr. Jeff Eggert or Dr. Elizabeth Eggert can help! After hearing from your medical doctor and doing an assessment of your bite, we can custom-design your device by taking impressions or digital scans of your mouth. Once the device is ready, we’ll ask you to come into our office for a fitting so we can make sure it’s comfortable and effective. Contact us or call us at 651-482-8412 today to schedule your mandibular advancement device consultation!

Sleep Apnea Treatments: Mandibular Advancement Appliances vs. Traditional CPAP Therapy

By: Dr. Elizabeth Eggert

Obstructive sleep apnea (OSA) is a common sleep disorder that affects 18 million people around the world. It is characterized by pauses in breathing during sleep, which can lead to snoring, daytime sleepiness, and other health problems.

There are several treatment options available for sleep apnea, but two of the most popular are Mandibular Advancement Appliances (MAAs) and Continuous Positive Airway Pressure (CPAP) therapy. While both of these treatments can be effective, they work in different ways and have different benefits.

Let’s explore the differences between MAAs and CPAP therapy and help you determine which treatment option may be best for your individual needs.

Sleep Apnea Treatment Options

First, let’s take a look at all of the treatment options that patients are given when first diagnosed with OSA:

Lifestyle changes: Losing weight, quitting smoking, avoiding alcohol and sedatives, and sleeping on your side may be recommended to improve sleep apnea symptoms.
Oral appliance therapy: This involves wearing a mouthguard-like device (like an MAA) that helps to reposition the tongue and jaw to keep the airway open during sleep.
Continuous Positive Airway Pressure (CPAP) therapy: CPAP therapy involves wearing a mask at night that is attached to a machine. This machine delivers air pressure to keep the airway open during sleep.
Surgery: In some cases, surgery may be recommended to remove excess tissue in the throat or to reposition the jaw.

You and your doctor will be able to review your unique situation to determine which of these solutions is right for you.

While lifestyle changes can treat more mild cases of sleep apnea, they won’t be able to completely relieve symptoms of more severe cases. On the opposite end of the spectrum is surgery: this sleep apnea treatment is usually saved for the most severe cases of OSA.

The middle ground, then, is where Continuous Positive Airway Pressure (CPAP) therapy and Mandibular Advancement Appliances (MAAs) lie. These are the most popular treatment options among people with sleep apnea. While both treatments can be effective treatment options, they work in different ways and have different benefits.

Benefits of CPAP Therapy

Continuous Positive Airway Pressure (CPAP) therapy is:

Highly effective: CPAP therapy is considered the most effective non-surgical treatment option for sleep apnea.
Produces immediate results: CPAP therapy can provide immediate relief from symptoms of sleep apnea, such as snoring and daytime sleepiness.
Can be used for any level of sleep apnea: CPAP therapy can be used to treat all levels of sleep apnea, from mild to severe.
Helps improve overall health: CPAP therapy can help improve blood pressure, reduce the risk of heart disease and stroke, and improve overall quality of life.

However, because of the cumbersome nature of the CPAP machine, many people have a difficult time sticking to it over an extended period of time. It’s also difficult to travel with so many people don’t use their CPAP machine during vacations or trips.

Benefits of Mandibular Advancement Appliances

While CPAP therapy is extremely effective, many people can’t tolerate sleeping with the discomfort of the face or nose mask night after night. That’s where Mandibular Advancement Appliances (MAAs) come in: MAAs have an 80% compliance rate over the CPAP’s 40% compliance rate.

In addition to being easier to stick to as a treatment modality, Mandibular Advancement Appliances are:

Comfortable: MAAs are often more comfortable to wear than CPAP masks, as they are custom-made to fit the patient’s mouth.
Portable: MAAs are small and easy to travel with, making them a convenient treatment option.
Non-invasive: MAAs do not require surgery and can be easily adjusted by Dr. Jeff Eggert or Dr. Elizabeth Eggert.
Effective for mild to moderate sleep apnea: MAAs are often recommended for individuals with mild to moderate sleep apnea who are unable to tolerate CPAP therapy.

Ultimately, the best treatment option for sleep apnea will depend on your specific needs and preferences. Your doctor can help determine the most appropriate treatment option based on the severity of your condition, medical history, and other factors.

Think You Could Benefit from a Mandibular Advancement Appliance?

At Eggert Family Dentistry, we custom-fit mandibular advancement devices for patients with Obstructive Sleep Apnea or other Sleep Related Breathing Disorders. Call us today at 651-482-8412 to schedule a consultation during which Dr. Jeff Eggert or Dr. Elizabeth Eggert can discuss this treatment option with you and answer any questions you may have. Once we’ve decided an MAA is right for you, we can custom-design your device and then calibrate the finished product to make sure it’s comfortable and effective. Contact us to schedule your appointment today!

Treating Sleep-Disordered Breathing: 4 Benefits of the Seattle Protocol

By: Dr. Elizabeth Eggert

Some patients who come to us with chronic dental problems also present airway patency issues. Simply put, airway patency is the ability of a person to breathe, with airflow passing to and from the respiratory system through the oral and nasal passages.

When a person experiences difficulty breathing, especially at night, this can 1) negatively affect one’s oral health, and 2) continue to damage the teeth even after restorative dental procedures have been completed.

So, what does that mean for patients of Eggert Family Dentistry? It means that before beginning any restorative dental treatment, we need to identify and address these airway patency issues using a process called the Seattle Protocol.

The Seattle Protocol

The Seattle Protocol is a six-step process that helps patients with symptoms of sleep-disordered breathing and other conditions determine whether a compromised airway is contributing to their ailments.

Each of the six steps builds upon the last to open the airway as much as possible, but patients don’t necessarily need to complete the entire process to identify the solution. The purpose of the protocol is to determine which step provides the patient the most relief of symptoms.

Here is a brief description of the six steps of the Seattle Protocol:

Nose Breathing and Mouth Taping: During this stage, you will gently train your body to breathe through your nose, not your mouth.
Temporary Splint for Lower Jaw and Mouth Taping: Once you’ve adjusted to the mouth taping, the second step of the protocol adds a temporary splint for your lower jaw while you sleep.
Temporary Splint for Lower Jaw with Lower Jaw Pulled Forward and Mouth Taping: If adding the lower splint only isn’t giving you the restful sleep you deserve, we add an element that pulls your lower jaw forward.
Temporary Splint for Lower and Upper Jaw with Mouth Taping: If you aren’t getting relief from the previous step, we remove the forward jaw posturing component and add a splint for your upper jaw.
Temporary Splint for Lower and Upper Jaw with Lower Jaw Pulled Forward and Mouth Taping: If you need to continue in the protocol, step five again adds a horizontal component by linking the upper and lower splints together and moving the lower jaw forward.
Temporary Splint for Lower and Upper Jaw with Lower Jaw Progressively Pulled Forward and Mouth Taping: If you still aren’t getting that good night’s sleep, we move to the final stage of the Seattle Protocol. In this stage, we keep moving your lower jaw forward, incrementally, until you feel well-rested.

As we said before, the goal of the Seattle Protocol is to open the airways as much as possible so that your breathing is no longer restricted. You can find a full description of each of the six steps here.

The Benefits of the Seattle Protocol

The main benefit of the Seattle Protocol is to determine a good position to help control your sleep-disordered breathing. However, the Seattle Protocol also comes with a host of other positive benefits for our patients.

Improved safety: The Seattle Protocol prioritizes patient safety by allowing us to take a systematic and collaborative approach to airway management. By following a standardized protocol, Dr. Jeff Eggert or Dr. Elizabeth Eggert can identify and address airway issues quickly and effectively, minimizing the risk of complications during dental procedures. It is also completely reversible so there are no long-term ill-effects.

Increased comfort: The Seattle Protocol takes a gradual and gentle approach to airway management to maximize patient comfort by introducing interventions slowly and adjusting them as needed. More importantly, when the Seattle Protocol is successful, our patients can finally enjoy a comfortable night’s sleep!

Better outcomes: By identifying and addressing airway issues before beginning any dental restorations, the Seattle Protocol ensures that our patients can maintain their new smiles for as long as possible, without any complications. This will not only help our patients recover more quickly but also ensure that they get the most out of their financial investment.

Personalized care: The Seattle Protocol is designed to be flexible and adaptable to the individual needs of each patient. By tailoring interventions to each patient’s unique situation, we can provide the solution that’s right for you.

At Eggert Family Dentistry, the Seattle Protocol assists us in treating our patients with airway patency issues or sleep-disordered breathing. The systematic steps allow us to both address the problem and identify the solution so our patients can receive the best possible care during dental procedures, and achieve the best possible outcomes afterward!

Real Results: Tom’s Story

One of our patients, Tom, came to us with excessive wear, erosion, and many fractured teeth. Tom needed to reconstruct his mouth and we did that in phases, however, during the process we ran into a few complications:

The force of Tom’s bite was so strong that he broke many temporary crowns. Dr. Elizabeth Eggert wanted to get down to the bottom of why Tom’s body would do this because even new crowns wouldn’t survive in such a harsh environment.

Given Tom’s other symptoms, including difficulty breathing through his nose, dry mouth, and the use of a CPAP machine, Dr. Elizabeth Eggert recommended Tom complete the Seattle Protocol to help address his airway patency.

After completing five of the six steps of the Seattle Protocol, Dr. Elizabeth Eggert fabricated a sleep appliance for Tom to continue to improve his airway patency, reduce his bruxism and help him sleep better. After just a month of using his sleep appliance, Tom experienced less clenching, jaw pain, and an overall improvement in his sleep!

Think You Could Benefit from the Seattle Protocol?

If you, too, are experiencing airway patency issues or sleep-disordered breathing, call our office today to schedule a consultation. At Eggert Family Dentistry, Dr. Jeff Eggert or Dr. Elizabeth Eggert will be able to collaborate with you on finding a solution to your unique situation. If you think you could benefit from the Seattle Protocol, contact us or call us at 651-482-8412 for a consultation today!

Treatment Options for a Full Mouth Reconstruction

By: Dr. Elizabeth Eggert

If you’re experiencing constant dental pain, have frequent dental visits to address problems, or simply have multiple cracked, broken, missing, or badly worn teeth, it might be time to consider a full mouth reconstruction.

A full mouth reconstruction is a comprehensive dental treatment that involves restoring or replacing all of the teeth in a patient’s mouth. This process usually includes a combination of restorative, cosmetic, and orthodontic or surgical procedures. Many of our patients here at Eggert Family Dentistry report feeling transformed when the treatment process is finished! This process, while it can be long and involved, provides our patients with an attractive smile and a healthy mouth, free of pain or discomfort!

Who Needs a Full Mouth Reconstruction?

A full mouth reconstruction may be needed for a variety of reasons, including:

Severe tooth decay
Significant occlusal (bite) issues
Advanced gum disease
Trauma to the teeth and jaw
Congenital defects that affect the structure and function of the teeth and jaw
Long-term chronic illness
Oral cancer or cancer treatment

Because the reasons for full mouth reconstruction vary so widely, so too do the treatment options. A combination of treatments is usually required for a holistic and comprehensive treatment plan that suits each patient’s unique needs.

Treatment Options for Full Mouth Reconstruction

We offer a variety of effective treatment options for a full mouth reconstruction, including orthodontic treatment with Invisalign, dental implant coordination with our preferred oral surgeons, prosthetic implant options, and dental restorations like crowns or veneers. Dr. Elizabeth Eggert or Dr. Jeff Eggert will work closely with you to determine the best treatment plan for your individual needs.

Orthodontic Treatment: Your occlusion, or how your teeth contact, must be addressed before we perform additional restorative procedures. Orthodontic treatment, such as braces or clear aligners like Invisalign, can be used to straighten crooked or misaligned teeth. Orthodontic treatments will improve your bite and the symmetry of your smile.

Dental Implants: Dental implants are a popular option for replacing missing teeth. They consist of titanium posts that are surgically placed into the jawbone and provide a stable foundation for a replacement tooth, bridge, or even denture. Dental implants offer a permanent solution for missing teeth and can improve the appearance, function, and overall health of the mouth.

Dental Restorations: Dental restorations like Dental crowns or veneers are used to restore damaged or decayed teeth. They are custom-made to fit over the affected tooth and are designed to look and function like a natural tooth. Crowns and veneers can improve the strength and durability of a tooth and can also improve the appearance of a patient’s smile.

What to Expect From Eggert Family Dentistry

Here’s what you can expect when receiving a full mouth reconstruction at Eggert Family Dentistry.

Evaluation: You will come in for a consultation with Dr. Elizabeth Eggert or Dr. Jeff Eggert, during which we’ll conduct a detailed evaluation of your muscles, jaws, and teeth. This is also where we’ll talk about any health considerations you have, as well as your esthetic goals.
Determining a treatment plan: Based on all of the above considerations, Dr. Elizabeth Eggert and Dr. Jeff Eggert will work with you to determine a treatment plan that best suits your needs. We’ll answer any questions you may have so that you receive the perfect personalized solution.
Treatment: This treatment is a long-term project involving multiple visits, but we will be happy to walk you through every aspect of your treatment plan, so you have a clear idea of the timeline. We will also help you work with our preferred dental specialists if needed like an oral surgeon or orthodontist. Depending on which treatments you need, the full mouth reconstruction process can take anywhere from 6 months to two years.

Let’s Give You the Smile You’ve Been Dreaming Of

Eggert Family Dentistry is a highly respected dental practice that offers comprehensive full mouth reconstruction services. Dr. Jeff Eggert and Elizabeth Eggert and their team use state-of-the-art technology and techniques to help their patients achieve optimal oral health and a beautiful smile. If you are in need of a full mouth reconstruction, Eggert Family Dentistry is here for you. Contact us today or give us a call at 651.482.8412 to schedule a consultation and learn more about how we can help you achieve a healthy, confident smile!

Full Mouth Reconstruction: The Importance of Treatment Planning

By: Dr. Elizabeth Eggert

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

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

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

1. Getting an Accurate Diagnosis and Assessment

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

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

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

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

3. Taking A Comprehensive Approach to Treatment

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

4. Minimizing Treatment Time and Cost

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

5. Creating a Better Patient Experience

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

Let the Experts at Eggert Family Dentistry Plan Your Treatment

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

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

By: Dr. Elizabeth Eggert

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

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

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

What is The Records Process?

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

The records process typically includes the following steps:

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

Patient Stories:

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

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

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

What is a Dental Mock-Up?

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

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

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

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

Are You Experiencing Constant Dental Problems?

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

My Journey to a New Smile – Roxanne’s Story

By: Dr. Elizabeth Eggert

How did this start?

Roxanne has been a long time, loyal patient with us since even before Dr. Elizabeth Eggert started in 2005. In 2013 she went through the Records Process because she wanted to address jaw pain that had been getting worse since a car accident in 1981. She also was unhappy with her tooth wear. Dr. Elizabeth used models, photos, and x-rays of Roxanne’s teeth along with our thorough muscle and joint evaluation to present Roxanne with the current health of her teeth, gums and the function of her jaw and muscles. The details of the initial records process revealed that Roxanne would benefit from splint therapy in order to help her jaw and tooth pain. Because of the tooth wear on her front teeth, Roxanne was hitting her back teeth very hard, especially when chewing, causing her muscles and joint to become overworked. An anterior deprogrammer was recommended for her splint therapy, then veneers were recommended to change the length of her front teeth in order to eliminate the interferences of her back teeth.

What did Roxanne want?

Roxanne’s main objective was to be pain free and have a fuller, brighter smile. Roxanne underwent splint therapy with an anterior deprogrammer, but it wasn’t quite enough to get her completely pain free. She was “pain better,” but not “pain free.” The stress in Roxanne’s life compounded her pain and it took many years, including work with an orthodontist, a neurologist, an acupuncture specialist, as well as decreased stress in her life to get her to a stable enough position to address her cosmetic concerns.

Roxanne wondered if bleaching alone would give enough improvement to her smile so she started with Zoom whitening. Unfortunately, although Zoom helped whiten her smile, it wasn’t to the extent she was looking for. Plus, whitening alone couldn’t lengthen her front teeth in order to eliminate the interferences in her bite and keep her pain stable.

Therefore, Roxanne was ready to talk about a more comprehensive treatment option for her teeth. Dr. Elizabeth recommended that Roxanne start with Invisalign in order to improve her crowding and gum tissue levels as well as give her tongue and airway more space. Invisalign would be able to broaden her smile so she wouldn’t have to do a full mouth of veneers or crowns to get the look she was hoping for.

What was involved?

Roxanne underwent Invisalign treatment with the goals of improving her crowding, expanding her arch, creating space for porcelain veneers (which would introduce spacing between her teeth), leveling gingival tissue, and providing support for her joints and muscles.

After only 7 months of Invisalign, Roxanne was then ready to plan for her restorations. Before starting the final planning stage, Dr. Elizabeth performed equilibration to refine and finalize even contacts with her bite to keep her potential for future pain symptoms under control. Roxanne wanted her teeth even and white and elected to restore 8 teeth on her upper arch and 6 teeth on her lower arch. Roxanne did a lot of research before doing her veneers and wanted a “Hollywood Style” look. The teeth were prepared for the restorations and in less than 3 weeks, Roxanne had her final results.

What does Roxanne think of her results?

Before the procedures Roxanne was nervous about the time it took and the “permanency of it all,” yet she was very confident in Dr. Elizabeth. In her final interview, Roxanne said “Dr. Elizabeth told me exactly what would happen, what I should expect, and there were no surprises. The timeline was just as discussed.” She also said, “My jaw feels great and my new smile is good. It’s what I was expecting.” She would definitely recommend the treatment to others and says that it is a team effort and you have to do everything that is expected of you for the best results. Roxanne knows that having a better smile is fantastic. “My smile is pretty important. If you look better, you feel better!”

Roxanne was also so kind to write a 5-Star Google Review of our practice and noted “Dr. Elizabeth and I completed a 9 month process of realigning my bite and correcting my dysfunctional jaw. Along with a complete restoration of my upper and lower teeth. The results were everything I had hoped for. I appreciate her knowledge and dedication everyday when I look at my new smile!” Thank you Roxanne! You truly are a treasure for us! We look forward to reading other 5-Star Google Reviews from our patients. Submit yours today!

What to do When You Have Missing Teeth? – Jasmine’s Story

By: Dr. Elizabeth Eggert

How did this start?

Jasmine came to us in the summer of 2020 with several concerns that included advanced periodontal disease, several missing teeth, and current tooth and gum infections. She was having a lot of pain. Unfortunately, her situation was compounded due to complications from trauma that had occurred from an accident thirty years prior.

What did she want?

After several years of treatment for periodontal disease with a periodontist to try to save her natural teeth, Jasmine wondered if it was time for complete dentures. She had a friend in China with complete dentures that she liked very much. Dr. Jeff Eggert talked with Jasmine about all tooth replacement options including implant supported options as well as full traditional dentures. Jasmine noted it was important to her that she get out of pain, but she wanted her tooth replacements to be very stable and allow her to chew naturally as she was only using her front teeth now. She was very concerned about the costs involved with implant supported dentures and didn’t like the idea of full dentures slipping all over her mouth. After many discussions of the pros and cons to all treatment options, Jasmine decided that she wanted to do removable partial dentures. She felt this would be the best option for her because it would be less expensive overall and she would still have some anchorage from her remaining natural teeth. Even though Jasmine has suffered from periodontal disease, she still had a number of natural teeth to work with that could help support a partial denture.

What was involved?

Jasmine and Dr. Jeff discussed several options and decided to do both upper and lower partial dentures. Jasmine had two remaining upper teeth that were severely infected from periodontal disease. These teeth had to be removed, otherwise the new partial denture would increase the infection. The planning for Jasmine’s partial dentures was done before these teeth were extracted and on the day Jasmine underwent the final fitting for her new partial dentures, Dr. Jeff Eggert removed the two teeth. Jasmine was excited to have her new partials. She was given care instructions and guidance for inserting and removing the partial dentures on her own.

What does she think?

Jasmine was a little nervous before the procedure because she had had some poor experiences with a temporary partial denture made by one of her past dentists, but she had lost a lot of teeth and her chewing was really affected. She says that everything now is much better especially now that she can use her lower left side for chewing hard foods. She notes, “They fit in my mouth very well and feel comfortable.” She was pleased with the cost and how well the new partials look and feel. Of Dr. Jeff’s work, she notes “This clinic can do partials very well and is affordable!” Congratulations on your new partial dentures Jasmine! Thanks for putting your trust in us at Eggert Family Dentistry!

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

By: Dr. Elizabeth Eggert

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

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

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

Implant Supported Dentures

What are they?

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

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

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

Who Can Get Them?

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

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

All-on-4 Technique

What is it?

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

Who can get them?

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

What is the procedure like?

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

What is the recovery period?

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

Have Questions About Dentures?

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