Patient Stories Archives - Page 3 of 4 - Eggert Family Dentistry Blog

All I Really Want Is My New Front Teeth- PC’s Story

By: Dr. Elizabeth Eggert

How did this start?

PC (name withheld by patient request) has been a long-time patient of Eggert Family Dentistry and was having issues with headaches and some trouble sleeping. She was interested in fixing her “two front teeth.” “My two front teeth are too big! One is longer than the other, the color bothers me and one front tooth is father forward. I had bonding done years ago and it doesn’t look good anymore.”

After many years, PC decided to undergo the records process with Dr. Elizabeth’s encouragement. During the records process, Dr. Elizabeth used models, x-rays, and photos of PC’s teeth, gums, and bite to better understand the options and to help PC understand any risks that may occur with treatment due to underlying functional issues.

What was recommended?

Through the records process and with information from Dr. Elizabeth, it was determined that the position of PC’s front teeth and the existing wear (flattened edges of her front teeth) likely are at least partially due to airway compromises, both at night and during the day. Before restoring her teeth, it was recommended that PC undergo the Seattle Protocol to help determine if we could decrease the damage being done to her teeth and help protect her new restorations for the long-haul. However, it was difficult for PC to coordinate this as she travels out of the country to help her family multiple times each year. She and Dr. Elizabeth also discussed the option of talking with an ENT to improve nasal breathing, but PC declined this as well.

Therefore, PC elected to move forward with tooth restorations to address her esthetic concerns. Yet, PC’s tooth positions due to crowding caused some esthetic hurdles. Dr. Elizabeth talked with PC and recommended orthodontics to improve tooth spacing and gingival levels. PC also declined this so Dr. Elizabeth had to think outside the box, encouraging PC to minimally seek treatment with a periodontist (gum and tissue specialist) to level out her gingival architecture.

What did she want?

PC was the most concerned about her front teeth. She understood that by declining treatment to address her airway and tooth positions, we would be somewhat limited in our options and this was a risk she was willing to take. She really wanted her front teeth to be the same color and same shape. She wanted to minimize the number of restorations, but didn’t want to have to rely on bleaching to maintain the color of the upper front teeth.

What was involved?

After deciding that she would do bleaching to improve the color for her bottom front teeth and that she would do 6 upper front tooth restorations to give the best symmetry and color options, while still limiting the number of restorations, PC started by consulting with the periodontist so she could level her gingival architecture. PC had this minor surgery completed and after 6 weeks of healing, we were ready to plan for her restorations.

At the time that impressions were taken to develop a wax-up or “blue print” for her restorations, PC underwent the in-office Zoom Whitening procedure to brighten her natural teeth. PC was happy with the color and happy with the wax-up and so her teeth were prepared and the restorations were fabricated.

What does she think?

Once the restorations and bleaching were all completed, we asked PC what she thought about the process. She noted there were a lot of things she hadn’t thought about. She hadn’t realized how interconnected all the pieces were. “I thought it would be so simple, just put a little cover over my teeth.” She said she was amazed at how complex it really was and she was really impressed with Dr. Elizabeth’s knowledge, skills, and attention to detail. She is really pleased with how everything turned out. Thanks, PC, for putting your trust in us! We love serving you as our patient.

Root Canal Myths vs. Facts: Debunking Common Misconceptions

By: Dr. Elizabeth Eggert

Many patients have a great deal of anxiety around root canals. This is usually because they’ve heard stories over the years about the pain and suffering others have had to undergo before, during, and after their root canal treatments.

Luckily, that’s all they are: stories. At Eggert Family Dentistry, we want to dispel the root canal myths and give you the facts. Without further ado, let’s break down the most common root canal myths so you can put those anxieties to rest and feel good about your upcoming root canal treatment.

6 Common Root Canal Myths

Myth #1: Root Canal Treatment is Painful

Fact: While this may have been true decades ago, we are pleased to report that modern medicine and anesthesia has come a long way since then! As such, a root canal procedure shouldn’t be any more disagreeable than a filling. Furthermore, Dr. Jeff and Dr. Elizabeth are very experienced in pain management and will make sure your procedure is as comfortable as possible.

Myth #2: Root Canal Treatment Causes Illness

Fact: Be careful what you read on the internet or see on the streaming networks! This misinformation is based on a poorly researched study conducted about a century ago that claimed root canals could cause illnesses, and has since been debunked. Currently, there is no scientific evidence linking root canal treatment with the development of disease in other parts of the body.

Myth #3: If My Tooth Doesn’t Hurt, I Don’t Need a Root Canal

Fact: While it’s true that most infected teeth cause toothaches, there are cases in which an infected tooth presents with no pain. That’s why it’s important to make regular appointments with Eggert Family Dentistry—Dr. Jeff and Dr. Elizabeth Eggert are trained to be able to test the tooth and detect when a root canal is needed to save the tooth, even if there is no initial pain.

Myth #4: It’s Better to Pull a Tooth Than Have a Root Canal Treatment

Fact: Saving the natural tooth is always your best option, as no artificial tooth replacement, even implants, will truly be able to look or function as well as a natural tooth. Root canal treatment has a high success rate and once treated, it’s highly likely that your tooth will continue to last a lifetime! Furthermore, root canal procedures only take a couple short appointments, while implants can be a larger time commitment.

Myth #5: Root Canals Remove the Roots of the Tooth

Fact: The root is what anchors your tooth to the jawbone, and so the root is never removed during a root canal treatment. Instead, the infected or inflamed pulp of the tooth is removed so that the root of your tooth can be healthy again.

Myth #6: Root Canals Require Multiple Long Appointments

Fact: At Eggert Family Dentistry, you can expect the entire root canal procedure to take about 90 minutes with a total of two visits. The first visit will be the main root canal procedure, and the second visit will be when we will fit a permanent crown or other restoration to protect the treated tooth and restore your bite.

Need a Root Canal Procedure? Schedule an Appointment

If you believe you have an infected tooth, it’s important that you have it treated as soon as possible to relieve your discomfort and prevent the spread of infection. At Eggert Family Dentistry, our patients enjoy successful, comfortable root canal procedures thanks to the compassionate care of Dr. Jeff and Dr. Elizabeth Eggert. To schedule an appointment, call our office at 651-482-8412, today!

Understanding Tooth Loss: Common Risk Factors and How to Protect Your Smile

By: Dr. Elizabeth Eggert

No one wants to lose their teeth. Unfortunately, many people lose at least one adult tooth in a lifetime for a variety of reasons. But, seeing as it can impact both oral health and quality of life, it is helpful to understand the factors that contribute to tooth loss in order to adopt proactive strategies that help you maintain a healthy smile for years to come.

Let’s explore the common risk factors associated with tooth loss, as well as some practical tips on preventing tooth loss. We’ll also take a look at the various treatment options available at Eggert Family Dentistry to restore and replace missing teeth.

What Is Tooth Loss?

Tooth loss refers to the condition in which a person loses one or more of their natural teeth. Tooth loss can have significant effects on a person’s oral health, as well as their ability to bite, chew, and speak properly. It can also impact one’s self-esteem and overall quality of life. Treating and preventing tooth loss is important not only for maintaining a healthy smile, but also for preserving oral function and overall well-being.

Common Causes and Risk Factors of Tooth Loss

Gum Disease: Gum disease, also known as periodontal disease, is a common risk factor for tooth loss. When plaque and tartar build up along the gum line, bacteria can infect the gums, leading to inflammation and loss of the supporting bony structures for the teeth, eventually causing tooth loss if left untreated.
Cavities (Tooth Decay): Untreated tooth decay can result in cavities, which, when left untreated, can progress and reach the inner layers of the tooth. Severe tooth decay can cause tooth infection or abscess, leading to tooth loss.
Teeth Grinding: The habit of grinding or clenching teeth, known as bruxism, can exert excessive pressure on the teeth, leading to enamel wear, fractures, and tooth loss over time.
Injury or Trauma: Accidents, sports injuries, or other forms of trauma to the mouth can cause immediate tooth loss, or damage that may eventually lead to tooth loss if not promptly treated.
Dry Mouth: Saliva plays an important role in neutralizing acids, remineralizing teeth, and washing away bacteria. Not having enough saliva in the mouth increases the risk of tooth decay and gum disease, which can ultimately lead to tooth loss.
Diabetes: Poor blood sugar caused by uncontrolled diabetes weakens the immune system. A weak immune system will find it harder to fight off infections of the gums, accelerating gum disease and potentially leading to tooth loss.
Smoking: Tobacco use significantly increases the risk of gum disease by reducing blood flow to the gums, making smokers more susceptible to tooth loss.

How to Prevent Tooth Loss

Hygiene Habits

Make sure you brush and floss and floss your teeth regularly. That means brushing at least twice a day and flossing at least once a day. Additionally, make sure you’re maintaining a regular schedule of dental appointments with Eggert Family Dentistry so Dr. Jeff Eggert and Dr. Elizabeth Eggert can monitor your oral health.

Lifestyle Choices

It should come as no surprise that you need to avoid tobacco consumption in all forms if you want to have a healthy mouth. Other lifestyle changes might include wearing a night guard for bruxism, consuming fewer sugary/acidic foods and drinks, and talking to your medical doctor about treatments for diabetes or high blood pressure to make sure your overall health is being taken care of.

Protective Measures for Sports

If you or a loved one engage in any kind of contact sports, mouth guards are a must. A properly fitted mouthguard can protect your teeth from trauma and prevent tooth loss if an accident happens. Additionally, if your sport allows it, wear a helmet! [DO WE HAVE A PREVIOUS MOUTHGUARD BLOG YOU COULD LINK HERE?]

Treating Tooth Loss

Thanks to modern dentistry, tooth loss doesn’t have to be permanent! At Eggert Family Dentistry, we can recreate the look and feel of your natural teeth using implants or dentures.

Implants are anchored in the bone and they help preserve bone mass in the jaw. Once they are established, you can care for them just as you would your normal teeth, with brushing and flossing. The feel of chewing and speaking will all feel completely familiar. Implants are built to last a lifetime, and they almost always do.

Bridges use the neighboring teeth as anchors to fill in a “tooth” where the natural tooth is missing. Bridges can be a good option if the neighboring teeth also need reconstruction or if the bone isn’t healthy enough for an implant.

Dentures or Partial Dentures are another solution and can be less expensive than implants, however, they may need to be replaced multiple times in a lifetime as the shape of the jaw, mouth and adjacent teeth change over time.

Suffering from Tooth Loss?

If you’re experiencing tooth loss, booking an appointment with Eggert Family Dentistry can be the first step towards restoring your smile. With our compassionate care and expertise, Dr. Jeff Eggert or Dr. Elizabeth Eggert will evaluate your oral health and determine the best treatment options for you. Whether it’s dental implants, bridges, dentures, or other restorative solutions, we can tailor a treatment plan to meet your unique needs. Give us a call today at (651) 482-8412!

Cavities vs. Tooth Erosion

By; Dr. Elizabeth Eggert

When we talk about cavities and tooth erosion, we’re talking about two very different dental processes. While both processes result in the breakdown of your teeth, they can be caused by different factors, and thus require different solutions.

In this post we’re going to share the differences between cavities and tooth erosion, their effects on your dental health, and offer some suggestions for prevention.

Cavities (Also Called Tooth Decay)

Cavities are permanently damaged areas in the hard surface of your teeth that develop into tiny openings or holes. This tooth decay can be caused by a combination of factors, including:

Bacteria in your mouth
Frequent snacking
Sipping sugary drinks
Acidic foods or drinks
Not cleaning your teeth well

Dental Effects

Because cavities make the tooth weaker, they can cause a number of uncomfortable side effects, including:

Toothache
Tooth sensitivity
Mild to sharp pain when eating or drinking something sweet, hot, or cold
Visible holes or pits in your teeth
Brown, black, or white staining on any surface of a tooth
Pain when you bite down

Prevention

The best way to prevent cavities is to maintain a proper oral hygiene routine. You should be brushing your teeth at least twice a day and flossing at least once a day. Additionally, you need to maintain a regular cadence of visiting Eggert Family Dentistry for professional dental cleanings and recare visits. While your at-home regimen is critical to preventing cavities, getting your teeth professionally cleaned on the interval recommended by Dr. Jeff or Dr. Elizabeth is key to making sure no stone is left unturned when it comes to your oral health.

Tooth/Enamel Erosion

Tooth enamel is the hard, translucent coating that covers the crowns of your teeth, protecting them from bacteria. This coating helps prevent tooth decay, and thereby plays a critical role in overall dental health. But, when enamel is eroded, problems arise.

Enamel erosion is similar to tooth decay in that it weakens the tooth. But rather than being caused by bacteria, teeth surfaces can be worn down and weakened by:

Acids in food and drink
Stomach acids
Misalignment
Clenching and grinding
Chewing ice
Naturally weak enamel

When your enamel wears down, your chances of developing decay become much higher, as there’s less of a protective layer between bacteria and the softer interior of your teeth.

Dental Effects

If you experience any combination of the following symptoms of enamel erosion, make an appointment with Eggert Family Dentistry today:

Tooth sensitivity
Pain or discomfort when eating something sweet, hot or cold
Change in the color of your teeth (with erosion, they often look gray or yellow)
Change in shape of your teeth (they may become sharp, chipped, or sometimes smooth like a stone)
Cracks in the teeth

Prevention

To prevent tooth erosion, reduce your intake of food and drinks containing acid. Or, if you’re going to have high acid food/beverages, try to eat them with other non-acidic foods to balance the acid content. Additionally, don’t brush immediately after you eat or drink food containing acid. Instead, rinse with tap water and wait about an hour until your enamel has a chance to remineralize again from your saliva before you brush.

Most importantly, to prevent tooth erosion, visit Eggert Family Dentistry for regular recare visits so we can keep an eye on your dental health! We can assess whether these damages are due to acidic foods, decay, or bruxism, which can be prevented with appropriate treatment. Consider using a remineralization medicament, and ask about the restoration of your teeth to prevent further damage.

If you’re experiencing tooth sensitivity, changes in tooth color, cracks, chips, or dents in your enamel, or if you’re due for your next recare, routine dental visit, please don’t hesitate to contact our office at 651.482.8412 and set up an appointment today!

Replacing Maryland Bridges – Kate’s Story

By Dr. Elizabeth Eggert

How did this start?

Kate works in the medical field and came to us as a new patient in 2019. At her new patient exam, Dr. Elizabeth noted that Kate was congenitally missing her upper lateral incisors. The lateral incisor is the small tooth next to the central, front tooth. Missing lateral incisors are most commonly caused by a condition called hypodontia, in which someone is born with missing teeth. This situation is more common than you realize. Kate had her lateral incisors replaced by “Maryland” bridges over 30 years ago and she had some issues with them staying bonded in the past. Maryland bridges aren’t used much anymore, but can be a decent way to replace teeth (temporarily) for patients that are young because over time tooth and gum changes are expected.

Kate had a bridge on her lower right side as well that came out due to the fracture of one of the abutment (anchor) teeth. After this occurred, Kate decided it was time to work on her bite since she wanted implants to replace her lower teeth and once implants are placed, it is more difficult to idealize a bite since the implants can’t be moved with orthodontics like teeth can.

What did Kate want?

Kate wanted to complete her treatment as soon as possible, but she understood that changing her bite would include orthodontic treatment. Kate worked with Dr. Brian DeVoe and had traditional brackets and wires placed. Luckily, Dr. Elizabeth was able to section Kate’s original Maryland bridges so the teeth could still be moved, but Kate would not have to go without teeth in the front during her orthodontic treatment. Kate was hoping to replace her missing teeth with implants so she would not have to use her adjacent teeth as anchors, however, due to the fact that Kate had been missing her lateral incisors her whole life, there wasn’t enough bone for implants without serious bone grafting interventions. Even with surgical interventions, Kate still only would have had a guarded prognosis for implants. Therefore, Kate decided to complete her case with conventional bridges.

What was involved?

Kate spent approximately 18 months in braces. After she completed orthodontics, Kate came to our office for the pre-planning phase for her new conventional bridges. We took impressions for a wax-up so Kate could preview her new restorations. With the wax-up, we were able to complete a mock-up in Kate’s face so she could really see how the new bridges would look. Kate also spent some time bleaching of her natural teeth so she could use a white porcelain for her new bridges. This helped to brighten her smile. One interesting thing occurred while Kate was bleaching. She had purchased bleach online from the Amazon store, but ended up with a severe ulceration of her tissues from that bleach. After reviewing techniques for healing, her tissue did heal and we were able to continue on with her treatment plan.

After Kate approved the mock-up and her gingival tissue healed, she returned to our office for the preparation of her teeth for conventional bridges. We placed temporary bridges for a couple of weeks and then the final bridges were cemented. She finished her treatment by having new orthodontic retainers fabricated.

What does Kate think?

When we asked Kate what she thought about the treatment once completed, she said that she didn’t understand everything that would go into correcting her bite and planning for new restorations. She initially thought it would be a shorter process. She was surprised at all the detail that went into the planning and the treatment. “I am just amazed at the precision and every single thing that was considered. Dr. Elizabeth Eggert’s skill and ability to do what she does truly amazes me.” When asked what she would tell someone thinking of getting this done, she said, “I would tell them to trust the process and to trust Dr. Elizabeth. It may not be the easiest to live through or it may seem long and tedious, but the end results are so worth it!” Thank you for putting your trust in us to complete your care, Kate! We love your new bright smile!

My New Smile – “It was Necessary:” ML’s Story

By: Dr. Elizabeth Eggert

How did this start?

ML (name withheld by request of patient) has been a patient of Dr. Elizabeth Eggert for over 10 years. When ML first came as a patient, Dr. Elizabeth had been working to do a complete oral reconstruction for his mother. His mom urged him to seek Dr. Elizabeth’s council as she was concerned for the long-term health of his teeth. When ML came to us, he mentioned that he knew he had a lot of tooth wear. In interviewing ML, he noted he had difficulty sleeping and said it would take up to 45 minutes for him to fall asleep. He also didn’t think he had a stable bite, despite being in orthodontics on and off for 14 years of his childhood and teenage years. He did have 4 teeth extracted for his first orthodontic treatment (2 upper bicuspids and 2 lower bicuspids). You can note from the BEFORE photos that ML had tooth wear and his upper teeth were stuck inside his lower teeth – this is a condition called “crossbite.”

What was recommended?

ML went through the Records Process and it was determined that the wear on his teeth was increasing at an accelerated rate and the current position of his teeth would put them at high risk for continued wear, chipping, cracking, breaking, and potentially even tooth loss. The recommendations were to get ML’s teeth into a more idealized position, keep bone support for the teeth, and restore the teeth where they have worn in order to build back to normal tooth proportions.

Years ago when ML underwent orthodontics for the first time, we didn’t know as much as dental professionals about airway and jaw constriction. It was fairly common for patients like ML to undergo extractions in order to “gain space” and “alleviate crowding.” We know more now as a profession about how this affects sleep, breathing, and tooth wear over time. Instead of extractions to “gain space” it is much more common now to encourage the bones to grow into positions that can support all the teeth. We are much more likely to recommend expansion or expanders. This solution works very well in growing children. As an adult, this was still possible for ML, but would require jaw surgery to make the corrections. Therefore, orthodontics, jaw surgery, and restorations were recommended for ML. Dr. Elizabeth also talked to ML about the alternative treatment of restoring all of his teeth and rebuilding to a different bite, but ML wanted to limit the number of restorations and Dr. Elizabeth told ML that she preferred to see a wider arch for his teeth anyway.

What did ML want?

“My lifetime goal for my teeth is to keep them.” He reported he has never been happy with the appearance of his teeth. He didn’t want “nuclear” white teeth, but he said if he was going to improve his bite, he wanted his teeth to look nicer too. ML started the process with Dr. DeVoe (orthodontist) to change his bite without any surgical correction. Dr. DeVoe did a nice job improving ML’s crossbite and moving the teeth into a position where restorations could be done to rebuild tooth proportions.

However, even after this second round of orthodontics (ML’s first round as an adult), it was still difficult to even out his bite forces without doing a large number of restorations. Also, there was an “elephant in the room:” ML’s tongue. Dr. Elizabeth couldn’t help but notice how much space ML’s tongue wanted. As you can see in the photo above, ML’s tongue wanted lots of room and would spill over his teeth with his teeth apart. It was also always very visible in photos and very active when working on ML.

While doing the consultation after this second round of orthodontics, ML said “Well, there is always still the option of jaw surgery.” While ML had not been set up orthodontically for jaw surgery, Dr. Elizabeth told ML that he was correct, there still was that option, if he was willing to undergo more orthodontics. She also shared with him the story of her mom’s journey with jaw surgery and orthodontics.

What was involved?

ML went back into orthodontics. He had 2 different surgeries with Dr. Andreasen of Momenta Oral Surgery. One to open his upper arch and expand that space and another to move his upper and lower jaw bones forward. This extended his treatment time frame, but after this third round of orthodontics, he was ready for restorations. ML felt his teeth were disappearing, it was time to rebuild them back to visible proportions.

It is easy to see how ML’s oral space improved after his jaw surgeries. His tongue is happy to have so much more room! For color and tooth proportion corrections, Dr. Elizabeth recommended a minimum of 14 restorations (8 upper teeth and 6 lower teeth) along with equilibration to finalize the bite. ML wanted whiter teeth, but it was decided that since he was doing 14 restorations, his back teeth wouldn’t show in his smile so bleaching was not needed before the restorations were done. Therefore, we did a wax-up so ML could see what the final restorations would look like and after he approved the wax-up, we prepared the teeth for restorations and a few weeks later seated his restorations.

What does he think?

When we asked ML what he thought about doing the procedure before we started he stated, “This was necessary; I never saw this as elective, but I wasn’t really looking forward to it. The thought of something happening to my teeth was a little uncomfortable. I don’t think anybody likes doing something to their body that is irreversible.”

However, ML is very happy he completed the procedures and ended up doing the jaw surgeries after all. He is surprised at how much bigger his airway is and that he no longer makes sounds at night when sleeping. He always believed he could not breathe through his nose because of allergies, but that does not seem to be the case after this treatment, it appears that he needed expansion of his oral spaces. (Note there is NO tongue visible in ML’s AFTER photo.) ML says it was a long road and he learned a lot along the way, but it was necessary!

Congratulations on your amazing results ML and thank you for putting your trust in us! We were delighted to help you through this journey!

CEREC and The Primescan Up Close – Ann’s Story

By: Dr. Elizabeth Eggert

It is always ideal when your dental exam reveals no problems, but sometimes issues do arise. If your tooth has a large cavity, cracks, or is broken, Dr. Elizabeth or Dr. Jeff will likely recommend a crown to help restore the integrity of your tooth. A crown will reinforce the tooth and help keep it functioning for eating, smiling, and speaking.

Crowns have been around for decades and fortunately the materials and process for making crowns has continued to evolve and improve. Traditionally, getting a crown on your tooth involved two appointments. Currently, technology exists that allows us to make crowns in our dental office in one appointment. This offers a number of advantages, probably the biggest of which is convenience in coming to the office for only one appointment instead of two. Another advantage is the ability to take a digital impression with an intraoral scanner. This eliminates the need to take a traditional impression with putty material that sets up in your mouth. A crown in one day also means there is no need for a temporary crown. Temporaries are durable but do occasionally break or come loose, necessitating a visit to have a new temporary made or recemented. An additional remarkable feature of the “same-day crown” is the ability to replicate the shape and anatomy of an existing tooth or crown, which makes it easy for your new crown to fit well into your bite.

We have been using this technology with the CEREC system for many years and we recently upgraded our intraoral scanner to the Sirona Primescan, which makes taking digital impressions even faster and easier. Not every case can be completed in one visit, but many can, which most people find preferable. A recent patient, Ann, commented, “It is very convenient to get the crown fitted and designed in one visit versus having to come back!”

We want to share some photos with you of Ann’s case so you can see this technology in action. If one of your teeth ends up needing a crown, you can trust that our great team at Eggert Family Dentistry will take wonderful care of you too!

Call us today at 651-482-8412 to inquire about getting your next crown in one day!

Two Amazing Implant Stories! Candy and Joan’s Stories

By: Dr. Elizabeth Eggert

This month we are excited to share two amazing implant stories. We have been waiting patiently for both of these cases to finish over the course of a few years, but it’s been worth the wait. We want to thank Candy and Joan for allowing us to share their stories!

How Did This Start?

Both Joan and Candy came to us with a history of trying to do the right thing for their dental care, but they had both experienced at least one dental trauma years before. Joan was involved in a motor cycle accident in 1968 where she lost one of her front teeth and started down a path of needing multiple dental interventions. When we started this process with her in 2015, she told us “I hate my teeth. I hate how they aren’t in the right position. I hate how yellow they are. I hate the recession around my bridge. I like to smile, but not the look of my teeth.” She described wanting nicer looking teeth that are strong and allow her to eat without a problem. She wanted the self-confidence that comes with a beautiful smile.

Candy started her journey at age 10 when, unfortunately, she underwent her first tooth trauma, breaking a front tooth. After a series of other injuries and dental treatments done to try to save her teeth, she came to us in 2013 with multiple root canal treated teeth and some teeth that had been replaced by bridges. Candy was very concerned with the recession of her gums and that kept her from smiling too broadly. She also thought that her current dental restorations were too long, she wanted to see them a different shape.

What Was Involved?

For Joan, there were many teeth we could save, but due to the accident, she had lost a lot of bone supporting the teeth holding an existing bridge and those teeth could no longer be saved. We needed to figure out a way to “grow” bone. While bone grafting has come a long way over the years, getting vertical growth of bone with grafting alone isn’t predictable. Therefore, Joan underwent orthodontic treatment. Dr. Brian DeVoe, her orthodontist, was able to change her bone levels by orthodontically moving the front teeth down, therefore, in a sense, “growing bone.” Orthodontic tooth movement also helped straighten Joan’s previously crowded teeth.

When Joan was finished with her orthodontic treatment, Dr. Karl Andreasen, her oral surgeon, bulked up the bone horizontally with a bone graft, before placing implants a few months later. During this interim time, Joan wore both a retainer filled with fake teeth and a temporary implant bridge.

Candy had some difficult decisions to make. Because of the history of trauma to many of her teeth, the teeth were getting more and more unpredictable to save. She had to decide if putting more time, energy, and money into the teeth themselves was going to give her an outcome she would be happy with. Candy originally thought she wanted to save all the teeth that were possible to save. However, after consulting with Dr. DeVoe, an orthodontist, Dr. Dylla, a periodontist, Edgar Jimenez, a dental lab technician, and Dr. Andreasen, an oral surgeon, she and Dr. Elizabeth decided that implants would be a more predictable way to provide the function and esthetics she desired and would likely be a longer-lasting solution, as one of her goals was to “not have to deal with these teeth again.”

Candy worked with Dr. Andreasen first and prepared for the All-On-4 technique in which all of her upper teeth were removed and 4 implants were placed the same day, along with a transitional fixed plastic prosthesis.

While her implants were integrating, Candy elected to undergo Invisalign for her lower teeth to help improve their stability as well. Her Invisalign treatment took 6 months and, in the end, her lower teeth were in a better position as the planning started for her final All-On-4 prosthesis.

What Do They Think Now?

Joan is so happy with her outcome. Her teeth never stop her from smiling anymore. And, as an added bonus, she used to get a headache almost daily, but after her orthodontic treatment, she rarely is affected. Joan told us she knew it would be a lot of effort to get her to her final result, but it was worth it. She told us if she was talking to someone else who was thinking of going through a similar treatment, she would tell them “Do it! Even though it is hard and it takes a lot of effort, even if it’s a pain along the way, it’s worth it, every second of it!”

Candy thought her transitional prosthesis looked ok, but she was excited about the prospect of having complete control over how her final prosthesis would look. She and Dr. Elizabeth had many conversations about what she wanted and all this was conveyed to the lab technicians working on her case. She got to choose the color, the shape, the width, the length, and the arch form of her new smile. It took a couple try-in appointments where the teeth were set in wax and could be adjusted to meet Candy’s ideal specifications, but in the end, the lab was able to provide just what she was asking for.

Candy is happy to be finished with her treatment and says “I am happy with the outcome for sure!” Candy’s treatment took longer than expected due to some minor complications with the tissue surrounding her implants and the need for tissue grafting. Her interim prosthesis held up well though. Candy knew it would be an investment in time and money, but would tell others thinking about going this route “it’s worth it and I’m glad I did it.”

Smile Your Way into a More Confident 2020!

As 2019 wraps up, you probably have your sights on goals for the new year. And one thing those goals require is confidence in your ability to achieve them. Is a less-than-perfect smile impacting your self-esteem and keeping you from going after things that are important to you? At Eggert Family Dentistry, we understand how crooked, decaying, chipped, discolored or missing teeth can have this effect. Fortunately, we offer many cosmetic dentistry procedures that can restore your smile…and your confidence.

Teeth whitening: Over time, teeth become stained from certain foods, beverages, medications and smoking. Eggert Family Dentistry has many great options to help restore your pearly whites. We provide professional-grade strips and whitening trays that are more effective and gentler on your teeth and gums than their over-the-counter counterparts. We also offer the Zoom and Kor Whitening procedures. Zoom is performed in a single, two-hour appointment, we apply a professional whitening gel to your teeth and activate the gel with an LED light which allows the gel to better penetrate the teeth. Kor bleaching is the most effective whitening system known and is backed by scientific research to bleach even the previously-thought-impossible-to-bleach tetracycline stained teeth.

Veneers: Porcelain dental veneers are ultra-thin porcelain shells that cover the front of teeth. Veneers dramatically transform chipped, misaligned, discolored or worn teeth. They can also be used to close unsightly gaps. Dr. Elizabeth and Dr. Jeff custom make dental veneers that compliment your skin tone, facial features and personality and feel just like your natural teeth. This process takes two or three visits and the results last for many years.

Composite Bonded Veneers: Composite bonded veneers can be completed in a single appointment. Dr. Elizabeth and Dr. Jeff apply composite resin to your tooth and cure it with intense blue light. Then they sculpt and polish the tooth for a transformational effect. Composite bonded veneers are popular since they are a more cost-effective option than porcelain veneers. However, they don’t last as long, but can typically be expected to last upwards of 10 years.

Invisalign: A low-profile alternative to metal braces, Invisalign uses retainer-like tooth aligners made from BPA-free medical-grade polyurethane thermoplastic to move teeth. While this option isn’t for everyone, it can be an excellent choice for people with mild to moderate gaping or crowding and helps to discreetly straighten your smile.

At Eggert Family Dentistry, we don’t think anything should keep you from achieving your goals. Are you dissatisfied with your smile and want to explore which cosmetic dentistry options are right for you? Give us a call at 651.482.8412 to set up an appointment. We would love to help you regain that beautiful smile and set you off on a more confident path in 2020!

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!