How Are TMJ Disorders Diagnosed?

By: Dr. Elizabeth Eggert

In our previous blog, we took the time to clear up confusion over the two terms, TMJ and TMD. Now we’re going to dive into TMD, or temporomandibular disorder, and how it is diagnosed.

When a you come into Eggert Family Dentistry and are complaining of jaw discomfort, Dr. Elizabeth or Dr. Jeff will ask you several questions and perform an oral evaluation—this is all part of our records process and often part of our new patient experience. Here are some of the most common TMD symptoms that drive people into our office:

  • Pain when opening or closing the mouth
  • Difficulty chewing
  • Jaw becomes stuck open or shut
  • Headaches, migraines, ear pain, ringing in the ears, double vision
  • Clicking or popping sounds when opening the mouth
  • Teeth grinding
  • Wearing down or breaking of the teeth

After our thorough evaluation, if we determine that you are dealing with TMD, we will find the treatment or combination of treatments that are right for you. This may mean splint therapy, exploration into sleep and airway, changing the bite, or seeking out consultations with the right medical physicians. Jaw discomfort can be associated with other health issues and we want to make sure to help you get to the root of the problem.

You don’t have to live with the discomfort of TMD. If you’re experiencing any of these symptoms, contact the professionals at Eggert Family Dentistry. Dr. Elizabeth Eggert and Dr. Jeff Eggert have vast experience diagnosing and treating this jaw disorder and can be reached at 651.482.8412. Remember Eggert Family Dentistry for all of your dental needs!

What’s the Difference Between TMD and TMJ?

By Dr. Elizabeth Eggert

Our upper and lower jaw bones help our bodies perform many important functions. They help us speak, chew, and yawn. Consequently, our quality of life is directly impacted when our jaw is even slightly irritated or inflamed. When it comes to jaw disorders, there is often confusion between the terms TMJ and TMD. This post will help you decipher between these two terms.

What is TMJ?

TMJ refers to the temporomandibular joint itself, a joint that acts like a sliding hinge, connecting your jawbone to your skull. The lower jawbone (mandible) has two condyles that fit at the base of the skull. This joint can be found on both sides of your head, in front of each ear. The TMJ allows the jaw to open and close so you can speak, chew, and yawn. While many people claim to suffer from TMJ, this term actually refers to the joint as opposed to the joint disorder.

What is TMD?

TMD on the other hand, stands for temporomandibular disorder, a disorder of the temporomandibular joint. This joint is easily irritated by stress, jaw clenching, teeth grinding, and arthritis and is susceptible to misalignment, dislocation, or permanent changes as a result of crooked teeth or blunt trauma. Depending on the cause, discomfort can range from mild to severe. However, just because you’re not experiencing severe pain in your jaw doesn’t mean you should just “ride it out.” Ignoring even mild jaw discomfort can result in deterioration of the TMJ.

In our next post, we will cover the signs and symptoms of TMD and discuss how TMJ disorders are diagnosed. Stay tuned!

If you have any questions about TMD/TMJ or would like to schedule a recare visit with us, you can call our office today at 651.482.8412. Dr. Elizabeth, Dr. Jeff and our amazing team at Eggert Family Dentistry are here and ready to address all of your dental concerns and needs with our vast experience, the latest technology and all of the comforts to make each of your visits a great experience!

Your Dental Cleaning is More Than Just a Cleaning

By: Dr. Elizabeth Eggert

When you schedule a recare visit at Eggert Family Dentistry, you may think that all we will do is remove any plaque we see and polish your teeth. While these services are important, they are just the tip of the iceberg. When you come into our office for a cleaning, we perform a full evaluation and keep an eye out for early signs of more serious problems. 

We check for signs of tooth decay 

Soft spots and pitting are signs that bacteria are breaking down enamel and causing tooth decay. This is most commonly caused by infrequent or poor brushing, frequent snacking and sugary foods and beverages. Acids also contribute significantly to tooth decay. If Dr. Elizabeth or Dr. Jeff spot signs of tooth decay, they will recommend scheduling a follow-up appointment to clean out the decay and protect the tooth with a filling or crown, depending on the situation. 

We evaluate the health of your gums

When bacteria hang out along the gum line, they can wreak havoc on gum health. When gum disease is left untreated, it can result in shifting or drifting of teeth and eventual tooth loss. It can also lead to systemic issues such as heart disease, diabetes, lung infections, osteoporosis, hypertension and cancer! When you come in for a cleaning, Dr. Elizabeth or Dr. Jeff, as well as our amazing hygiene team, will look for signs of gum irritation including swelling, redness, pocketing or bleeding. Once plaque and tartar are removed, if they observe any of these signs of gum disease, they will recommend next steps to help your gum tissues heal. Oftentimes, in addition to spectacular home dental care habits, this will include a deep cleaning procedure in our office.  

We examine your jaw, facial muscles and lymph nodes

When you come into our office, Dr. Elizbeth or Dr. Jeff make sure your jaw is properly aligned and they look for any issues with your temporomandibular joints. They look for any swelling in the jaw and facial muscles as well, which can be an early sign of an abscessed tooth or infection. They also make sure your lymph nodes are not inflamed. If they find anything unusual, they will recommend next steps to correct the issue. Dr. Elizabeth or Dr. Jeff will also inspect your mouth for any signs of oral cancer and if they have any concerns, they will refer you to an oral surgeon or sometimes, a medical doctor. 

We assess the integrity of any existing fillings or other restorations

Fillings are effective at filling in holes in teeth and preventing bacteria from building up and causing cavities but they don’t last forever. Over time, fillings break down and need repair. When fillings crack or become loose, they expose divots in the teeth that can trap bacteria and, left unattended, cause cavities to redevelop. Dr. Elizabeth or Dr. Jeff will check the integrity of your fillings and schedule a separate visit if any of them need to be repaired or replaced. 

We take x-rays

At Eggert Family Dentistry, we recommend at least once-a-year x-rays of your teeth. This allows us to look at the roots of your teeth and make sure they’re healthy and strong. We can also look between your teeth and under your gum line in order to spot early signs of infection and decay.

Just because you’re not experiencing teeth or jaw discomfort doesn’t mean problems aren’t brewing. If you haven’t been in to see us for a while, schedule a recare visit by giving us a call at 651.482.8412. We will perform a thorough cleaning and evaluation to protect and preserve your smile for a lifetime! 

Meet Your Hygiene Team

By: Dr. Elizabeth Eggert

In case you didn’t know, October is National Dental Hygiene Month! We want to observe the month by taking some time to introduce ourselves and tell you a little about the history of Eggert Family Dentistry and what we’re all about.

In 2005, Dr. Elizabeth acquired an existing dental practice in North Oaks, a northern St. Paul suburb, and we’ve been operating out of this same building for the past 15 years, just moving down the hall in 2015 to a larger location. We are a family-friendly practice, offering services for patients of all ages. Our services run the gamut from general dentistry to cosmetic work and from orthodontics to full-mouth reconstructions. Our motto is “Dentistry for a Lifetime of Smiles,” and we work hard to that end, partnering with each of our patients to help them achieve a healthy and beautiful smile that will truly last a lifetime. 

Here we highlight our Hygiene Team and thank them for all the wonderful service they provide our patients!

Joanna

“I enjoy working at Eggert Family Dentistry because we have a fun working atmosphere. Dr. Elizabeth and Dr. Jeff care for their patients and provide the best dental care for them.”

When she’s not at the office, Joanna enjoys being outside and spending time with family and friends. She resides in Blaine with her husband, Jeffrey, and their four children – Kyle, Kylie, Rylie and Bentley. 

 

Shelly

“I continue to love this profession! The quality of care I have had the privilege to provide over the years has been a direct reflection on those I have served. Meeting patients’ needs through listening, hands-on care and education has been so fulfilling. Our patients are the reason we do what we do.”

Shelly and her husband Ross, have lived in Shoreview for over 25 years. They have twin sons and a daughter, all just on the cusp of adulthood! As a family, they enjoy spending time at their Wisconsin cabin. Shelly loves to cook and enjoys fellowship with others.

Lea

“It is a pleasure to be part of the Eggert Family Dentistry team! We strive to make each visit a pleasant experience and to create a trusting relationship with each patient. I enjoy being part of a team that provides attentive care and top-notch education to help our patients maintain optimal health using the latest technology.”

Lea resides in White Bear Lake with her husband Dan and their two kids – Jonathan and Lauren. They also love their one-year-old black lab, Louie. Lea spends her free time in the garden, going to the cabin, reading and watching her kids play sports.

Cassie

“At Eggert Family Dentistry, our entire team strives to make every patient our number one priority. We provide exceptional, personalized care in a small office setting. I enjoy working with Dr. Elizabeth and Dr. Jeff and contributing to the overall patient experience.”

Cassie grew up in Ramsey and graduated from Anoka High School. She now lives in Andover with her husband Jim and their twin boys, Zack and Ryan, and their daughter, Abby. Cassie stays busy with her kids’ activities – baseball, basketball, track and competitive dance. She also enjoys tennis and fun times at the lake boating, swimming and kayaking.

If you’d like to learn more about Eggert Family Dentistry and the services we provide, give us a call at 651.482.8412. We would be happy to connect with you!

Ortho Treatment: Benefits Beyond Cosmetic With Invisalign

By: Dr. Elizabeth Eggert

Only a lucky few are born with straight, perfectly aligned teeth. The rest of us have to see Dr. Elizabeth or Dr. Jeff, for help restoring teeth to a healthy alignment.

Esthetic concerns often bring patients into Eggert Family Dentistry to talk about tooth alignment. However, even beyond esthetics, it’s important to know how critical good alignment is to overall dental health.

Dental alignment procedures like Invisalign may improve your smile from a visual perspective, but they also correct issues that may lead to serious dental health problems.

What issues can be improved by Invisalign and corrected with dental alignment?

Discourage Tooth Decay

When teeth are misaligned, they do a much better job of harboring bacteria, which leads to plaque buildup and tooth decay. This is because overcrowded or crooked teeth leave inaccessible nooks and crannies where bacteria thrive. When it’s challenging to access all the exposed tooth enamel with a toothbrush or floss, the area is much more prone to tooth decay.

Improve Periodontal Health

Periodontal health refers to the conditions of the periodontium, or gum tissues. Periodontal disease is disease of the gums. Crowded and overlapping teeth permit plaque and tartar to build up on tooth surfaces underneath your gums, since they’re difficult to clean. Teeth with wide gaps between them are also problematic, because exposed gums are more vulnerable to periodontal disease.

Periodontal disease is easily addressed in its early stages, so regular dental exams are an important preventative measure. When it progresses, it may cause serious tooth mobility, tooth and bone loss, and infection.

Fix Malocclusion

Malocclusion refers to poor alignment as the teeth of your upper and lower jaws meet. One person out of five suffers malocclusion, which encompasses three categories:

  • Class I – when teeth are overcrowded, too far apart, or twisted
  • Class II – when the lower jaw is too far back, resulting in an excessive overbite
  • Class III – when the lower jaw is too far forward, resulting in an underbite

Unaddressed malocclusion puts undesirable stress on the teeth. Difficulty chewing, worn, cracked, or broken teeth, chronic pain, TMJ issues, teeth grinding, and speech problems are among the problems that can result.

Invisalign: A Discrete Yet Effective Alternative to Braces

At Eggert Family Dentistry, we are here to help prevent these problems by treating your tooth alignment problems with Invisalign.

If you are presenting any of these issues, Dr. Elizabeth or Dr. Jeff will give you a thorough exam to identify where your ideal bite should be and evaluate whether Invisalign can restore your ideal bite.

Invisalign is a clear alternative to braces. It is subtle and unobtrusive, yet effective. Patients wear clear, custom-made trays, or aligners, about 22 hours a day, removing them to eat, to drink anything but water, and to brush and floss. They are easy to get used to as they gently realign teeth. Every few weeks, you advance to a new set of aligners. Over the course of treatment, usually one to two years, your teeth gradually move into their improved location.

Invisalign is suitable for both teens and adults.

If you have any dental issues that might be resolved by improved tooth alignment, talk to Dr. Elizabeth or Dr. Jeff. They will be happy to consult with you on the best strategy to help you enjoy a new, beautiful smile as well as improved oral health.

Orthodontics For All Ages

By: Dr. Elizabeth Eggert

Orthodontics is defined by Merriam-Webster as a branch of dentistry dealing with irregularities of the teeth (such as malocclusion) and their correction (as by braces).”

When we hear “orthodontics” we often think “teenagers.” While teens are the biggest consumers of orthodontics, orthodontic treatment can correct your bite at any age.

Orthodontics For Adults

While kids’ teeth will generally respond faster to orthodontic correction, adult teeth can also be moved to improve your bite as well as to improve your esthetics. A few famous adult faces have sported braces in recent years, including Tom Cruise and Faye Dunaway.

Invisalign and other clear aligners are a welcome option for adults who want to improve their dental alignment, but are hesitant to have a tin grin 24/7. (Yes, we want to look younger. But not like that!)

How Does Invisalign Work?

Invisalign is a system that moves teeth using clear aligners, flexible custom-molded devices, which gradually move the teeth over the course of many months. Users will get a new set of aligners every one to two weeks. During the first few days, the aligner compels the teeth to move into a new position. For the remaining time in that aligner, the bone in the jaw adjusts for the new location, building up bone to help support the tooth in its new location.

Many adult Invisalign users prefer the discreet appearance of these clear plastic aligners, compared to traditional metal braces. For some people, the fact that it can be removed for special events such as delivering presentations, getting pictures taken, or eating corn on the cob is a big part of the appeal. However, it’s vital to wear them for the recommended 22 hours per day in order to get satisfactory results.

Invisalign is gentler and less invasive than traditional braces, so there’s less discomfort involved. It’s also easier to care for teeth with Invisalign than with traditional braces: Just remove the aligners and brush and floss as you normally would.

Maybe you had braces as a kid, and your teeth have drifted back into poor alignment. Maybe you didn’t have braces as a kid because you didn’t need them then, or because of financial considerations, or the options at the time made you too self-conscious.

Whatever the reason, we encourage you to decide for yourself. If your teeth and bite aren’t exactly what you wish they were, maybe we can help. Ask Dr. Elizabeth or Dr. Jeff the next time you’re in for your recare appointment, or call our administrative team and make an appointment to really understand your options.

Invisalign® – Kyle’s Story

By: Dr. Elizabeth Eggert

Where did Kyle start?

During one of his routine recare visits, Kyle mentioned to Dr. Elizabeth that he had frequently noticed himself clenching his teeth throughout the day which was causing jaw pain and tooth sensitivity. Kyle also mentioned he was interested in doing Invisalign® to help fix some minor crowding of his front teeth. Dr. Elizabeth discussed the importance of stabilizing his bite prior to doing any orthodontic treatment to help ensure the best results through splint therapy.

What was involved?

Kyle began his treatment with splint therapy. He wore a TMJ splint approximately 20 hours a day and came in multiple times to see Dr. Elizabeth and re-evaluate his progress. After wearing his splint consistently for about three months, Kyle noticed significant improvement in his symptoms and Dr. Elizabeth determined he was ready to move forward with Invisalign®.

We sent impressions, photos, and x-rays of Kyle’s teeth to Invisalign® where they created a 3D simulation, called a Clincheck, to show how his teeth could move with Invisalign® treatment. Kyle was very happy with the simulation, which showed a significant improvement to his crowding, and decided to move forward with Invisalign®.

Kyle’s case was expected to consist of 18 aligners that he would wear for one to two weeks at a time. As part of his Invisalign® treatment, Dr. Elizabeth slenderized some of Kyle’s teeth to create more space for his teeth to better alleviate his crowding. Kyle was very consistent in wearing his aligners as instructed, but as he progressed through his treatment Dr. Elizabeth noticed that some of his upper teeth weren’t moving as quickly as his Clincheck had projected. Dr. Elizabeth discussed this with Kyle and he opted to send his case back in for a refinement, which ended up extending his treatment by an additional 22 aligners. After his Invisalign® treatment was complete, Dr. Elizabeth made minor alterations to the biting surface of some of Kyle’s teeth to remove interferences and even out his bite. This process is called equilibration and will help to prevent Kyle’s new smile from further wear.

What does Kyle think?

Kyle had very realistic expectations about his treatment beforehand and understood that correcting his bite wouldn’t be a quick process. Although his treatment ended up taking longer than initially expected, Kyle said the results were well worth it. In addition to the cosmetic improvements to his smile, Kyle noted his bite feels better as well, saying “I don’t have any pain now that my teeth are in the right spot.”

Full Mouth Reconstruction, Explained

FULL MOUTH RECONSTRUCTION, EXPLAINED

At Eggert Family Dentistry, our comprehensive approach means that we focus on your overall oral health. Instead of regarding your teeth in isolation, we take a holistic and comprehensive perspective on how your mouth functions as a whole, and how it functions in relation to your whole body.  

In some cases, patients exhibit a constellation of issues that are best resolved by a full mouth reconstruction. This typically is caused by trauma to the jaw or teeth, significant decay, long-term erosion from acid or tooth grinding, or long-term structural issues such as a misaligned bite. 

In these cases, restoring and rebuilding all of the teeth in both the upper and lower jaws may be the best strategy. 

A full mouth reconstruction is likely to involve a number of phases and specialties, including:

  • General or restorative dental procedures such as crowns, bridges, and veneers with Dr. Jeff or Dr. Elizabeth
  • Periodontal attention to the gums
  • Oral surgery
  • Orthodontics to address tooth movements and positions

What to Expect When Considering a Full Mouth Reconstruction

When you are considering a full mouth reconstruction, here’s what you can expect at Eggert Family dentistry. 

We’ll start by doing a detailed evaluation of your muscles, jaws and teeth, and their relationships with each other. We’ll talk about all health considerations relating to your mouth, including information about sleep and airway, and we’ll ask you about your esthetic goals. Next, Dr. Elizabeth or Dr. Jeff will take you on a tour of your mouth, explaining different treatment options. They’ll explain everything carefully and answer questions so you can make excellent decisions, and together we’ll come up with a treatment plan.

These are the kinds of procedures that are often part of a full mouth reconstruction:

  • Initial deep cleaning of your teeth and gums. 
  • Ensuring a stable bite so your restored teeth will not suffer undue wear. This might require orthodontics or a bite reprogramming orthotic/splint. Your occlusion, or how your teeth contact, must be addressed before we perform additional restorative procedures.
  • Tooth restorations, which can include porcelain veneers, crowns, inlays or onlays, bridges, and implants.

A Big Commitment with Big Rewards

A full mouth reconstruction is an ambitious endeavor with huge rewards. Many patients feel transformed when treatment concludes and they have an attractive smile and a healthy mouth, free of pain or discomfort. In many cases, even severe TMJ (temporomandibular joint disorder or TMD) pain can be relieved by the comprehensive approach and comprehensive reconstruction. 

This treatment is a long-term project, involving multiple visits, but Dr. Elizabeth and Dr. Jeff are happy to walk you through every aspect of your treatment plan, so you have a very clear idea of the timeline and what to expect. 

If you are experiencing ongoing pain or discomfort in your mouth or jaw, or if you want a new improved smile which you’re excited to share with people, or if your teeth are broken down and need to be rebuilt, please contact Dr. Jeff or Dr. Elizabeth at Eggert Family Dentistry, 651-482-8412. We love to help people experience the transformation in oral health and confidence that can accompany a full mouth reconstruction.

The Impact of a Little Time Well Spent – Mary’s Story

How did this start?
Mary had been considering Invisalign for quite some time, and when she noticed her teeth beginning to crowd more, she decided to initiate treatment with Dr. Elizabeth. To begin, Mary came in for a records appointment with Dr. Elizabeth where she took impressions, photos, and x-rays of Mary’s teeth to send to Invisalign in preparation for her case. Using these records, Invisalign then created a 3D simulation of how Mary’s teeth could move with Invisalign treatment. Mary was happy with the results of the 3D simulation and decided to proceed with treatment. Dr. Elizabeth discussed with Mary that because the shape and size of her two upper front teeth didn’t match each other, it would be best to plan for veneers on these two teeth once her Invisalign treatment was complete.

What was involved?
Mary’s Invisalign treatment consisted of 22 total aligners that she wore for 1-2 weeks at a time. As part of Mary’s Invisalign treatment, Dr. Elizabeth slenderized some of Mary’s teeth to create more space for her teeth to better alleviate her crowding. Mary was diligent in wearing her aligners and was able to complete her treatment as anticipated. After completing her Invisalign treatment, Mary indicated she was interested in whiter teeth and asked about bleaching. Mary’s bleaching therefore needed to be done prior to the veneers on her upper front teeth. Dr. Elizabeth recommended the Zoom! Whitening in-office procedure to get Mary the whiter smile she wanted. After her two-hour session, Mary was happy to see that her teeth had lightened by four full shades!

With her teeth at her desired shade, Mary was ready for her final restorations. In preparation for the final restorations, Dr. Elizabeth made minor alterations to the biting surface of some of Mary’s teeth to remove interferences and perfect her bite. This process is called equilibration and helps to prevent Mary’s new smile from further wear. Once this was done, Dr. Elizabeth created a wax model of the veneers so Mary could make sure she was happy with their size and shape before having the final ones placed. With her approval, the final porcelain veneers were fabricated, then placed by Dr. Elizabeth.

What does Mary think of her results?

From the beginning, Mary was excited about her treatment and felt like she was well-prepared for it. She appreciated the opportunity she had to discuss her treatment plan with Dr. Elizabeth ahead of time so she knew what to expect as far as timing and the procedures themselves. Now that her treatment is complete, Mary says she feels more confident and relaxed about her smile. “I feel better about the future of my teeth. I know I have a better chance of keeping them longer.” When asked what she would say to someone considering similar treatment, Mary said “It’s worth it!” Mary was able to finish her treatment just in time for her son’s wedding. Congratulations Mary, what a beautiful result!

If you’ve been thinking about improving your smile, contact us today to learn more about what we can do for you!

Colds, The Flu and Oral Health: Is There a Connection?

By: Dr. Elizabeth Eggert

Did you know that when you practice good oral health habits you’re investing in your overall health? While researchers are only beginning to uncover these connections, the findings are significant. Let’s take a closer look.

It all begins with bacteria

When teeth and gums are not properly cared for, bacteria builds up, causing plaque to form and inflaming the gums. When gums become inflamed, bacteria can easily sneak under the gums and enter the bloodstream. Bacteria in the bloodstream can infect tissues throughout the body and make you sick.

An increased risk of developing pneumonia and chronic disease

This ripple effect of poor oral health can be a major risk factor in developing serious diseases, like pneumonia. In fact, a lot of bacteria in the mouth will increase the likelihood of developing pneumonia after a cold or the flu, sometimes by 100%.

And it’s not just pneumonia. Oral disease shares common risk factors with other chronic diseases like heart disease and cancer. These risk factors include diet, tobacco, alcohol, hygiene, injuries, stress and socioeconomic status.

While it’s difficult to say at this point whether the relationships between poor oral health and chronic disease is due to association or causation, it reinforces the importance of taking good care of your teeth and gums. To learn more about the connection between oral health and other diseases, check out one of our recent posts here.

Toothbrush care tips

During cold and flu season, vigilance is your best defense. In addition to healthy eating, routine handwashing and getting enough sleep, it’s important to practice good toothbrush care. At Eggert Family Dentistry, we recommend tossing your toothbrush after any cold or flu to avoid the likelihood of reinfection. We also recommend washing your hands before you brush and floss, rinsing your toothbrush well and allowing it to air dry after each use and keeping family members’ toothbrushes separate from each other in order to avoid cross-contamination. And regardless of the season, don’t ever share a toothbrush!

Are you experiencing any tooth pain or discomfort? Have dental health questions? Need to schedule a recare visit? Give Eggert Family Dentistry a call at 651.482.8412!