Tag: ENT

Over-the-Counter vs. Professional Teeth Whitening

The relatively low cost of teeth whitening combined with its track record of proven results makes it a popular choice. In 2018, over 40 million Americans whitened their teeth – either at home or professionally. But are all teeth whitening methods created equal? Let’s explore the facets of both so you can decide which method is right for you!

Over-the-Counter Teeth Whitening

Strips: Because hydrogen-peroxide coated strips can be purchased for under $40, they are a popular go-to for people who are looking for whiter teeth. However, the strips do not provide excellent coverage for the crevices of teeth and the part of the teeth along the gum line and in between the teeth may be missed. Extreme tooth sensitivity is common and they only whiten teeth from two to four shades.

Toothpaste/Mouthwash/Gum: While these are certainly the most affordable option, they are best used in combination with other methods as they only whiten teeth by removing surface stains and typically the results aren’t very noticeable.

Professional Teeth Whitening
At Eggert Family dentistry, we offer KöR Whitening Deep Bleaching, Zoom Whitening, at-home trays with Opalescence bleach, and convenient Opalescence Go!.

KöR Whitening Deep Bleaching: The most reliable and effective bleaching system on the market, KöR restores your teeth’s ability to absorb oxygen and can whiten teeth up to 16 shades! The oxygen from the whitening gel is absorbed deep into the tooth, dissolving stain molecules and changing how the tooth reflects light. Most people experience little or no sensitivity with this treatment.

Zoom Whitening: Zoom Whitening is performed in a single, two-hour appointment and lightens teeth anywhere from 4-10 shades! Professional whitening gel is applied to your teeth and activated by an LED light which helps the gel penetrate into the teeth. Follow-up includes sensitivity management with a special gel and at-home whitening trays.

At Eggert Family Dentistry, we also offer our patients professional, at-home bleaching trays that use carbamide peroxide bleach, a much more stable and higher concentration bleach than what is typically found in OTC hydrogen peroxide options.

Opalescence Go! is similar to some over-the-counter products, but at a higher concentration than most options and comes with a convenient tray and strip application process, helping to better address the nooks and crannies.

Prior to all of our whitening treatments, we will assess the best bleaching system for you during an office visit with Dr. Elizabeth or Dr. Jeff and a thorough professional cleaning with one of our hygienists.

If you’re interested in whitening your teeth and would help choosing the best route for you, Dr. Elizabeth Eggert or Dr. Jeff Eggert would be more than happy to speak with you. They can be reached at 651.482.8412.

Tooth Discoloration: Causes and Prevention

By: Dr. Elizabeth Eggert

Tooth discoloration can be an embarrassing situation that often leaves people feeling self-conscious and trying to stifle their smiles. Discoloration can be categorized as extrinsic or affecting only the surface of the tooth, intrinsic or affecting the inside of the tooth or age-related – discoloration that occurs as enamel wears away over time. Tooth discoloration can appear yellow, brown, grey, white, black or purple, depending on the cause. Let’s take a look at some culprits of tooth discoloration, how to remedy it and how it can be prevented.

Causes of tooth discoloration

There are several causes of tooth discoloration. A few of them include:

Foods: Highly pigmented foods such as tomato-based sauces, chocolate, berries and beets can cause yellow or brown discoloration.

Beverages: Beverages that contain tannins, such as coffee, tea and red wine can cause a yellow, brown or purple tinge.

Tobacco products: Cigarettes, cigars and chewing tobacco can result in brown or dark yellow teeth.

Aging: Tooth enamel wears away over time, exposing the inner layer of the tooth (called dentin) and leaves behind a yellow appearance.

Antibiotics: Tetracycline stains the enamel of unerupted teeth, resulting in a banded grey or brown appearance.

Injury: Blood flow can be cut off to a tooth, causing it to turn grey.

Teeth whitening

There are a couple of options when it comes to teeth-whitening.

Over-the-counter whitening: Options include whitening strips and toothpaste/mouthwash. These whitening options are thought to be affordable, however, results are subtle as teeth only whiten an average of 2 shades. Over-the-counter whitening strips can also result in significant tooth sensitivity. These methods are best used in combination with another professional whitening method.

Professional whitening: At Eggert Family Dentistry, we offer four whitening optinos – KöR Whitening Deep Bleaching, Zoom Whitening, at-home trays with Opalescence bleach, and Opalescence Go!:

        • With the KöR Whitening Deep Bleaching method, oxygen from the gel is absorbed into the tooth, produces little or no sensitivity and can whiten teeth up to 16 shades!
        • Zoom Whitening is performed in a single two-hour appointment and can lighten teeth anywhere from 4-10 shades. Follow-up care includes sensitivity management and whitening trays.
        • Dr. Elizabeth and Dr. Jeff Eggert also offer professional, at-home bleaching trays that use carbamide peroxide bleach, a much more stable and higher concentration bleach than what is typically found in OTC hydrogen peroxide options.
        • Opalescence Go! is similar to some over-the-counter products, but at a higher concentration than most options and comes with a convenient tray and strip application process, helping to better address the nooks and crannies.

Prevention

While not all teeth stains can be avoided, bruising and flossing after eating foods notorious for staining teeth can keep the pigment from attaching itself to the tooth. As a general rule, daily brushing, flossing and mouthwash help combat stains. Also, according to BMC Public Health, “Twenty-eight percent of smokers reported having moderate and severe levels of tooth discoloration compared to 15% in non-smokers.” Clearly, limiting or eliminating the use of tobacco products is another powerful step in warding off tooth discoloration.

Eggert Family Dentistry wants to help you keep your teeth pearly white! If you need to schedule a recare visit or would like to discuss teeth whitening options with us, give us a call at 651.482.8412.

I Want to Whiten My Teeth Professionally: What Are My Options?

By: Dr. Elizabeth Eggert

Have you been longing for whiter, brighter teeth? Make 2020 the year you pursue your dream! At Eggert Family Dentistry, we offer four effective teeth whitening methods – the Philips Zoom Whitening System, the KöR Whitening Deep Bleaching™ System, at-home custom trays using Opalescence Bleach, and Opalescence Go!. Read on to learn more about each method and decide which method is right for you.

Philips Zoom Whitening System

This is one excellent teeth whitening option we present to our patients.

  • One of the easiest and most effective teeth whitening options
  • Lightens teeth from 4-10 shades
  • Performed in a single two-hour appointment
  • At-home maintenance includes whitening trays and sensitivity management
  • Results are fast and visible, typically same day!

KöR Whitening Deep Bleaching™ System

This is another effective teeth whitening option we offer.

  • Restores teeth’s ability to absorb oxygen
  • Can lighten up to 16 shades
  • Bleaching trays are created in the KöR lab from impressions of your teeth for a perfect fit
  • We apply conditioner to your teeth to prep them for home bleaching
  • We “set” your shade in our office once your desired shade is reached
  • You can expect little-to-no sensitivity
  • With custom maintenance, results are permanent

At-Home Professionally Made Custom Bleaching Trays Using Opalescence Bleach

This is an especially popular option.

  • Can lighten 2-8 shades
  • Bleaching trays are created in our office from impressions of your teeth for a great fit
  • Appointments are fast to obtain the trays and with bleaching at home, most people see results in as little as 2 weeks
  • The bleach used is carbamide peroxide, a much more stable and higher concentration bleach than what is typically found in OTC hydrogen peroxide options
  • Maintenance is easy with bleach refill kits that we keep in stock for your convenience

Opalescence Go!

Our most economical professional option.

  • Can lighten 2-4 shades
  • Similar to some over-the-counter products, but at a higher concentration than most options
  • Comes with a convenient tray and strip application process
  • Kit is available to “Go!” with no other pre-operative steps needed

If you’re looking for a teeth whitening solution that is more effective than whitening toothpaste and over-the-counter whitening strips, Dr. Elizabeth or Dr. Jeff would love to talk with you. Give us a call at 651.482.8412!

HPV and Oral Cancer

By: Dr. Elizabeth Eggert

HPV, or Human Papilloma Virus, is the most common sexually transmitted disease in our country. There are more than 100 strains of HPV in existence and approximately 14 million new cases of HPV each year. While a person’s immune system can potentially fight it off, in many cases the symptoms persist. Most people have at least a basic knowledge of HPV but few people are aware that there’s a connection between HPV and oral cancer.

How does HPV cause oral cancer?

HPV is spread through various sexual practices including oral sex, but because HPV can be transmitted in saliva, even kissing can spread the virus. It can take many years for symptoms to show up, but HPV often leads to oral or oropharyngeal cancer. Oropharyngeal cancer is cancer that affects the mouth and throat. While there can be other causes of oropharyngeal cancer, HPV is thought to cause 70% of all cases in the U.S. Oropharyngeal cancer typically develops in the back of the throat and in the folds of the tonsils.

Signs and symptoms of oral cancer

There are a variety of things to watch for when it comes to detecting oral cancer. Some common signs and symptoms include:

  • Persistent sore throat
  • Persistent earache
  • Hoarseness
  • Unexplained weight loss
  • Swollen lymph nodes
  • Lumps or thickening tissues
  • Difficulty or discomfort moving the tongue, chewing and swallowing

Prevention

The best way to prevent oral cancer is by reducing your likelihood of contracting HPV strains that can lead to oral cancer. Preventative measures include abstinence, limiting your number of sexual partners, instituting the use of condoms during sexual intercourse and getting the HPV vaccine. It is recommended that children, both boys and girls, get the HPV vaccine (commonly known as Gardasil 9) around the age of 11 or 12, but anyone not previously vaccinated should consider the vaccine even up until age 26. It is also recognized that smoking can increase the chances of developing HPV because it reduces your immune system’s ability to fight infection and it damages cells in the mouth.

Early detection

Regular dental exams are crucial. If you have HPV, it’s important that you share this information with Dr. Elizabeth and Dr. Jeff so they can keep a close watch for early-stage evidence of oral cancer.

Vaping and Your Oral Health

By: Dr. Elizabeth Eggert

Vaping, or using e-cigarettes, is smoking a chemical vapor that delivers nicotine into your lungs. Often misconstrued as a safer alternative to traditional cigarettes because there is no tobacco involved, vaping has devastating effects on a person’s oral and overall health. At Eggert Family Dentistry, we think it’s important to educate our patients about the many ways that vaping can affect oral health.

Dangerous ingredients

While vaping liquid doesn’t contain tobacco, it does contain numerous other ingredients that pose a threat to oral health:

Propylene glycol: Used as a carrier ingredient in e-liquid, propylene glycol is a slightly-sweet, colorless liquid that, when vaped, breaks down into acetic acid, lactic acid and propionaldehyde – all of which have toxic effects on soft tissue and enamel.

Nicotine: There are many side effects that can result from nicotine exposure, including reduced blood flow which can cause gum tissue to die. When this happens, gums recede and expose more of the tooth which leads to tooth sensitivity, an increase in cavities and in some cases, tooth loss.

Flavorings: In order to appeal to a wider audience, e-liquid often contains fruit, candy and other flavorings. These flavorings, when added to vegetable glycerin, cause a 27% decrease in the hardness and integrity of tooth enamel.

Oral health complications

Dry mouth: Nicotine in e-liquid inhibits saliva production which leads to dry mouth. When your mouth is dry, it’s a perfect habitat for bacteria which can lead to tooth decay.

Bruxism: Because nicotine is a muscle stimulant, it can cause clenching, gnashing and teeth grinding which, over time, results in wear to enamel and can lead to fractured teeth.

Gum disease: Exposure to nicotine-laden vape liquid can swell and inflame gums. When gums are irritated, your mouth is dry and there are more bacteria on the scene, gum disease easily sets in.

Damage to oral tissue: In rare cases, the lithium batteries in vaping devices overheat and explode, causing extreme damage to oral tissue – damage that can result in permanent disfigurement. There are even a couple documented cases of accidental death related to these explosions.

We want our patients to enjoy optimal dental health! If you have questions or concerns about the effects of vaping on your oral health or the oral health of a loved one, give Dr. Elizabeth Eggert or Dr. Jeff Eggert a call at 651.482.8412. We would be happy to speak with you!

 

Sleep Apnea: Signs to Watch For

By: Dr. Elizabeth Eggert

At Eggert Family Dentistry, we know that sleep apnea is no laughing matter. It can go undetected for years and has serious side effects. Take a few minutes to consider the warning signs, when to discuss signs with us or your doctor and some effective treatment options to consider.

What is obstructive sleep apnea?

Obstructive sleep apnea is an intermittent blocking of the airway during sleep. This often occurs when the muscles in the back of the throat relax too much, causing soft tissue to collapse into the airway and resulting in partial or complete blockage.

When obstructive sleep apnea occurs, breathing can be restricted for 10+ seconds, decreasing oxygen to your brain and causing a buildup of carbon dioxide. This cycle of airway blockage can repeat many times a night, leading to fitful sleep and many serious side effects. Side effects include glaucoma, increased blood pressure, heart disease and unfortunately, even death.

What signs should I watch for that may indicate sleep apnea?

You or your loved one may be battling sleep apnea if the following signs are present:

  • Loud snoring
  • Night sweats
  • Extreme daytime fatigue
  • Gasping or choking upon awakening
  • Dry mouth or sore throat upon awakening
  • Reduced daytime concentration
  • Mood swings and irritability

The symptoms of pediatric sleep apnea can be very different from sleep apnea symptoms in adults. Learn more here.

When to see your dentist or doctor

If you’re experiencing any signs of sleep apnea, it’s important to make an appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert and with your primary doctor. While there can be other causes behind some of these signs, obstructive sleep apnea is a common and serious condition. If, upon evaluation, we think you might be struggling with sleep apnea, you may find success with one of these treatment options: CPAP or Oral Appliance Therapy.

CPAP: A mask that covers the nose and/or mouth, connected to a tube and machine, that delivers continuous air pressure all night long, allowing the airway to remain open.

Oral Appliance Therapy: A custom-fit mouthguard that keeps the airway open by supporting the jaw in a forward position. This is something that Dr. Elizabeth and Dr. Jeff can fit you for in our office.

To learn more about obstructive sleep apnea, check out our Sleep Apnea FAQ’s.

You’re in good hands at Eggert Family Dentistry! If you are concerned that you or a loved one may be struggling with sleep apnea, schedule an evaluation with us at 651.482.8412.

Reasons We Might Refer You to or Collaborate with an ENT

By: Dr. Elizabeth Eggert

There are certain situations at Eggert Family Dentistry when we need to collaborate with other physicians to provide the best possible care for our patients. Especially as we have worked to integrate more airway into our practice, many of you have been asked to seek out care with a board-certified ENT for a more integrated approach to dentistry.

In this article, we will provide information about how certain medical conditions may be linked to your airway and therefore situations where it may be best to collaborate with an ENT. We will also launch into more specific information about some of these conditions below.

  • Sleep – if you have trouble snoring, falling asleep, staying asleep, trouble with restless sleep, you wake up feeling unrefreshed, or issues with nighttime urination, these can all be linked to airway issues.
  • Other Health Conditions – ADHD, allergies, anxiety, birth defects, cardiovascular disease, chronic head and neck pain, chronic pain, daytime fatigue, depression, digestive issues, emotional problems, frequent colds, sinus problems, sore throats, or tonsillitis, grinding or clenching of teeth, headaches, high blood pressure, jaw locking, large tonsils or adenoids, memory loss, mouth breathing, neck aches, obesity, pain or clicking in jaw joint, previous orthodontics, PTSD, speech problems, sucking habits, tonsillectomy, adenoidectomy, or type II diabetes can all be linked to airway issues.
  • Dental Observations – there are many dental conditions that can be linked to poor airway flow as well such as crowded teeth, deep overbite, forward head position, head tilted back, mouth breathing, narrow dental arches, recessive lower jaw, scalloped tongue, tongue thrust, tongue tie or tooth wear.

Snoring and sleep apnea

Sleep apnea is a serious condition that can lead to several other serious medical conditions. In cases where our patient is struggling with sleep apnea, Dr. Elizabeth or Dr. Jeff can often link what they see with the teeth, jaw, and muscles (like the tongue) to aid in determining the cause. Does our patient have inadequate space for the tongue based on the size of the jaw? Is the root of their condition the size or shape of their soft palate? How does the alignment of the teeth play in? Once this is determined, the best course of treatment is pursued. It is often helpful both during the diagnostic phase as well as during the treatment phase to collaborate with an ENT. This allows us to look at the situation from all facets and choose the best course of treatment.

Beyond sleep apnea itself, there are other sleep disordered breathing diagnoses or simply disordered breathing at all times, that can be detrimental to overall health. ENTs or other medical professionals can often help us navigate through treatment options.

Enlarged tonsils and adenoids

Enlarged tonsils and adenoids in children can cause facial and jaw deformities as a child grows. When Dr. Elizabeth or Dr. Jeff notice enlarged tonsils or adenoids and determine that the enlargement is not simply due to a virus, we will often refer our patient to an ENT for a consult.

Sinus problems

If a patient comes into our office with jaw pain, Dr. Elizabeth or Dr. Jeff evaluate many things, including the patient’s teeth and jaw. Because sinus problems can be a contributing factor to teeth and jaw discomfort, if their examination is inconclusive, Dr. Elizabeth or Dr. Jeff will refer our patient to an ENT for further evaluation.

In some cases, mucus can build up in the sinus cavity, causing sinusitis and leading to halitosis (bad breath). If halitosis is present (often in combination with jaw discomfort), this is another situation where Dr. Elizabeth or Dr. Jeff will most likely refer our patient to an ENT.

TMJ disorder

Another common cause of jaw pain is a disorder of the temporomandibular joint (TMJ). At Eggert Family Dentistry, we most commonly treat TMD by providing our patient with a splint or night guard. In severe cases, full-mouth reconstruction may be necessary. However, if we are unable to make a dental determination for the jaw pain, we can refer our patient to an ENT for a CT scan or an MRI to rule out bone and joint issues.

At Eggert Family Dentistry, we go above and beyond to make sure each one of our patients receives superior care. This often means referring our patient to or collaborating with a board-certified ENT for further investigation. If you’d like to schedule an appointment with us, give us a call at 651.482.8412!