Tag: healthy smiles

Restoring Teeth with Implants: When Infections Cause the Need for Creativity. Judy’s Story.

By: Dr. Elizabeth Eggert

How did this start?

Judy came to her regular 6-month recare appointment and mentioned that she thought one of her front teeth was turning darker.  Joanna, our hygienist, noticed an issue right away as it looked as if Judy may be developing an infection near that upper front tooth.  Joanna took an x-ray and Dr. Elizabeth did some tests and it was evident that Judy had lost a lot of bone near the roots of some upper front teeth. For an unknown reason (likely a trauma that occurred long ago), Judy’s teeth had started dying, creating an infection and bone loss.  Dr. Elizabeth referred Judy to the root canal specialist and Dr. Aguirre confirmed the extent of the damage with a 3-D x-ray.  Dr. Aguirre agreed that the lesion was excessively large.  He was not confident that root canals alone could clear the infection so recommended that Judy work with an oral surgeon to remove the teeth, the infection, place a bone graft, and hopefully implant(s).

Because Judy didn’t remember any past trauma to her teeth and because of the extent of the bone loss could render all traditional treatment options unpredictable, Dr. Elizabeth recommended Judy undergo the records process to determine all her options going forward.

What did Judy want?

Judy wanted to be able to have front teeth and she wanted to be able to predictably clear her infection.  She agreed to go through the records process to learn about her options and hopefully determine if her current bite could be part of the reason for the trauma that caused her infection.  It was also important to Judy to be able to eat and speak normally after her teeth were restored.  She met with Dr. Wade, an oral surgeon, who agreed that two teeth should come out.  He was fairly confident that the infection was confined to only two teeth.  He noted a large bone graft would be needed for Judy and implants would not be able to be placed until the graft was fully integrated.  He recommended Judy have a temporary denture made to replace her teeth for awhile.

What was involved?

At the records appointment, Dr. Elizabeth took photos and x-rays of Judy’s teeth and did a thorough muscle and joint evaluation.  She used the information gathered at that appointment to develop possible treatment options for Judy.  It was evident after the bite analysis of the records process that Judy has an anterior open bite, which means that her upper and lower front teeth don’t meet up with each other.  This concerned Dr. Elizabeth the most because it meant that Judy’s bite may not adjust well to change, but we knew Judy would undergo a change because of the infection.  There was also a risk that her other two front teeth (or possibly more) could eventually become infected so any plan for Judy had to allow for flexibility in the future.  Dr. Elizabeth presented Judy with multiple options, including implant-based options, a tooth-based bridge option, or a long-term removable partial denture.  In the end, Judy’s treatment choice could have been limited by what would be discovered during surgery, but Judy wanted to restore the missing teeth with one implant that would hold two teeth (better for gum esthetics) and she wanted to repair her bite to make her upper and lower front teeth touch.  This would help with long-term functionality and predictability.

Judy had 2 teeth extracted, the infection removed, and a large bone graft placed by Dr. Wade.  Dr. Elizabeth had a temporary partial denture ready to insert after surgery.  In addition, Dr. Elizabeth built up the edges of Judy’s other front teeth to mimic what her final restorations would look like.

Once the bone graft was integrated, Dr. Wade went back for another surgery to place an implant for Judy.  One implant was placed that would eventually hold and replace two teeth.  After three additional months of healing, Dr. Wade placed a customized healing abutment to help shape the tissue for the eventual tooth restorations.  Judy continued to wear her temporary partial denture during this time.  Dr. Elizabeth also wanted to influence the tissue at the site for her “other tooth” so she built up Judy’s temporary partial denture to put pressure on the tissue and shape it so it would eventually look like a tooth is emerging from the tissue.

During the healing time, Judy also decided she wanted to lighten the color of her teeth so she underwent the Zoom bleaching procedure and improved her shade to 5 times brighter!  Finally, Judy did the final planning with Dr. Elizabeth, completing a lab wax-up, like a blue print, for her future restorations.  When the surgeon gave the “all-clear,” Dr. Elizabeth prepared Judy’s remaining upper front teeth and got impressions of the implant site so 5 restorations could be fabricated for her 6 front teeth.

What does Judy think?

Judy had a long treatment process.  She notes she learned a lot as a lot went into the decision making.  Judy notes “I didn’t have a choice, it was something that had to be done.  It was interesting to learn more about my bite and what it would mean to have longer teeth in the end.”

Judy notes she thinks her teeth look “very nice” and is happy to be done with everything.  “It was a bigger procedure than I expected, but it turned out nice in the end!”

We’re so grateful to have you as a patient, Judy – thank you for putting your trust in us!  It was a pleasure to be able to use our creative thinking skills to help you through this interesting case.

What Is a Root Canal, and What Should I Expect If I Have One?

By: Dr. Elizabeth Eggert

The root canal. That nightmare-inspiring procedure that strikes terror into the hearts of nearly every dental patient. Many patients have gone so far as to avoid their regular exams and cleanings for fear of it (which, of course, backfires by causing minor dental issues to worsen).

But due to improvements in technology and anesthesia over the years, the root canal procedure has become much more comfortable (and less scary) for the majority of people.

Still, you may find yourself full of anxious questions about this procedure, such as:

  • What is a root canal exactly?
  • What are some symptoms that indicate I might need a root canal?
  • What should I expect during a root canal procedure?
  • What is the healing process like, and how long does it take to heal?

To alleviate your fears, we’re here to answer these common questions.

What Is a Root Canal Procedure?

The root canal is the part of your tooth’s anatomy that includes the pulp (the soft interior of your tooth containing blood vessels and nerves) that extends down into the roots of your tooth.

A root canal dental procedure — commonly referred to simply as a “root canal” — treats inflammation and infection in the pulp of your tooth. When the pulp of your tooth becomes infected, you may have pain and tenderness around the affected tooth. A root canal procedure is the process of removing the infected pulp, cleaning and reshaping the interior of the root canal, and filling and sealing it to prevent future infection.

You may be wondering, “How can the inside of my tooth become infected?”

When your tooth is cracked, chipped, or otherwise damaged, or has a cavity that has been left untreated, its defenses are down. Oral bacteria can enter through those openings and infect your tooth’s pulp.

The benefits of a root canal include:

  • Relieving pain, swelling, or other symptoms
  • Preventing infection from spreading to other teeth
  • Saving the natural tooth (rather than extracting it and replacing with a dental implant, bridge, or partial)
  • Reducing the risk of damage to your jaw

Depending on the severity of your case, a root canal may be performed by Dr. Elizabeth or Dr. Jeff or an endodontist (a root canal specialist). If, after an exam and x-rays,we find that your case is more serious,we will refer you to an endodontist.

What Are the Symptoms That Indicate I Might Need a Root Canal?

A root canal is a common and effective procedure—according to the American Association of Endodontists, 15 million root canals are performed each year, with a 98% success rate.

In some cases, a patient doesn’t know they have an infected tooth until they have an exam. But many others experience one or more of the following symptoms:

  • Continuous tooth pain. Pain deep in your tooth that doesn’t go away. The pain may also radiate to your other teeth, jaw, or face.
  • Heat/cold sensitivity. Your tooth hurts when eating or drinking very hot or very cold foods or beverages, and the pain lingers or takes a while to dissipate.
  • Swollen gums. Your gums may be swollen, tender, or discolored around the affected tooth.
  • “Boil” or pimple on your gums. Pus from the affected tooth can form a boil or pimple on your gums. The pus may drain, leaving an unpleasant taste or smell in your mouth.
  • Swollen jaw. Your jaw may become swollen from the pus created by the infection.
  • Tooth discoloration. Infected pulp can restrict the blood supply to your tooth, causing it to appear darker than your other teeth.
  • Pain when you apply pressure. Your tooth will often feel tender when you chew or otherwise put pressure on the tooth. This may be due to damaged nerves around the pulp.
  • Chipped or cracked tooth. If you have a chip or crack in your tooth, bacteria can reach the pulp and cause an infection.
  • Loose tooth. Pus from the infected pulp can soften the bone supporting the tooth, making it feel loose.

    What Should I Expect During a Root Canal Procedure?

Before you have a root canal done, we will take x-rays of the affected area so we can determine the extent of the infection and confirm that a root canal is the right course of action.

Then, on the day of your root canal, we’ll:

  1. Review your x-rays and apply a local anesthetic. We’ll go over your x-rays with you, then apply a local anesthetic to numb the infected tooth and the gums surrounding it.
  2. Place a dental dam. We’ll use a dental dam (a protective rubber sheet) to isolate the affected tooth and keep it dry during the procedure.
  3. Create an access opening. To access the infected pulp, we’ll make a small opening into the biting surface of your tooth.
  4. Remove the infected pulp. We’ll remove the infected pulp inside the tooth, then clean and disinfect the canal.
  5. Reshape the canals. We’ll then reshape the canal to prepare it for filling.
  6. Fill the canal. We’ll fill the empty canal with a flexible, rubber-like material and seal it with a dental filling.
  7. Place the final restoration. On a subsequent visit, we’ll fit a permanent crown or other restoration to protect the treated tooth and restore your bite. Avoid chewing with the treated tooth until we place the final restoration.

The entire root canal procedure takes about 60-90 minutes on average, but can take longer depending on the severity of your case.

What Is the Healing Process Like?

After a root canal, many patients feel immediate relief from their symptoms, because the infected pulp that was causing pain was removed.

You shouldn’t have significant pain after your root canal procedure, but you may experience some tooth sensitivity for a few days. Taking an over-the-counter pain reliever can help; if not, we may prescribe a pain reliever or occasionally an antibiotic. In most cases, any side effects dissipate over the course of a week or two.

Most patients are able to return to work or school the following day. You can eat after your procedure (once the numbness wears off), but stick to softer foods (pastas, mashed potatoes, yogurt, etc) for a couple of days. As your comfort level improves, you can introduce other foods.

After your procedure, it’s important to keep the treated area clean. Brush and floss normally and use an antibacterial mouthwash. If you don’t yet have your final restoration in place, avoid chewing on the treated tooth until you do.

Think You Might Need a Root Canal? Schedule an Appointment

If you are experiencing any of the symptoms listed earlier in this article, contact Eggert Family Dentistry right away to schedule an exam with Dr. Elizabeth or Dr. Jeff. If you do have an infected tooth, it’s important that you be treated as soon as possible to relieve your discomfort and prevent the infection from spreading. To schedule an appointment, call our office at 651-482-8412.

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Tooth Swelling: What Causes It and What Can Be Done About It?

By: Dr. Elizabeth Eggert

Swelling of your teeth or gums can be painful. It can make chewing and swallowing difficult, and in some cases the pain can be so severe that it disrupts your life. Tooth and gum swelling can also be signs of a potentially serious dental issue, and shouldn’t be ignored or left untreated.

The good news is that good oral care and regular exams by your dentists at Eggert Family Dentistry can help prevent tooth swelling and the various conditions that cause it.

Let’s take a closer look at the symptoms and causes of gum and tooth swelling, as well as the ways Dr. Jeff and Dr. Elizabeth can treat the underlying issues and get you back to feeling your best.

Symptoms of Tooth and Gum Swelling

Swelling and pain can often come on suddenly. Pain can range from mild to severe, and can be constant and throbbing or may come and go. With tooth or gum swelling, you might experience:

  • Swelling around a single tooth or in larger areas inside your mouth
  • Swelling of the jaw or face
  • Painful chewing
  • Bleeding gums
  • Sensitivity to hot, cold, or sweet foods
  • Pain in your head, ears, or jaw

In some cases, tooth pain and swelling can be accompanied by a fever or even trouble breathing or swallowing. If this happens, it’s important to receive care immediately.

Common Causes of Gum and Tooth Swelling

There are a wide range of underlying issues that can cause swelling of the teeth and gums. These include:

Tooth Abscess

Caused by a bacterial infection, a tooth abscess can present at the tip of the root (periapically) or on the side of the root (periodontally). You can also experience an abscess in your gums (gingival). An abscess in a tooth typically follows a cavity or dental injury of some kind, as cracks in the teeth provide a pathway for bacteria to enter. If you have a tooth abscess, you may experience:

  • Throbbing toothache that may spread to your neck, ear, or jawbone
  • Swollen lymph nodes
  • Fever
  • Sensitivity to heat and cold
  • Face or neck swelling
  • Painful biting or chewing

Always seek dental treatment from your professionals at Eggert Family Dentistry for an abscess. Even if it drains on its own, you should still visit us to make sure the infection hasn’t spread. We can help you treat the abscess by draining it and may prescribe antibiotics to treat the underlying infection. In some cases a tooth extraction or root canal may be necessary.

Irritation From Wisdom Teeth

As wisdom teeth come in, you may experience some swelling and pain. This can happen if wisdom teeth are impacted (trapped beneath your gums). It can also happen as they break through the gums, leaving spaces where bacteria can cause a gum infection and painful swelling. The solution in this case is typically removal of the wisdom teeth.

Gingivitis

Gingivitis is an early form of gum disease. It commonly causes swollen, red, and irritated gums that may bleed when you brush your teeth. Gingivitis can be addressed with improved oral care and avoiding sugary food and drinks, but you should also have your dentist do a thorough examination. They may recommend additional treatments.

Dental Injury

Dental injuries can also cause swollen teeth or gums. Dental trauma is a common occurrence that can happen to anyone. Some of the dental injuries we see often are:

  • Lost crowns or fillings
  • Damaged braces
  • Broken or chipped teeth
  • Partially dislodged or knocked-out teeth

Learn more about dental trauma in our recent blog, including ways to avoid it and what to do in an emergency.

Medications or Allergic Reaction

Some medications can have side effects that include tooth or gum swelling. If you think your swelling and pain could be caused by medication, check with your medical doctor to determine if that is a common side effect.

Some people may also react to certain ingredients in their toothpaste or mouthwash. If you notice irritation of your teeth or gums after brushing your teeth or using mouthwash, stop using it and switch to a different brand or type to see if it clears up. If not, consult with your dental professionals at Eggert Family Dentistry to determine if another issue could be the cause of the irritation.

In addition to the above, tooth or gum pain and swelling can also be caused by tooth decay, a loose filling, or various medical issues, including a vitamin C deficiency, sinus infection, mouth sores, or problems with the jaw.

What Is the Treatment for Tooth Swelling and Pain?

Swollen or painful gums or teeth can be a serious issue, and it’s important to treat it as such.

If you are experiencing any of the symptoms listed above, the first thing you should do is reach out to our office so Dr. Jeff and Dr. Elizabeth can determine your best course of action — especially if your symptoms last more than a couple of days.

We will ask a series of questions and do a thorough examination to determine the cause of your pain and swelling and can then recommend the best treatment. Questions will include information about your dental history and the details of the pain — when it started, what it feels like, what other symptoms you’re having, and so on. We will also take x-rays to determine the extent of the issue.

The treatment will depend on the root cause of your swelling. We may prescribe antibiotics or other medications to treat the pain and target any infection.

In addition, there are a few things you can do at home to care for yourself and minimize your pain. These include:

  • Rinse or gargle with warm salt water to help rinse away any bacteria.
  • Over-the-counter pain relievers like Advil or Tylenol can help reduce swelling and pain.
  • Eat easy-to-chew foods and avoid very hot or very cold beverages.
  • Lie with your head propped up on a pillow. Lying flat can make dental pain feel worse.
  • Hold a cold compress against the side of your face to relieve pain and reduce swelling.

It’s important to note that while these things will provide some relief, they won’t solve the underlying issue causing your tooth or gum swelling. Visiting your dentists at Eggert Family Dentistry will still be necessary for a full recovery.

If you aren’t able to get in to see us right away, and your tooth pain and swelling is accompanied by a fever, facial swelling, or trouble breathing or swallowing, you should visit the emergency room for treatment.

Preventing Tooth and Gum Swelling

Luckily, most of the issues that cause tooth or gum swelling can be prevented with good oral care and regular exams with Dr. Elizabeth or Dr. Jeff here at Eggert Family Dentistry.

Excellent oral care includes brushing after meals with fluoride toothpaste and a soft toothbrush, and flossing daily with traditional dental floss or a water flosser. Eating a healthy diet and avoiding sugary foods and tobacco products will also help keep your teeth and gums healthy.

Keep Tooth and Gum Swelling at Bay by Scheduling Your Next Dental Appointment

Whether you are currently experiencing swelling or pain in your teeth or gums, or it’s simply time for your regular recare visit, take the time to schedule your next dental appointment now. To schedule an appointment with Dr. Elizabeth or Dr. Jeff, call our office at 651-482-8412.

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Acute Jaw Pain: What Causes It and How Do We Treat It?

By: Dr. Elizabeth Eggert

Chronic or intense jaw pain can be debilitating, making it difficult to speak or eat properly. When the pain is severe enough, it can even disrupt your sleep or limit your ability to function normally in your everyday life.

Jaw pain can include jaw tenderness, pain when you bite down, pain in or around your ears, and headaches. There are many possible causes of jaw pain, so it can be challenging to diagnose what is causing it.

Read on to learn some of the common causes of acute jaw pain and how we treat it here at Eggert Family Dentistry using a device called the Aqualizer®.

Common Causes of Jaw Pain

While over-the-counter painkillers and anti-inflammatories can temporarily reduce jaw pain, to properly treat it you need to determine the root cause.

There are several conditions that can contribute to severe jaw pain, some of which are related to dental health, but not all. It’s important to consult both Dr. Eggert and your physician to diagnose the cause of your jaw pain. They will do a thorough exam, which may include dental X-rays, CT scans, or blood work.

The most common causes of jaw pain include:

Decayed or Abscessed Teeth

Pain from tooth decay or a tooth abscess can radiate to the jaw. Treatment may include fillings, crowns, a root canal, or extraction, depending on the severity of the problem.

Gum Infection

A gum infection is usually caused by bacteria that multiplies due to poor oral hygiene. The most effective initial treatment is a deep cleaning called scaling and root planing. Occasionally adding localized antibiotics can also improve the infection. Improved oral hygiene can help manage the gum disease caused by a gum infection and hopefully prevent future acute incidents.

Cluster Headaches or Migraines

A migraine typically presents as a throbbing headache on one side of the head, while a cluster headache usually starts as pain behind or around one of the eyes. Both can also send pain to the jaw. There are also times when overuse of the jaw muscles or jaw joint can send pain signals that manifest as cluster headaches or migraines.

Sinus or Ear Infections

Infections of the sinuses or ear canals can also cause pain to radiate to the jaw. When sinuses or ears become infected, often an excess of mucus puts pressure on the jaw joint, causing pain.

Heart Attack or Angina

Jaw pain can sometimes accompany a heart attack or angina. During a heart attack, pain can radiate to the arms, back, neck, or jaw. Women are especially likely to experience jaw pain on the left side when having a heart attack.

If you experience any of the following symptoms along with your jaw pain (even if you don’t have chest pain) you should immediately call 911:

  • Chest discomfort
  • Shortness of breath
  • Sweating
  • Nausea
  • Feeling faint

Trigeminal Neuralgia

Trigeminal neuralgia is a condition commonly caused by compression of the trigeminal nerve—a large, three-part cranial nerve that provides sensation to a large portion of the face, including the upper and lower jaws. This condition causes brief but excruciating jaw and facial pain on one side of the face. It can feel like shooting, stabbing, or electrical pain, and can mimic dental pain. Treatment for trigeminal neuralgia typically involves medication or surgery.

TMJ or TMD

Temporomandibular joint (TMJ) dysfunction, or Temporomandibular Disorder (TMD) are the most common causes of jaw pain. The temporomandibular joints are the hinge joints on each side of your jaw. Pain can originate in either the joints themselves or the muscles surrounding the joints. This condition can be difficult to treat because there are multiple potential causes, including: muscle pain, jaw joint injury, overstimulation of the jaw joint, a displaced disc, or arthritis of the protective disc that cushions the jaw joint.

Damage to the jaw joint or the muscles that control your jaw movement can be caused by several factors, including:

  • Grinding your teeth
  • Involuntarily clenching your jaw due to stress or anxiety
  • Jaw joint trauma, such as a sports injury or other facial injury
  • Upper airway resistance syndrome (UARS) and lack of reparative sleep

TMJ or TMD muscle tension can often be treated with muscle relaxants, anti-inflammatory drugs, or a custom fitted dental orthotic (similar in concept and shape to a mouth guard). Joint dysfunction is generally treated with anti-inflammatories and sometimes arthroscopic surgery.

Bruxism

A person with Bruxism grinds or clenches their teeth, either while sleeping or even throughout the day—and in most cases, they don’t realize they’re doing it. Bruxism is generally caused by stress, and it can, in turn, cause jaw pain. Bruxism can often be treated using a custom fitted dental orthotic—a splint typically worn at night, but sometimes with some day use if needed.

Treating Acute Jaw Pain with the Aqualizer®

At Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff use a device called the Aqualizer® to treat acute jaw pain.

The Aqualizer® is a self-adjusting dental splint used to diagnose how much a patient’s dental bite contributes to their jaw or facial pain. The extent that it helps relieve this pain indicates whether dental treatment will be an effective solution.

The Aqualizer® works by allowing the jaw muscles to automatically reposition the jaw to where it naturally works best. It allows the body to correct bite distortions to restore optimal function and balance. Biting down on the Aqualizer® causes the fluid contained in the device to distribute the bite force evenly across the bite, relieving jaw pressure and pain.

This device is meant to be used short-term and is helpful for acute jaw pain related to TMJ or Bruxism. In addition to treating jaw pain, it can also bring relief to chronic neck, shoulder, and migraine pain. It can be very helpful in narrowing in on a diagnosis for your problem.

Are You Suffering with Acute Jaw Pain? Schedule a Visit Today

If you are experiencing jaw pain, Dr. Elizabeth and Dr. Jeff are here to help. Schedule an exam today to determine the cause of your jaw pain and to discuss your treatment options, including whether an Aqualizer® may be right for you. To schedule an appointment, call our office at 651-482-8412.

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Identical Twin Expansion: Zack and Ryan’s Story

By: Dr. Elizabeth Eggert

When Did this Start?

Zack and Ryan are identical twins and started seeing Dr. Elizabeth for their dental care in August 2019 at age 9. During their first examination, Dr. Elizabeth noticed that their maxillary arches were narrow and that both boys exhibited some acid erosion on their teeth. Acid erosion is a classic sign of a possible airway problem. When a narrow arch is present, the airway is more constricted. Zack and Ryan both had their tonsils and adenoids out at age 5 due to snoring and recurrent strep and tonsillitis. Since having their tonsils out, their snoring decreased and they both were sleeping better but Dr. Elizabeth knew she could help make things better for their airway and their bite by referring both boys to an orthodontist for a consult for dental expansion. It is important to note that the ideal time for expansion is before the bone and cartilage at the roof of the mouth solidifies and hardens. This usually happens around puberty.

Zack Before
Ryan Before

What Was Involved?

Zack and Ryan went to Dr. Wahl’s orthodontic office in New Brighton (Village Orthodontics) for an orthodontic consultation in June, 2020. Dr. Wahl agreed with Dr. Elizabeth’s assessment and proposed palatal expander treatment. An expander is a metal device that is placed on the roof of the mouth and connects to the upper back teeth. In the middle of the expander there is a hole that allows for a metal key to be placed. Zack and Ryan would have their mom turn the key once a day in the beginning of their expansion. Dr. Wahl checked their expansion progression on a monthly basis and decided how often their expander needed to be turned. Zack and Ryan’s expansion process lasted from June to December, 2020.

In the beginning of their treatment, both boys complained of soreness while the expansion was in progress. Children’s Tylenol was successful in easing their discomfort. After the turning process was over, the boys still had the expander on the roof of their mouth, but no longer needed to have the key turned. They were in a holding pattern for a few months. They could tell that the shape of their arches had changed from a narrow square-shaped arch to a widened U-shaped arch. Zack and Ryan had their expanders removed December, 2020 and had retainers made to hold the space that was created. They will still need braces in a couple of years for Phase 2 of their orthodontic treatment when all of their permanent teeth are erupted.

Zack After Expansion
Ryan After Expansion

What Do Zack and Ryan Think?

Dental expansion for Zack and Ryan was successful! Dr. Wahl was able to widen their upper arches in a short period of time. At their periodic exam with Dr. Elizabeth, she checked the width of their maxillary arch with a cotton roll. With successful expansion, the upper arch should be able to fit the length of the cotton roll. They both passed the test. Zack and Ryan’s mom stated that they wake up more well rested than before expansion – a clear sign that they must be sleeping better due to increased airway space. Both boys agree that the expansion treatment was worth the small amount of discomfort they experienced. Expansion not only improved their airway but also set them up for successful phase 2 orthodontic treatment. Zack and Ryan are both excited for braces to begin soon!

Zack during retention phase, note there is room
for his permanent teeth to erupt!
Ryan during retention phase, note there is room
for his permanent teeth to erupt!

Invisalign: How Effective Is It at Moving Teeth?

By: Dr. Elizabeth Eggert

Invisalign is the next generation of braces. These clear aligners are often called “invisible braces” because they function much like traditional braces, but they’re wonderfully discreet. In fact, the company has been supplying their product since 1999, to over 6.4 million patients across the globe, 1.5 million of whom were teenagers at the time of treatment.

If you’re wondering why you haven’t noticed them out and about, that’s just testimony to how invisible they can be. While they may be noticed by folks who are up close and personal, they are extremely hard to detect from a distance.

In addition to being hard to see, they have another benefit over conventional braces – they are easily removed for eating, brushing, flossing, and cleaning, so they are much simpler to live with.

How Do Invisalign Aligners Move Teeth?

Invisalign treatments move teeth the same way that traditional braces do: with slow, persistent traction.

First, let’s talk about the biology of teeth and how they’re anchored. A tooth is connected to your jawbone by a periodontal ligament. This ligament is composed of a bundle of fibers that contain collagen, which is a type of protein. These fibers provide the anchor that secures your teeth to the bone of the jaw.

On one end of the ligament, the collagen fibers attach to surfaces of the tooth’s root by depositing a substance called cementum into living cells on one side of the bone. On the other end of the periodontal ligament, the fibers reach into your jawbone.

While we often think of our teeth as planted, rock-solid, into the jaw, they are actually dynamic. The ligament anchor system permits limited movement as the teeth react to the forces inherent in biting.

Your periodontal ligament, cementum and jawbone react to the continually changing pressures in your mouth. The act of chewing actually has a restorative impact. When you bite, the tension and compression that result are relayed to your ligament through its many protein fibers. Tension causes cementum to be deposited in the bone while compression causes the resorption or dissolution of bone and cementum. These ongoing oppositional forces and reactions help to keep your teeth anchored and in position.

The bottom line is that your teeth aren’t actually rock solid: they are naturally capable of subtle wiggling and repositioning.

How Invisalign Helps Teeth Change Position

Invisalign treatment works by relying on the natural processes within your mouth. The aligners gently and subtly reposition teeth slowly over time. Patients generally receive a new set of Invisalign aligners every one to two weeks. Each set is designed to move your teeth 0.25mm during your first three days wearing them. During that three-day period, the periodontal ligament adjusts itself to the new alignment. For the remainder of the two weeks, the collagen fibers of the ligament are applying cementum in order to attach to your bone in their new position.

In order to get good results, Dr. Jeff and Dr. Elizabeth encourage Invisalign patients to wear their invisible aligners for the recommended daily period, which is generally 22 hours per day. This translates to removing aligners only to eat, floss, brush, and to clean the aligners. The rest of the day and night, leave them in place for the most effective treatment.

Talk to us about a customized Invisalign treatment plan for you and your family. We’d be delighted to help get you all on the path to a straighter, healthier smile! Call us today at 651.482.8412!

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Dental Expansion: What Is It and Why Do It?

By: Dr. Elizabeth Eggert

Dental expansion is a relatively common orthodontic treatment that broadens the palate and increases space for the teeth. Also known as palatal expansion or upper jaw expansion, it’s an especially simple treatment when administered to children and pre-teens. This is because children’s hard palates remain two separate halves that only fuse together after puberty, sometimes well after puberty.

Here’s some information on what dental expansion is, when it’s indicated, and how it can help both children and adult patients.

What Is Dental Expansion?

The procedure is technically known as maxillary expansion or palatal expansion. It’s a standard orthodontic treatment useful in correcting tooth overcrowding, misalignment, breathing trouble, and other issues. While it can be attempted on patients of any age, it’s a simpler and more predictable treatment on growing children. When it’s administered to adults, it typically requires surgical intervention.

In childhood, the palate consists of two separate bony halves that do not fully fuse until adulthood. If the jaw is narrow or if dental issues such as misalignment or overcrowded teeth are present, we can gradually move the two halves of the palate apart to encourage bone to grow between the halves, making the jaw wider.

When Is Dental Expansion Necessary?

Dental expansion ensures that the upper jaw is the optimal width for healthy teeth. When the jaw is too narrow, a number of undesirable dental consequences may occur including underbite, crossbite, impacted teeth and crowded teeth.

  • Underbite: The front lower teeth stick out further than the front upper teeth.
  • Crossbite: The upper teeth bite inside the lower teeth because the lower jaw is wider than the upper jaw.
  • Impacted teeth: Some teeth are blocked from erupting by the other teeth.
  • Crowded teeth: There’s not enough space in the jaw for all the permanent teeth to erupt in an aligned manner.

All of these conditions may cause a malocclusion, which means that the teeth fail to align properly and create a poor fit when the jaw is closed.

Dentists and orthodontists can evaluate whether there will be sufficient room for all the permanent teeth to erupt. If there isn’t sufficient room, early orthodontic treatment can expand the palate and thus both minimize how long braces are required and also contribute to a better alignment than braces could do on their own.

How Does Dental Expansion Help Dental Patients of All Ages?

Upper jaw expansion helps ensure a good fit between the lower and upper jaw and the teeth therein. A misaligned bite can cause dental problems such as uneven tooth wear, tooth grinding, tooth cracking, and crowded teeth that are prone to cavities.

However, the consequences aren’t just dental in nature. Other issues can include:

  • Jaw strain and/or TMJ (temporomandibular joint) issues
  • trouble biting and chewing
    difficulty speaking clearly
  • headaches
  • facial asymmetry

Additionally, breathing can be impaired by a poor bite due to a narrow arch, which can contribute to mouth breathing and even some types of sleep apnea, which may contribute to sleepiness, poor concentration (including ADHD), and irritability.

Eggert Family Dentistry Can Help

If you or your child has dental or health issues that could be resolved by palatal expansion, please reach out to Dr. Elizabeth and Dr. Jeff. We’d be happy to address this during your next exam and let you know whether and how dental expansion can help you or your child to have a better bite and improved dental health, along with potentially improved respiration and other functions. Call us today at 651.482.8412, we look forward to helping you!

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Dental Health and Airway Issues

By: Dr. Elizabeth Eggert

We’ve discussed the relationship between obstructed breathing and dental/oral health in other posts, such as The Link Between Airway and Dental Issues; The Effects of Airway Issues in Children; and What is the Seattle Protocol and How Does it Help Pinpoint Airway Obstructions?

Today, we’ll revisit the topic with particular focus on the tonsils and adenoids.

Airway issues, respiratory obstructions, and mouth-breathing can result in enlarged tonsils and adenoids, which can present their own set of health challenges.

What Are Tonsils and Adenoids?

Both tonsils and adenoids are lymphatic tissues, and are part of the body’s immune system.

You can sometimes see your tonsils: they are the two fleshy lumps visible at the back of the throat. They vary in size among different people. These glands occur in pairs, one on each side of the back of the throat at the junction of where the nasal passage meets the throat. Their job is to trap germs, including bacteria and viruses. They also produce antibodies which help destroy germs, preventing throat and lung infections. They usually reach full size by age 4.

Your adenoids are hidden from view. They hang from the upper part of the nasal cavity and can be examined by a medical professional aided with a mirror and light or a small flexible scope. Adenoids are made of similar tissue as tonsils, and they also trap bacteria and viruses and produce antibodies. The adenoids also reach full size by age 4, and tend to shrink after early childhood. In teenagers and adults, they can be nearly undetectable.

Both glands play an important role in infant and early childhood immunity, but become less critical as children grow and their bodies develop other successful tools to fight germs.

Mouth Breathing and Tonsils

Obstructed breathing and airways often cause people to breathe through the mouth instead of the nose. While this may seem like a minor issue, mouth breathing actually has a host of negative consequences on both dental and overall health.

In terms of the tonsils, mouth-breathing increases the turbulence of breath going directly into the throat. This dries out the tonsils, causing post-nasal mucus drip and exacerbating allergic reactions. It can cause chronic inflammation of the tonsils, which enlarges the glands and interferes further with breathing because of the obstruction they cause in the throat.

In other words, enlarged tonsils are both a symptom and a cause of airway obstruction. They both indicate and contribute to impaired breathing while sleeping, which can cause a host of unwelcome symptoms. From a dental perspective, these issues include cavities, teeth grinding, malocclusion, periodontal disease, TMJ problems and more. Other health issues that can result include headaches, snoring, obesity, ADHD, asthma, sleep apnea, and more.

Thorough Dental Exams at Eggert Family Dentistry

Here at Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff conduct thorough exams that include looking at your soft tissues like your tonsils. We recognize the critical role of respiration in your overall health and your dental health. If you think you or your child may have airway issues, or if you or your child has chronic issues with tonsils or adenoids, please share that information with Dr. Elizabeth and Dr. Jeff so we can help identify the problem and come up with a solution to support improved health, immunity and vitality for you or your child. Just contact us or schedule an appointment at 651.482.8412 today!

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How Even Limited Treatment Can Have a Big Impact – Gloria’s Story

By: Dr. Elizabeth Eggert

How did this start?

Gloria has been a patient of Dr. Elizabeth Eggert for over 15 years. She loves to smile and is the kind of person with a spectacular “twinkle in her eye!” Recently, at one of her recare visits, she wanted to talk about her overlapping teeth. She noticed that a large filling she had on one of her front teeth was loose. She wondered if it had come loose because it was at such an angle? She and Dr. Elizabeth talked about how the angulation of her right front tooth and the crowding of her lower front teeth, caused all her anterior teeth to work against each other in an unharmonious manner when she eats and talks. The existing filling was very large and was at the limit of how composite filling material can work when subjected to such heavy forces.

She and Dr. Elizabeth talked about moving to a stronger restorative material, like porcelain, and how if she was willing to work on changing both of her front teeth, the angulation could be improved to create the illusion of straighter teeth.

What was involved?

Gloria was interested in sticking to only working on the two front teeth. She understood that she had other options like orthodontics to move her teeth, but she figured doing only two full coverage porcelain crowns could help improve her smile enough for her satisfaction and could be done much more quickly than undergoing orthodontic treatment.

Gloria’s two front teeth were prepared for full coverage crowns. Dr. Elizabeth worked through a mock-up with her before hand to discuss her midline (center line between the two teeth), tooth size, shape, and symmetry. Gloria was so happy with the temporary crowns based on her mock-up, she commented “if the temporaries feel and look this great, I am so excited to see how the final crowns will be.”

After the two weeks it took to get her crowns back from the dental laboratory, Gloria’s crowns were tried in her mouth. Before cementing the crowns, Gloria looked in the mirror and with an enormous smile, exclaimed, “I like these a lot. The color is perfect and they look really good on me.”

What does Gloria think?

In her final interview, Gloria was asked how she had made the decision to crown her two front teeth? She responded, “My front tooth, the right one, had a huge filling that was too big to stay put. Dr. Elizabeth helped me understand better options for that tooth. After thinking it over, I knew that my other front tooth, the left one, would eventually need a crown too, so having them done at the same time AND being able to change how crowded they looked really appealed to me. It really sounded like a great idea. I was also excited that the color could be evened out with my other teeth. I always thought that right front tooth looked too dark.”

Overall, Gloria is really happy about the outcome of her treatment and would recommend to others considering this procedure to “just do it.” “It was such a successful treatment for me, and I would love for others to experience such great results.”

One thing Gloria would like to pass along about getting crowns done with Eggert Family Dentistry is “Don’t worry about it, trust the process and Dr. Eggert because the results are wonderful.”

Gloria’s story is just one of many others who have also experienced magnificent results with Dr. Eggert. Crowns can yield beautiful and predictable results for accomplishing an improved smile. At Eggert Family Dentistry, we love providing Dentistry for a Lifetime of Smiles – thanks Gloria for trusting us to help you continue to smile big and confidently!

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Eating Disorders and Dental Health

By Dr. Elizabeth Eggert

No one asks for an eating disorder. To even recognize and acknowledge one’s eating disorder is inherently challenging. Unfortunately, eating disorders have a lot of negative consequences, including on dental health.

There are two main ways in which eating disorders can have a negative effect on your teeth.

Nutritional Impact of Eating Disorders

First, eating disorders commonly go hand in hand with poor nutrition. People with eating disorders may severely restrict their consumption of food, or may obsessively avoid certain foods. In both cases, nutrition deficiencies can result.

These nutrients are particularly critical to dental health:

  • Iron: Iron is essential for transporting oxygen throughout the body. When a person’s red blood cell count drops, they are less equipped to fight infections. Low iron can cause mouth ulcers and fissures in the corners of the mouth.
  • Calcium: Calcium deficiency may cause teeth to loosen and even fall out. Inadequate calcium contributes to tooth decay and gum disease. Plus, your body will respond to low calcium intake by drawing it from both your bones and teeth. A healthy set of teeth depends on a strong and healthy jawbone. Low iron contributes to bone loss.
  • Vitamin D: Your body depends on vitamin D to help absorb calcium, and it also helps combat gum disease. As an anti-inflammatory, it boosts your immune system so you can fight infections better. Low vitamin D contributes to bone loss.
  • Niacin: A shortage of B3 (niacin) can cause bad breath and canker sores.

Corrosive Impact of Eating Disorders

The binge eating associated with some eating disorders can cause excess stomach acid. When that acid backs up into the esophagus, it results in reflux or heartburn. Should the stomach acid reach the mouth, it will deteriorate both oral tissues and teeth.

For some people, binge eating is followed by vomiting, which also introduces harsh acid stomach acids into the mouth. This wears away tooth enamel, which increases the risk of tooth decay while also increasing tooth sensitivity. When tooth enamel is softened by acid, brushing the teeth can actually further damage the enamel.

Both vomiting and poor nutrition can make the salivary glands decrease production. The resulting chronic dry mouth also increases acidity which increases risk of tooth loss, cavities, and infections in the mouth.

Minimizing Dental Damage from Eating Disorders

If you have an eating disorder, please have the courage to seek professional help. In addition, you can take these steps to protect your teeth.

Try gum, mints and toothpaste containing xylitol. This sugar substitute helps with saliva production, preventing dry mouth and cavities. You can also get a mouth guard that can reduce the effects of stomach acid on your teeth and get routine fluoride treatments to strengthen tooth enamel.

After vomiting, always rinse your mouth with tap water, and wait awhile before you brush your teeth.

Eating disorders are a tremendous challenge, and Dr. Elizabeth and Dr. Jeff have nothing but compassion for anyone on that journey. If you are dealing with one, we encourage you to take the best care you can of your teeth. We are here for you.

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