Tag: Invisalign

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!

 

Ways Oral Health Can Affect Your Overall Health and Wellness

By: Dr. Elizabeth Eggert

Cavities aren’t the only thing that flossing, brushing, and regular visits to Eggert Family Dentistry can protect you from. In fact, the mouth can be considered a window into your body, giving you information about potential medical disorders and problems your body may be battling.

How could your oral health be affecting your overall health? Here are some physical ways that the two are connected.

Health Conditions Related to your Oral Health

Your mouth can reveal a lot about your overall health. In fact, some systemic diseases like HIV or diabetes are found by oral signs and symptoms, such as lesions.

Although not conclusive, studies have found connections between oral conditions like Gum Disease and the following physical conditions:

  • Heart Disease: Gingivitis, or oral inflammation due to bacteria, can potentially cause inflammation throughout the body which can increase your risk of heart attack and stroke.
  • Poorly Controlled Diabetes: When you have diabetes, your risk of gum disease increases. In turn, chronic gum disease can make diabetes more difficult to control by causing insulin resistance.
  • Pre-term Birth: Gum disease can potentially increase the risk of pre-term delivery. The theory behind this is that the toxins released by oral bacteria get to the placenta and cause problems between the growth and development of the fetus.

Saliva as a Diagnostic Tool and a First Line of Defense

Your saliva can actually be a tell-tale sign to a doctor that something may be wrong with your body. In fact, for newborn babies, saliva is one of the most pivotal diagnostic tools in determining stress levels because cortisol levels can be found in saliva. And for those prone to diseases like osteoporosis, bone-related proteins in saliva can indicate bone loss.

Did you know that saliva is also one of your bodies’ main defenses against bacteria and viruses? Because of the antibodies and proteins (histatins) that saliva carries, it can fight off diseases and harmful invaders.

How can I protect my oral health?

If you didn’t already have a case for taking good care of your mouth, hopefully understanding the connection your oral and physical health have with one another may help you. Here are some ways to maintain a healthy smile!

  • Brush your teeth twice a day with a soft-bristled brush (Contact Eggert Family Dentistry for recommendations on brushes!)
  • Floss every day
  • Get a new toothbrush every couple of months and pay attention to bristles
    Regularly go to the dentist (we recommend coming to see us at least two times a year!)
  • Stay away from smoking or using tobacco products

Taking Charge of your Health & Wellness Journey

As we approach a new year, now is a great time to start making resolutions to take control of your health and wellness journey! Journey is a key word here, as each small step in the right direction will make a big difference.

At Eggert Family Dentistry, we believe that your oral, mental health, and physical health are related and important components of your wellness journey. If you’re ready to begin the first step toward a healthier you, we recommend making an appointment with your primary physician as well as with Dr. Elizabeth or Dr. Jeff at 651.482.8412 or by contacting us here.

Oral Care Tips for Cold & Flu Season

By: Dr. Elizabeth Eggert

Like it or not, cold and flu season is upon us. While we can’t always avoid getting sick, there are some things to keep in mind when a cold or the flu hits your family. Here are some important tips from your friends at Eggert Family Dentistry to help you protect your teeth and gums when you’re under the weather!

Tip #1 – Continue to maintain good oral hygiene

When you’re not feeling well, your energy level is typically lower which translates into lower motivation. Continue to brush and floss twice a day to combat bacteria and protect your teeth and gums.

Tip #2 – Choose sugar-free options

Sugar erodes enamel and contributes to tooth decay. When you’re sick, it’s easy to reach for sugary cough drops and sugary sports drinks. Instead, soothe your throat and replenish your electrolytes with sugar-free options and show your teeth some love.

Tip #3 – Stay hydrated

Staying hydrated is always important but when you’re sick, this is especially true. Not only does proper hydration aid your kidneys in balancing electrolytes and help reduce mucus and congestion, but it also helps you combat the effects of cold and flu meds. Antihistamines, pain meds and decongestants can cause dry mouth, an uncomfortable condition that makes you more prone to cavities. Sip on water and suck on sugar-free cough drops to keep saliva active, which helps rid your mouth of harmful bacteria.

Tip #4 – Gargle with salt water

Frequently gargling with salt water ticks multiple boxes: It helps keep your mouth hydrated, it kills bacteria that causes bad breath and plaque and it soothes a dry or scratchy throat. Win-win-win!

Tip #5 – Rinse and spit after vomiting

While it may seem logical to reach for your toothbrush after vomiting, it’s best to wait 30 minutes and rinse your mouth with water and spit in the interim. This helps cleanse your mouth from stomach acid and allows your saliva to reach a more neutral pH again. Brushing too soon can abrade the enamel softened by the acid.

Tip #6 – Toss your toothbrush

Did you know that the flu virus can live on moist surfaces, including toothbrushes, for up to 72 hours and strep bacteria can live for up to 48 hours? It’s best to err on the side of caution and use a cold or flu bug as an opportunity to swap your old toothbrush out for a new one!

At Eggert Family Dentistry, we want you to enjoy a healthy mouth year-round. If you haven’t already, give us a call to schedule your winter recare visit at 651.482.8412!

 

A New Smile with Porcelain Crowns – Mary’s Story

How did this start?
Mary had composite restorations on her upper front teeth that she had needed to have replaced several times since they were first done in the 1970’s. She noticed they were beginning to look discolored and wanted to have them replaced with something that would offer better long-term predictability. To find out her options, Mary went through the records process with Dr. Jeff. This process allows our doctors to determine the best course of treatment using models, x-rays, and photos of the patient’s teeth, gums, and bite.

What did she want?
While Mary was happy with the overall shade of her teeth, she had noticed some areas of discoloration that she wanted to correct. Mary was also concerned that her teeth appeared crowded and was hoping to improve their appearance.

What was involved?
Dr. Jeff recommended that Mary go through the records process so that he could asses the current health of the teeth and gums, and the function of her jaw and muscles. After the records were taken Dr. Jeff was able to formulate a treatment plan for Mary that would address her concerns with the appearance and position of her teeth, which he presented at her consult appointment. Dr. Jeff recommended Mary start with an orthodontic consult to learn about possible options for changing the position of her teeth to alleviate the crowding. Dr. Jeff explained that it would be ideal to move her teeth before doing any restorations on her upper teeth as it would allow him to be more conservative when preparing the teeth and would offer better long-term predictability. He then recommended Mary replace her existing composite restorations on her upper front teeth with porcelain crowns, as they would be stronger and more durable than composites and would give her teeth the consistent shade she desired.

After a lot of consideration, Mary decided to move forward with restoring her front teeth without doing orthodontics. Mary was not interested in taking the time it would need to move her teeth and she felt she could be happy with her results using restorations alone to improve her smile. Before starting her treatment, Dr. Jeff worked with a local lab to fabricate a wax mock-up of Mary’s new teeth to show her what they would look like. Mary was very happy with how they looked with the mock-up, and over the course of two appointments, Dr. Jeff prepared and restored her teeth with the final porcelain crowns.

What does she think?
Mary is excited to say that she likes her teeth much better now that she had them re-done. She thought the procedures were fast and professional. She would recommend the procedures to anyone as she notes “It wasn’t as bad as I was afraid it would be.” Mary loved working with our team and feels more confident with her brighter, straighter smile! Congratulations Mary! We love working with patients like you!

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

Stress, Anxiety and Your Oral Health

By: Dr. Elizabeth Eggert

It’s estimated that 40 million Americans battle an anxiety disorder, the effects of which can be debilitating. Anxiety can cause panic attacks, headaches, depression, muscle aches, fatigue…the list goes on. What most of us don’t consider, however, is the effect that anxiety can have on our oral health.

Common oral side effects

Bruxism: Stress and anxiety cause tension in the jaw which can lead to teeth grinding. If you suspect you’re grinding your teeth, speak with Dr. Elizabeth or Dr. Jeff about a night guard to help protect your teeth from stress-related wear and tear.

TMD: When you experience stress or anxiety, you may clench your teeth and jaw. This tension causes stress on the temporomandibular joints which can cause temporomandibular disorder or TMD. At times, TMD can also be related to sleep and how you are (or are not!) sleeping. We have the ability to help you recognize signs and symptoms that your sleep may be broken or unhealthy. As with bruxism, Dr. Elizabeth or Dr. Jeff will likely recommend some kind of in-the-mouth appliance to ease jaw discomfort and protect these joints from wear. Learn more about TMD in one of our recent posts here!

Dry mouth: Many anti-anxiety medications, while effective at relieving anxiety, can reduce the production of saliva, leading to dry mouth. Without adequate saliva, it’s difficult for your mouth to rinse out food debris and plaque which can lead to tooth decay and gum disease. It’s especially important to keep your mouth lubricated by sucking on sugar-free candy, chewing sugar-free gum and drinking plenty of water. Also, if you struggle with dry mouth, it’s especially important to brush and floss regularly as well as rinse with antibacterial and fluoridated mouthwash. Talk with us at your next recare visit as there are products we can recommend to help your dry mouth.

Lichen planus: Among other symptoms, stress can increase systemic inflammation. Inflammation increases the likelihood of developing mouth ulcers and white, lacy lines in the cheeks, known as lichen planus. This condition can cause a painful, burning sensation in the mouth and left untreated, has been linked to mouth cancer. Although it cannot be eliminated, you can reduce the symptoms of this bothersome condition in a number of ways. Learn more!

Cavities and gum disease: People who experience anxiety are more prone to dental phobia and therefore, oftentimes, avoid regular dental visits. When this occurs, oral health deteriorates and the instance of cavities and gum disease skyrockets. If you struggle with dental phobia, speak with Dr. Elizabeth and Dr. Jeff. They would love to explain our dental comforts and discuss how we can partner with you to make your visits as easy as possible!

Cold sores: Although the herpes simplex virus must be present for cold sores to develop, stress and anxiety can trigger an outbreak. It’s important to treat cold sores with an over-the-counter cream immediately to reduce the chances of spreading the virus to others.

Take charge of your oral health

Therapy, medications and regular exercise are just a few ways to reduce stress and anxiety before they wreak havoc on your oral health.

At Eggert Family Dentistry, we know that your mental health affects your oral health and we believe that they are both equally important components of overall wellness. If you’re concerned that your oral health is being compromised on account of stress or anxiety in your life, we recommend making an appointment with your primary physician as well as with Dr. Elizabeth or Dr. Jeff at 651.482.8412.

Learn more about the connection between mental health and oral health here!

6 Ways to Help Ease Dental Phobia

By: Dr. Elizabeth Eggert

As we covered in our previous post, people experience varying levels of anxiety about going to the dentist. There is, however, a percentage of the population that experiences dental phobia and avoids the dentist altogether. Fortunately, Dr. Elizabeth and Dr. Jeff of Eggert Family Dentistry recognize this struggle and work hard to ease patients’ fears.

Ways to ease dental phobia

According to the Dental Research Journal, 5-14% of people battle dental phobia. If you count yourself among this group and avoid routine dental care on account of irrational fears and feelings of terror, you will be relieved to learn that there are some excellent ways you and our dentists can work together to ease your phobia:

  1. Music: Routine cleanings and most procedures are conducive to headphones. If you want to play music to calm your nerves, please do. We have overhead music, but if you prefer to listen to your own, bring your personal music device along. We have headphones available or you can bring your own.
  2. Cable TV: It is also possible to watch your favorite TV shows as we have cable TV available with headphones in every procedure room.
  3. Calming techniques: Sometimes the best way to ease your nerves in our chair is by practicing a variety of calming techniques. Deep breathing and visualization are two great go-to’s! Dr. Elizabeth and Dr. Jeff, as well as their assistants, Tracy and Heather, are very good at recognizing when you might need help with your breathing and are great at coaching you through any difficulties.
  4. Hand signals: If feeling like you have no control when you’re in the dentist’s chair feeds your anxiety, speak with us about the use of hand signals. Communicating with us by simply raising your hand when you need a break or if you are experiencing any pain during your appointment can be enough to take the edge off that helpless feeling.
  5. Communication: Talk about your fears with Dr. Elizabeth, Dr. Jeff, and our team. Sometimes, just having those fears validated is enough to quell them. This also gives us an opportunity to offer you updated information about the impending procedure and correct any misconceptions.
  6. Medications: If you struggle with dental phobia, there are some sedatives available, but often aren’t needed when the techniques above are implemented. We also can use nitrous oxide gas (laughing gas) as an especially safe and effective in-office choice.

Our Comforts

At Eggert Family Dentistry, we work hard to make sure our patients are physically comfortable and mentally at ease. That’s why we have available a variety of comforts:

  • Warm neck and hand wraps
  • Spa hand treatments
  • Nitrous oxide
  • Comfy blankets
  • Headphones
  • Coffee, tea, water
  • Wi-Fi
  • Cable TV in every treatment room
  • State-of-the-art technology, including:
    -Intraoral cameras – Your dentist or hygienist can take pictures of what they are seeing in your mouth to help them explain to you why they are recommending certain treatments.
    -Laser dentistry – It’s typically more comfortable and less invasive than traditional methods.
    -Digital x-rays
  • Relaxed environment
  • Wooded scenery great for wildlife viewing
  • Convenient location

Tracy talks about the comfort measures at Eggert Family Dentistry.

If you want to learn more about the Comforts we offer and how we ease dental phobia here at Eggert Family Dentistry, give us a call at 651.482.8412. We are happy to further discuss how we can make your next visit your best one yet!

Could I Have Dental Phobia?

By: Dr. Elizabeth Eggert

Dental anxiety is a widespread problem. Most of us know at least a few people who struggle with it…maybe you’re even one of them. However, when push comes to shove, most people with dental anxiety can still maintain their routine dental visits. Dental phobia, however, is a much more serious condition. Let’s take a look at what dental phobia is, what it can be attributed to and the side effects of dental phobia.

Signs of dental phobia

People who struggle with dental phobia experience dread and terror at the mere thought of the dentist and avoid going to the dental office all together unless they are in extreme pain. In addition to avoidance, dental phobia is characterized by insomnia leading up to a dental appointment, crying, nervousness, panic or an upset stomach in the waiting room or exam room.

Causes of dental phobia

Dental phobia can stem from a variety of underlying fears:

  •  The fear of experiencing pain: Often attributed to bad childhood experiences or to other people’s horror stories, the fear of pain is one of the biggest contributors to dental phobia. Fortunately, with advancements in dental technology, most dental procedures today are virtually pain-free.
  • The fear of anesthetics: While used to calm, sedate or numb patients, people with dental phobia often fear anesthetics and their side effects such as nausea, dizziness or the “fat lip” feeling.
  • The fear of vulnerability: Many people with dental phobia say they fear having someone working within inches of their face and in their mouth. They also don’t want to feel helpless and want to be unable to see what’s going on.

Side effects

Left untreated, dental phobia can cause a variety of problems. Because people who suffer from dental phobia avoid regular dental visits and often delay needed dental work, they can develop gum disease and severe tooth decay and can experience early tooth loss. These unfortunate side effects can drastically impact a person’s self esteem and often these victims begin to withdraw socially. Worse yet, poor oral health has been proven to negatively impact a person’s heart and lung health and can lead to decreased life expectancy.

At Eggert Family Dentistry, we rally around our patients. We want to make sure you get the care you need and that you’re as comfortable as possible! If you or a loved one struggle with dental anxiety or dental phobia and would like to learn how we can help, give us a call at 651.482.8412.