By: Dr. Elizabeth Eggert
How did this start?
Lynn started as a patient of the practice with Dr. Jensen in 2000 and transitioned her dental care to Dr. Elizabeth in 2005, when she took over his practice. During this time, she had five teeth restored with porcelain crowns and continued to require additional restorations over the following years. In 2018, due to the ongoing restorative needs and the complexity of her case, Dr. Elizabeth recommended that Lynn undergo the “Records Process” to allow for a comprehensive evaluation and to develop a detailed treatment plan for her care. Lynn also was having many changes and challenges with her medical history, including serious balance, movement, and mobility movement changes.
Dr. Elizabeth guided Lynn through the Records Process to evaluate how her bite was currently functioning. This process included diagnostic models, clinical photographs, and radiographs of Lynn’s teeth, along with a comprehensive muscle and joint evaluation. These records allowed Dr. Elizabeth to assess and present the current condition of Lynn’s teeth, gums, jaw joints, and the function of her jaw muscles.
Based on the findings, it was recommended that Lynn begin splint therapy using an anterior deprogrammer. This step was necessary to help relax the jaw muscles and determine a stable, repeatable bite position. Part of the reason Lynn kept cracking and chipping her teeth was because she didn’t have a stable bite position. Restoring Lynn’s teeth without first establishing a consistent bite could have compromised the longevity of any work to be done. Once a stable bite position was identified through the deprogramming process, adjustments to her bite were planned with restorations to achieve the best long-term stability.
What was recommended?
As mentioned, Lynn started her splint therapy with an anterior deprogrammer, which should have helped her muscles relax into a more repeatable bite. However, one of the most important things to understand about splint therapy is that it does NOT always improve the condition (at least right away), but no matter if the condition stays the same, gets better, or gets worse, we learn something from this diagnostic process.
Lynn had a fairly difficult time adjusting to the anterior deprogrammer and found that her sleep was affected. She also had many other red flags for poor sleep quality, including the medical changes she was experiencing. Lynn elected to have a formal sleep test done and she was diagnosed with moderate sleep apnea, as well as having many arousal events each night. Lynn and Dr. Elizabeth changed Lynn’s splint therapy to the sleep-based Seattle Protocol and they learned that Lynn’s sleep, pain, and bite improved when her lower jaw was in a forward position. This helped Lynn and Dr. Elizabeth learn that Lynn’s teeth and tongue craved more room to function better. Lynn elected to undergo Invisalign treatment with Dr. Elizabeth. The goals for her treatment were to expand the room in her oral cavity and then restore her teeth to match this improved location for her bite.
Invisalign is a clear aligner orthodontic system and is used to gradually move teeth into their ideal positions. Invisalign uses a series of custom-made, removable aligners that apply gentle, controlled forces to shift the teeth over time. In Lynn’s case, Invisalign was used to properly align her teeth and create the correct spacing and positioning needed before completing her final restorative work. Establishing proper tooth alignment helped ensure a more stable bite and allowed for more predictable, long-lasting restorative results.
What did she want?
Lynn wanted her teeth to look better, but she also wanted things to feel better. She wanted improved sleep, she wanted her teeth to last. She didn’t want to have to always be thinking about them – whether they would break or crack on her. Lynn expressed that she did not want “glowing white” teeth, but she did want her smile to appear noticeably whiter and more natural. Her goal was to achieve teeth that looked healthy, felt both functional, and beautiful. She wanted her new teeth done as quickly as possible, but she understood the benefits of the orthodontic treatment, which did take more time to undergo.
What was involved?
In just over a year, Lynn completed her Invisalign treatment. She was even able to continue her care during her winters in sunny Florida! Invisalign was very successful in expanding for more room for Lynn, but we knew that without restorations throughout her mouth, it would still be difficult to manage her bite long-term. Invisalign helped with improving her muscle stability, but her bite still was not always able to find a repeatable position due to the shapes of her original teeth.
A laboratory wax-up was done to create a blueprint of Lynn’s future restorations. Then, over the course of two days, nearly all her teeth were carefully prepared in preparation for the placement of porcelain crowns and veneers. These restorations would improve Lynn’s bite, function, and overall smile.
What does Lynn think?
Lynn told us that before undergoing this process with Dr. Elizabeth she was unsure what she even wanted or could ask for. “It was all unknowns.” Lynn was excited to have everything done though, especially because of the prospect of how it could improve her breathing and her health and because her husband had undergone some cosmetic tooth work himself.
After all that was involved, Lynn told us that she is very pleased with everything, even though she ran into medical complications and COVID along the way, in the end she notes, “It was effortless. It was surprisingly easy.”
She told us that if she was talking to someone thinking about undergoing a full mouth dental reconstruction, she would tell them “It’s worth it! It’s a long process, but it’s worth it and you’ll feel so much better in the end!”
Congratulations, Lynn! Thank you for putting your trust in us. At Eggert Family Dentistry, we truly believe in helping our patients achieve a lifetime of smiles and yours is a shining example. We were delighted to guide you through this journey and look forward to caring for you and your family for many years to come.
