Tag: Teeth Whitening Oakdale

Teeth Bleaching vs. Veneers

By: Dr. Elizabeth Egger

If you’re a coffee-lover or a wine connoisseur, you’ve probably considered a couple teeth-whitening solutions before. In fact, there are so many foods and drinks that can stain our teeth, you’d be hard pressed to find a person who wasn’t interested in making their smile whiter and brighter! 

If at-home treatments like whitening toothpastes and whitening strips aren’t giving you the results you’re looking for, you might want to consider an in-office whitening treatment. When it comes to choosing between bleaching your teeth and having veneers made, however, there’s a lot to consider. The option that’s best for you is usually based on your level of staining, your budget, and your tooth sensitivity. Here’s a little about the professional options we offer: 

Opalescence Go! 

Pros: 

  • Can take it home with you from your dental appointment 
  • Effective 
  • Inexpensive 
  • Non-invasive 

 Cons: 

  • Takes about 10 days at home
  • More sensitivity than other professional options 
  • Not effective on restorations
  • Won’t remove deep stains
  • More “gooey” to use

Zoom! Whitening 

Pros: 

  • Fast, takes 2 hours in-office 
  • Effective (8 shades whiter)
  • Less expensive than Kor 
  • Non-invasive 

Cons: 

  • Possibly more sensitivity than Kor 
  • Not effective on restorations (bonding, veneers)
  • Won’t remove deep stains

The Zoom! bleaching process is very simple. Dr. Elizabeth or Dr. Jeff’s team will first isolate your teeth, then apply peroxide gel to your teeth. A low heat light is placed close to your teeth that activates the whitening gel. You will undergo up to four 15-minute cycles during your session.

Kör Whitening 

Pros: 

  • Extremely effective (up to 16 shades whiter)
  • Non-invasive
  • Removes even tetracycline staining
  • Least amount of sensitivity 

Cons: 

  • About double the cost of Zoom!  
  • Not effective on restorations (bonding, veneers)
  • Time-consuming – sometimes requires 4 in-office sessions and time at home 

The Kör treatment was developed by Dr. Rod Kurthy in response to the lack of consistency in results of traditional whitening products, and complaints of sensitivity from patients post-treatment. This treatment is extremely effective, bleaching some patients’ teeth up to 16 shades whiter! It’s also the least sensitive option due to the science Dr. Kurthy used to develop his product, making it the perfect option for people with extremely sensitive teeth. 

The Kör treatment involves both at-home and in-office processes. After an impression appointment and two weeks prior to your in-office appointment, Dr. Jeff or Dr. Elizabeth will give you an at-home kit that includes a dental tray and a special gel. This tray must be worn overnight, every night before your appointment. The at-home treatment allows for longer exposure to the gel, resulting in even whiter teeth.

When you come in for your appointment two weeks later, Dr. Elizabeth or Dr. Jeff’s team will apply a breathing gel to your teeth to finish the treatment. Sometimes a second in-office appointment is also needed, depending on the desired results. 

Veneers as a Whitening Solution

Pros: 

  • Extremely effective (you may choose your shade of white)
  • Completely masks all staining
  • Long-term results 

Cons: 

  • More costly 
  • Alters tooth structure 
  • Some tooth sensitivity 
  • Time-consuming 

Teeth bleaching works very well for lighter stains caused by food and drink. For more stubborn staining that can’t be removed by the bleaching process, you may consider getting veneers. This is the most involved whitening option of the three listed in this post. 

Veneers are a very thin ceramic shell that covers your existing tooth structure. In placing these new veneers on your teeth, you can fix the look of issues such as staining, cracked teeth, spaces, misaligned teeth, chipped teeth, and more. 

The process of getting veneers involves at least two to three visits to Eggert Family Dentistry. During the first visit, we will discuss the shape and look of your veneers and develop a plan together. On the second visit, we will prepare your teeth for the placement of the veneers by removing a thin layer of enamel. We will also take an impression of your teeth, and provide you with a beautiful temporary solution to cover your teeth over the next few weeks. Your final visit will take place two to three weeks later, during which Dr. Elizabeth Eggert or Dr. Jeff Eggert will place your brand-new veneers.

Let Eggert Family Dentistry Brighten Your Smile!

If you’re unsatisfied with the results of over-the-counter whitening treatments, call Eggert Family Dentistry at 651.482.8412 to discuss potential in-office whitening solutions and schedule an appointment. Dr. Elizabeth Eggert and Dr. Jeff Eggert will be able to help you decide which option is right for you. We look forward to helping you achieve the smile you’ve been dreaming of! 

Dry Mouth and Diabetes: Causes, Symptoms, and Treatments

By: Dr. Elizaabeth Eggert

While anyone can experience dry mouth, it’s one of the most common side effects of diabetes I and II. Dry mouth, or xerostomia, is an uncomfortable condition in which your body under-produces saliva, leaving your mouth feeling dry, rough, sticky, and just plain uncomfortable. 

As we expanded on in a recent blog, saliva is extremely beneficial for your dental health. Since dry mouth is a reduction in the amount of saliva produced in your mouth, this condition can wreak havoc with your oral health.

But here’s the good news: dry mouth is a completely manageable condition that can be managed with at-home techniques, or treated here at Eggert Family Dentistry. But first, let’s explore the connection between dry mouth and diabetes.

Why Does Diabetes Cause Dry Mouth?

The two most common causes of dry mouth in people with diabetes are high blood sugar and the side effects of diabetes medications. 

High Blood Sugar: 

High blood sugar, or hyperglycemia, is a common side effect of diabetes that isn’t well managed. While healthcare providers aren’t quite sure why high blood sugar causes dry mouth, chronic dry mouth is often the first noticeable symptom that someone with diabetes experiences.

Diabetes Medications: 

Side effects of certain diabetes medications, including Metformin, include dry mouth. ACE (angiotensin-converting enzyme) inhibitors, which are used to treat hypertension and diabetes, can also cause dry mouth. 

Symptoms of dry mouth include: 

  • Bad breath
  • Burning feeling in the mouth
  • Difficulty eating, chewing, swallowing, or speaking
  • Dry, cracked lips
  • Mouth that feels dry nearly all the time
  • Sores or infections in the mouth
  • Tongue that feels rough and dry

If you experience these symptoms consistently, be sure to schedule an appointment with your healthcare provider to make sure it isn’t a sign of another underlying condition. If your case of dry mouth is diabetes-related, you’ll be happy to know that it’s manageable at home and in our office! 

How to Manage Dry Mouth With Diabetes 

Everyone has different advice on how to manage dry mouth when you have diabetes, but all advice follows the same thread: 

1.) Make sure you’re hitting your targets

2.) Take steps to moisten your mouth and encourage saliva production. 

Here are some at-home remedies for managing dry mouth: 

  • Manage your blood sugar levels.
  • Avoid salty, spicy, or sugary drinks and foods.
  • Stay hydrated by drinking water throughout the day.
  • Avoid caffeine, which can dry out your mouth.
  • Chew gum or suck on hard candies that do not contain sugar. 
  • Do not use tobacco.
  • Limit alcohol consumption.
  • Use alcohol-free mouthwash.
  • Use lip balm (to manage chapped lips). 
  • Use a humidifier while you sleep at night.

To manage the effects of dry mouth on your dental health, brush your teeth at least twice a day with fluoride toothpaste and floss regularly. Because dry mouth accelerates the process of tooth decay and gum disease, you want to be extra vigilant when it comes to taking care of your teeth! 

How Eggert Family Dentistry Can Help 

For patients with severe dry mouth, Dr. Jeff and Dr. Elizabeth can prescribe medications that stimulate saliva production, such as pilocarpine (Salagen) or cevimeline (Evoxac).

With the right medications and at-home management, dry mouth can be a thing of the past! Let Dr. Elizabeth and Dr. Jeff be your partner in managing the effects of diabetes on your dental health. Contact us or call us at 651.482.8412 to schedule an appointment today!

What Your Saliva Can Tell You About Your Oral Health

By: Dr. Elizabeth Eggert

Saliva: you know, that stuff we normally call “spit.” While most people may cringe and call it “gross,” dentists know that saliva is actually a healthy mouth’s best friend! 

Healthy saliva production is a good indicator that your oral health is in tip-top shape. On the other hand, if your saliva production or the consistency of your saliva is unusual, it may be a warning sign of some underlying conditions that need to be addressed. 

What is Saliva? 

Saliva is a clear liquid that’s created by your mouth 24 hours a day, seven days a week. Produced by the salivary glands, saliva keeps your mouth moist and comfortable, but it also performs a number of other important functions. 

Within your saliva are tiny amounts of some very important substances, including mucus, proteins, minerals, electrolytes, antibacterial compounds and enzymes. These minerals and enzymes have a huge role to play when it comes to your overall health. For example, the enzyme amylase allows saliva to aid in digestion, by turning starches into sugars which your body can more easily absorb. Unsurprisingly, saliva also plays a key role in your oral health, protecting you from a host of dental problems.

3 Ways Saliva Protects Your Mouth

Apart from good dental health habits, when it comes to fighting off bacteria and disease in your mouth, consider saliva your superhero. From killing germs and preventing bad breath, to defending against gum disease and tooth decay, you can count on your saliva to save the day! But how does it do it? 

  1. Every time you swallow, saliva sweeps away food and bacteria. This reduces the amount of bacteria in your mouth and neutralizes acids that would otherwise break down enamel and cause tooth decay. 
  2. Saliva also contains antimicrobial agents that kill disease-causing bacteria. Without this daily “cleaning service,” you’d find that you’d develop gingivitis, gum disease, and other oral infections much faster. 
  3. When acid does manage to damage tooth enamel, saliva actually repairs the tooth’s protective surface in a process called remineralization. Calcium, phosphorus, fluoride, and other minerals contained in saliva work together to coat and repair your enamel. 

Saliva Symptoms and What They Mean 

Aside from protecting your mouth, sometimes your saliva can be a key indicator that something is wrong in your body. Unusual production or consistency in your saliva can be a red flag to let you know that there’s a problem. 

Not Enough Saliva

This is a condition known as dry mouth. Without enough saliva to coat your mouth, it can feel dry, sticky, and very uncomfortable. Dry mouth can be caused by a number of things, including: 

  • Dehydration
  • Certain medications
  • Medical treatments
  • Diabetes
  • Anemia
  • Hypertension

…and more. Depending on the cause, dry mouth can be relieved by hydration, special oral rinses, medication to promote saliva production, and more.

Too Much Saliva: 

Also known as hypersalivation, having too much saliva in your mouth can be just as uncomfortable as dry mouth. You may find yourself having to constantly spit or swallow throughout the day, which can even cause anxiety. Causes of hypersalivation include: 

  • Nausea
  • Inability to swallow 
  • Inability to keep mouth closed 
  • Sinus or throat infections 
  • Ulcers, inflammation, or pain in the mouth 
  • Parkinson’s disease 

…and more. In minor cases, hyper salivation can be treated at home with remedies such as brushing your teeth and using mouthwash to temporarily dry out the mouth. Hypersalivation can also be treated with medication, periodic botulinum toxin (Botox) injections, or in extreme cases, surgery.

Unusual Consistency 

If your saliva is thick and opaque, that may be a sign that you have a yeast infection called oral thrush. This condition is more common in children and the elderly, and is treated with antifungal medications taken orally. 

If your saliva is bloody, that may be an indication that you have developed gum disease. Bloody saliva will be most noticeable in the sink after brushing or flossing. If you think you have gum disease, call Eggert Family Dentistry and schedule an appointment right away. Treatments for gum disease include periodontal scaling and root planing. 

Have Concerns About Your Saliva? 

If you find that you’re producing excessive amounts of saliva, are experiencing bouts of dry mouth, or have noticed an unusual consistency in your saliva, call our office to schedule an appointment. Dr. Jeff Eggert or Dr. Elizabeth Eggert will be able to diagnose any problems and recommend or prescribe any treatments you may need. Call us today at 651-482-8412.

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Diabetes and Your Dental Health

By: Dr. Elizabeth Eggert

If you have type I or type II diabetes, you’re at a higher risk for developing cavities, gingivitis, and periodontitis. That means it’s especially important that you take good care of your teeth and gums by brushing and flossing regularly. 

If you or a loved one has been diagnosed with diabetes, Dr. Elizabeth and Dr. Jeff Eggert can answer any questions you may have about how to best take care of your oral health. With the right strategies, managing the effects of diabetes on your dental health can be easy! Read on for more information about how diabetes can affect your dental health, and how the team at Eggert Family Dentistry can help.

What is Diabetes? 

To understand how diabetes affects your dental health, we need to understand how diabetes works. 

Most of the food you eat is processed as sugar. When your blood sugar reaches a certain level, a hormone called insulin is released. Insulin allows the sugar in your blood to be transferred to cells and used as energy. 

With diabetes, however, your body doesn’t make enough insulin, or can’t use it as well as it should. Without enough insulin, too much sugar stays in your bloodstream. 

High blood sugar can also weaken white blood cells, which are your body’s main way to fight infections. Over time, this decreased immune response can cause serious health problems, such as heart disease, vision loss, and kidney disease.

How Does Diabetes Affect Dental Health? 

Everyone has billions of tiny bacteria living in their mouths. Some are good bacteria, and some are bad. When a person doesn’t brush their teeth or floss enough, the bad bacteria surrounding your teeth are given the opportunity to enter the gums and cause irritation, inflammation, and bleeding.

According to the American Diabetes Association, “If you have diabetes—especially if you’re not meeting your targets—you will have more of an inflammatory response [to the bad bacteria], which could result in a loss of supporting tissue for your teeth.” Too much loss of this gum and bone tissue that supports a tooth could result in the tooth needing to be removed.

To put it simply, diabetes accelerates the negative effects of bad bacteria in your mouth. While it may take a while for someone without diabetes to develop cavities and gum disease, for someone with diabetes, these processes occur at an accelerated rate and the damage is more severe. 

Once you have an infection, diabetes can make it hard for your body to fight it. High blood sugar can weaken white blood cells, which means your overall immune response is also weakened.  

Diabetes can also cause dry mouth. The lack of saliva from dry mouth means food debris, sugar, acid and bacteria don’t get washed away as easily. This leads to the formation of more plaque, which erodes the enamel and causes the aforementioned infections.

How to Protect Your Dental Health 

Developing and maintaining good oral health is the best way to prevent cavities, gingivitis, and periodontal disease, whether you have diabetes or not. But if you do have diabetes, it’s extra important that you create good dental health habits.

The cornerstones of good dental health are: 

  • Brushing your teeth twice a day 
  • Flossing between your teeth once a day 
  • Regularly scheduling dentist cleanings/appointments

Good blood sugar control will also help your body fight any bacterial or fungal infections in your mouth. The better you’re hitting your targets, the better equipped your body will be to protect itself against gingivitis and gum disease. It will also help relieve dry mouth caused by diabetes.

Don’t Let Diabetes Hurt Your Dental Health—Eggert Dentistry Can Help!

If you’ve been diagnosed with diabetes, come see Dr. Elizabeth Eggert and Dr. Jeff Eggert. We have experience in helping our patients with diabetes protect against tooth decay, gingivitis, periodontal disease, and more with regularly scheduled recare visits and fluoride treatments.

To talk with us about any questions you may have, or to schedule an appointment, call our office at 651.482.8412. We’re here to help you maintain a happy, healthy mouth! We provide “Dentistry for a Lifetime of Smiles!” 

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Periodontal Scaling and Root Planing: What Does It Mean?

By: Dr. Elizabeth Eggert

Periodontal scaling and root planing may sound like a funny way to treat periodontal disease It may even sound a bit intimidating, but this treatment is actually a simple way to immediately start treating gum disease ( periodontal disease). Before we go into an explanation of this procedure, let’s first clarify what gum disease is. 

Gingivitis and Periodontitis (Gum Disease)

Gingivitis is an inflammatory reaction of the gums due to excessive bacteria. When you don’t brush and floss regularly, the bacteria surrounding your teeth enters the gums and causes irritation, inflammation, and bleeding of the gums. This can be especially noticeable after brushing or flossing. 

Gingivitis can be easily treated with a professional cleaning. If left untreated, however, gingivitis will develop into a serious gum infection called periodontitis, also known as gum disease. 

When your gums are chronically inflamed, the space between your gums and your teeth, also known as your gum tissue pockets, gets so deep that the bacteria and plaque become trapped and can no longer be removed with regular brushing or even flossing. Without treatment, gum disease will destroy the bone that supports your teeth. Without the bone to act as a foundation, the teeth get loose and eventually need to be removed. 

Symptoms of gum disease include:

  • Receding gums
  • Gums that bleed after brushing
  • Red, swollen gums
  • Persistent bad breath 
  • Loose teeth
  • Tooth loss

Aside from damaging one’s oral health, there are other serious risk factors associated with gum disease. It’s long been proven that there is a connection between gum disease and heart disease. In fact, a person with gum disease has two to three times the risk of having a heart attack, stroke, or other cardiovascular event than someone with healthy gums. 

For pregnant women, gum disease has also been linked to pregnancy complications and low birth weight. 

Treatment for Gum Disease 

Luckily, the treatment for gum disease is simple and can be performed right here at Eggert Family Dentistry. One of our amazing hygienists along with Dr. Elizabeth or Dr. Jeff will administer treatment known as periodontal scaling and root planing. These procedures are typically quick and can be performed using onlyl local anesthetic.

What is Periodontal Scaling and Root Planing? 

Periodontal scaling is a procedure that uses a dental curette or scaler to remove all the plaque and tartar from above and below the gumline, all the way down to the bottom of the pocket. A topical or local anesthetic will be applied to numb the area so that no discomfort is felt during treatment. Root planing is then when our dental team members use instruments or the high powered water irrigating Cavitron to smooth out the roots of your teeth to help your gums reattach to your teeth. Depending on the severity of the infection, the time needed for these procedures can vary. It is common to complete treatment on one half of the mouth per session. 

Aftercare: 

After the procedure, you may experience slight tenderness or discomfort with your gums, however, this typically resolves within a couple of days. The full healing process can take weeks, however, as your tissue reattaches to your tooth root.

  • To minimize sensitivity, avoid eating sweet items or food that is extremely hot or cold for a few days. 
  • If you experience any pain while brushing, reduce brushing intensity for at least 48 hours. 
  • Over-the-counter pain medication will help reduce any discomfort following treatment. 
  • You can also speed up your recovery by rinsing your mouth with a warm saline solution multiple times a day. 

Prevention is Better Than Intervention

Once you have periodontal disease, you will always have periodontal disease, but luckily managing this disease can be straight forward if you follow your recommended recare interval and do your hygiene homework! Typically, a periodontal patient will need a recare visit for a periodontal maintenance cleaning every 3 months.

Don’t Let Gum Disease Get the Best of You

If you’re experiencing any of the symptoms of gingivitis or gum disease, don’t hesitate to contact our office for an appointment. Upon examination, we’ll be able to tell you if it can be remedied with a simple cleaning, or if it requires periodontal scaling and root planing. Call our office to schedule an appointment with us at 651-482-8412.

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Dental Hygiene 101: What’s the Scoop With Fluoride?

By: Dr. Elizabeth Eggert

Ah, October… A month that simply wouldn’t be complete without candied apples, kettle corn, and literal buckets of Halloween candy!

It may strike you as ironic, then, that October is also National Dental Hygiene Month. In our opinion, though, the consumption of huge amounts of sugar makes October the perfect time to focus on oral health. 

Far from taking the fun out of Halloween, Dr. Jeff and Dr. Elizabeth of Eggert Family Dentistry want to reassure you that even though your family may eat many sweets this month, you can count on a little mineral called fluoride to save the day.

What Is Fluoride? 

Fluoride is a naturally-occurring mineral that plays an important role in dental health. Found in water, toothpaste, and mouthwash, fluoride strengthens the teeth, preventing cavities and even repairing early signs of tooth decay. 

What Are the Benefits of Fluoride? 

Fluoride works by penetrating the teeth and drawing in phosphate and calcium from your saliva. It aids the remineralization process, repairing teeth and strengthening enamel. It facilitates the creation of harder, larger enamel crystals that are more resistant to acid. 

Fluoride also reduces the activity of the bacteria in your mouth. This leads to decreased acid production and less chance for tooth decay. Studies show that this miracle mineral can even repair early stages of tooth decay before things become a full-fledged cavity! 

According to the CDC, the connection between fluoride and healthy teeth was recognized as far back as the late 1800s. By the 1930s, dentists observed that people who drank water containing naturally occurring fluoride seemed to be protected against tooth decay, or cavities.

Fluoride is beneficial for teeth because it helps to:

  • Rebuild (or remineralize) weakened tooth enamel.
  • Slow down the loss of minerals from tooth enamel.
  • Reverse early signs of tooth decay.
  • Prevent the growth of harmful oral bacteria.

Where Is Fluoride Found?

Fluoride is a naturally occurring mineral that originates in rocks. As the rocks break down, the mineral is released into the soil, air, and water. 

As a result, trace amounts of fluoride can be found in many of the foods we eat, including grapes, raisins, wine, black tea, spinach, and potatoes. Fluoride is also found naturally in freshwater and saltwater. However, simply eating these foods and drinking freshwater won’t do much for your teeth—there’s simply not enough fluoride content within them to do the trick. 

That’s where the other sources of fluoride come in: 

You may recall having to sit with a tray of fluoride foam in your mouth during your childhood dental visits. These fluoride treatments fortified both your baby teeth and strengthened your adult teeth. 

As an adult, you might receive a fluoride varnish during your recare visits, which serve the same purpose. And of course, there’s the fluoride-fortified toothpaste and mouthwash that can easily be found on store shelves. These items help you to protect your teeth at home in between dental visits.

Fluoridated Water

We’d be remiss if we didn’t talk about the fluoride in tap water and its role in protecting our teeth. It’s now common practice for cities to add fluoride to their water supply in a process known as water fluoridation. Starting in 1945, this practice began as a direct response to the observation that fluoride prevents tooth decay. 

In the years that followed, the average number of missing or decaying teeth in American 12-year-old children dropped by 68 percent, according to the Centers for Disease Control and Prevention (CDC). This sharp drop followed the introduction and expansion of fluoridated water in communities, as well as the addition of fluoride to toothpastes and other dental products.

With so much success in improving the health and wellbeing of citizens, fluoridated drinking water is now heralded as one of the Ten Great Public Health Achievements of the 20th century.

 (For more interesting fluoride trivia, be sure to check out our blog, “Fun Facts About Fluoride!”)

Risks Associated with Fluoride in Water 

While there has been some controversy about the safety of fluoride in our water, the Environmental Protection Agency strictly regulates the amount of fluoride in community water supplies to keep it safe and healthy to drink.

If overexposed to fluoride, the main side effects are Dental Fluorosis or Skeletal Fluorosis. Dental Fluorosis occurs when you consume too much fluoride while your adult teeth are still developing underneath your gums. This will result in white spots on the surface of your teeth, but otherwise, the condition is harmless. (This condition is usually caused by swallowing too much toothpaste, so make sure you’re supervising your children while they brush.)

Skeletal Fluorosis is the same type of condition, except it involves the bones. It usually results from long-term fluoride overexposure. Symptoms of Skeletal Fluorosis include joint pain, stiffness, and—over the long-term—the calcification of ligaments. While this condition can be caused by swallowing toothpaste or mouthwash, it’s more often caused by drinking from a water source with unusually high levels of naturally-occurring fluoride.

Importance of Regular Fluoride Use

There’s no doubt that fluoride is nature’s cavity fighter. That’s why it’s important for everyone to use fluoride regularly, from childhood all the way through adulthood. 

Fluoride treatments are especially helpful for children as their teeth are developing. When you start off with good oral health, it’s much easier to maintain into teenage years and young adulthood.  

Fluoride treatments can also help adults with receding gums, adults who aren’t drinking city tap water, and adults with medical/oral health conditions or medications that cause dry mouth.

Want to Make Fluoride Treatments a Regular Part of Your Dental Hygiene? 

At Eggert Family Dentistry, Dr. Jeff and Dr. Elizabeth and our magnificent hygienists will be happy to discuss incorporating fluoride treatments into your regularly scheduled dentist visits. If you want to learn more about the many benefits of fluoride or to schedule a routine visit, give us a call at 651.482.8412.

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How Thumb Sucking and Orofacial Myofunctional Disorders Are Linked

By: Dr. Elizabeth Eggert

Thumb sucking is a normal part of child development. It’s a natural reflex for babies, giving them a sense of security. And as they grow, it can become a habit to self-soothe or help them sleep.

Orofacial Myofunctional Disorders (OMD) are also common in children and toddlers. OMD affects the growth and development of mouth and facial structures and can affect a child’s speech and feeding abilities, as well as their developing airway.

So, what is the relationship between thumb sucking and Orofacial Myofunctional Disorders? 

Read on to learn more about OMD and its connection to thumb sucking, how to help your child stop sucking their thumb, and how Dr. Elizabeth and Dr. Jeff can help if you think your child may have OMD.

What Is an Orofacial Myofunctional Disorder?

Orofacial Myofunctional Disorder is a disorder of the muscles and functions of the face and mouth that interferes with normal growth, development, or function of orofacial structures. It presents as improper tongue, jaw, or lip positioning during eating, swallowing, and speaking. 

Symptoms of OMD include:

  • Malocclusion
  • Mouth breathing
  • Tongue thrust
  • Sleep disordered breathing
  • Snoring
  • Airway obstruction
  • TMD 
  • Headaches
  • Fatigue, anxiety, or depression
  • Difficulty articulating sounds like the “s” in “sun,” “sh” in “ship,” or “j” in “jump”
  • Drooling past age 2
  • Difficulty closing the lips to swallow

OMD can cause dental problems, changes in facial appearance (such as grimace, tight chin, or weak, parted lips), sleep issues like sleep apnea, and speech difficulties.

Causes of an Orofacial Myofunctional Disorder

There is no single determined cause of Orofacial Myofunctional Disorder. It is sometimes hereditary, but it can also be caused by:

  • Thumb sucking or finger sucking past the age of 1 year
  • Extended use of a pacifier (after 12 months)
  • Cheek or nail biting
  • Bruxism
  • Tongue, lip, or cheek sucking
  • Tongue-tie
  • Neurological deficits
  • Developmental delays

Let’s take a closer look at the first item on this list, thumb sucking and figure out how it’s connected to OMD and how to help your child stop sucking their thumb or finger.

Thumb sucking and Orofacial Myofunctional Disorders: How They Are Connected

Long term thumb sucking can affect the roof of the mouth or alignment of the teeth, and can be a risk factor for increased malocclusion. When a child sucks their thumb or finger for long periods of time, it can exert force against the front teeth as well as the palate (roof of the mouth) and cause changes to the dentition, including:

  • Posterior crossbites
  • Anterior excessive overjet
  • Anterior open bite

It can also affect the direction of jaw growth and lead to the development of a narrow, high arched palate, an open-lipped posture, altered respiration, and abnormal tongue rest and function patterns. People with a high, narrow palate do not develop their nasal passage to its full potential and often have difficulty with nose breathing.

Over time, thumb sucking can anchor the tongue down and forward rather than allowing it to rest on the roof of the mouth. This can, in turn, affect speech development, resulting in improper speech patterns, such as lisping.

How to Help Your Child Stop Thumb sucking

Thumb sucking can be a difficult habit to break. 

Children often stop thumb sucking on their own (typically by 6-7 months). It isn’t generally worrisome at that young age. But if your child is still sucking their thumb or finger after the age of 2, it is time to be serious about breaking the habit.

Appliances like thumb guards have limited success and have been associated with negative results like excessive weight loss, pain, poor sensory perception, and development of atypical lingual movement.

Instead, try the following approaches to help your child stop sucking their thumb:

  • Ignore it, especially if they use thumb sucking to get attention. Sometimes all it takes is for the habit to become less effective for them.
  • Talk to them about it. If ignoring it doesn’t work, try discussing it with your child. If your child wants to stop and has some agency in how they stop, you’re more likely to be successful.
  • Use positive reinforcement. Give praise, positive attention, or small rewards when they refrain from thumb sucking. Keep track of their progress in a fun way, such as putting stickers on a calendar.
  • Set attainable goals. Start with small steps, like instituting a rule of no thumb sucking in certain situations or at certain times of day.
  • Watch for triggers. Notice when your child begins to suck their thumb: Is it when they’re tired? Stressed? Identify the root issue and offer other ways for them to find comfort, such as asking for a hug or squeezing their favorite stuffed animal.
  • Be gentle with reminders. Scolding your child for thumb sucking is bound to backfire…especially if they’re doing so to comfort themselves. And pressuring them to stop can delay the quitting process. Simply offer a gentle reminder to stop. 
  • Ask Dr. Elizabeth or Dr. Jeff to talk with them. Sometimes having your child talk with one of us about why it’s important to stop sucking their thumb is more effective than a conversation with mom and dad.
  • Try completing treatment with Dr. Elizabeth using the Myobrace Infant Trainer. This device helps to shape the developing facial structures in a positive manner and gives your child something else to satisfy their oral fixation. 

Think Your Child May Have Developed an Orofacial Myofunctional Disorder?

If you think your child may have developed an Orofacial Myofunctional Disorder, come see Dr. Elizabeth and Dr. Jeff. We have experience identifying OMD and creating custom treatment plans for our patients.

To talk with us about your concerns and OMD intervention options, call our office at 651.482.8412. We’re here to help your child achieve a confident, healthy smile.

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Sensitive teeth? How to prevent issues and make yourself more comfortable.

By: Dr. Elizabeth Eggert

For people who struggle with sensitive teeth, eating or drinking anything too hot or cold can be uncomfortable. Sometimes, even brushing your teeth or using floss can be uncomfortable if you have sensitive teeth. 

But what causes tooth sensitivity and will you ever be able to enjoy hot coffee or cold ice cream again? 

Causes and Symptoms of Sensitive Teeth

Sensitive teeth are caused by enamel on the teeth that gets worn down. Enamel is the hard outer layer that protects the softer interior of your teeth. When the enamel gets worn down, the softer, more sensitive part of your teeth are exposed. When the dentin or dentin tubules that run to the nerves in your teeth are exposed to heat, cold, or pressure from chewing, the nerves get hyperactive and can send a jolt of pain through your mouth. 

The things that most commonly wear down the enamel on your teeth are:

Tooth sensitivity is often caused by underlying tooth problems. By finding and fixing those problems, discomfort from sensitive teeth often resolves on its own. Some of the most common causes of sensitive teeth include:

  • Infrequent brushing
  • Overly aggressive brushing 
  • Gum recession
  • Periodontal disease
  • Clenching or grinding your teeth
  • A dysfunctional bite

What to Do if You Have Sensitive Teeth

If you have mild tooth sensitivity, Dr. Elizabeth and Dr. Jeff can recommend a desensitizing toothpaste or prescription fluoride toothpaste to use at home. The ingredients in these toothpastes help prevent hot and cold sensations from reaching your mouth. Regular fluoride varnish treatments at our office can also help reduce pain. 

There are also at-home remedies we found online, you could try these to get relief: 

  • Salt-water rinse: Add ¼ to ¾ teaspoon of salt to a glass of lukewarm water. Gargle the salt water twice daily for up to 30 seconds. 
  • Hydrogen peroxide rinse: Add two caps of 3% hydrogen peroxide to an equal amount of warm water, and swish in your mouth for up to 30 seconds. The mild antiseptic and disinfectant can help deal and prevent inflammation. 
  • Honey and warm water: Mix a spoonful of honey with warm water, and rinse your mouth with the mixture. Hone is an antibacterial agent that helps speed healing and reduce pain, swelling, and inflammation. 
  • Turmeric: Massage ground turmeric on your teeth and gums twice a day for pain relief. Turmeric is an anti-inflammatory treatment and enhances wound healing. 

If you have severe tooth sensitivity, you may need more involved treatment to resolve your discomfort. When sensitivity is caused by decay or when teeth are worn or decayed, we may recommend a filling, crown, or bonding to fix the root issue. Also, if a dysfunctional bite is keeping the nerves of your teeth hyperactive, changing the tooth positions is an important part of the healing process. 

Addressing the Underlying Issues That Cause Tooth Sensitivity 

Another way to make huge improvements in relieving tooth sensitivity is to look for and treat underlying issues with your bite. By undergoing our records process, we can determine if improvements to how your teeth come together and how you chew can stop your tooth sensitivity – often for good!

One of the best ways to improve sensitive teeth is by developing healthy oral hygiene habits, including regular visits to the dentist. To schedule an appointment with Dr. Elizabeth or Dr. Jeff, contact our office at 651-482-8412.

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How Does Laughing Gas Help, and What Does It Do?

By: Dr. Elizabeth Eggert

What Is Laughing Gas?

Nitrous oxide gas – also known as laughing gas – is the most commonly used option to reduce anxiety in dentistry. Nitrous oxide is considered an anxiolytic, which means it doesn’t sedate you, but helps you feel comfortable, free from your usual dental anxieties and able to relax while dental procedures are performed.

Laughing gas is commonly used to help patients who have:

  • Dental anxieties or phobias
  • Trouble sitting still or cooperating (typically pediatric patients)
  • Special needs
  • Strong gag reflexes
  • Trouble breathing in and out the nose
  • An inability to respond adequately to local anesthesia alone

It also works well for children who need to have longer procedures done.

How Does It Work?

Laughing gas is given to patients through a mask that’s placed over the nose. When you breathe, you inhale the gas mixture and fall into a relaxed, nearly euphoric state. This leaves most patients feeling anxiety-free, with all their fears in the distant background.

Although the name laughing gas might make you think the medicine would make you giggly, that’s not how it works. The nitrous oxide slows your nervous system, which makes you feel less inhibited. It might make you feel light or tingly, and some people even say it makes their arms or legs feel like they are floating. The result, however, is that you feel calm and comfortable.

What Are the Benefits of Laughing Gas?

It is used commonly in dental offices because it works quickly and safely to help patients relax. It is given throughout your dental procedure and when the procedure is over, patients breathe pure oxygen through the mask, allowing the effects of the nitrous oxide gas to wear off quickly. Therefore, patients are able to drive themselves home.

In addition, although laughing gas helps you relax, it doesn’t put you to sleep. This helps ensure patients are still able to hear Dr. Elizabeth and Dr. Jeff and respond to any questions or instructions.

What Are the Side Effects?

When laughing gas is given correctly, most patients don’t have any negative side effects when it wears off. However, if the level of nitrous oxide rises too quickly, or if the amount being inhaled changes too quickly, patients may experience side effects such as:

  • Headaches
  • Shivering
  • Excessive sweating
  • Nausea or vomiting
  • Sleepiness

To prevent headaches, patients are given oxygen for five minutes at the end of the procedure. This helps clear the remaining gas from the lungs, and it helps you become more alert and awake.

You can also help prevent nausea or vomiting by eating lightly before your procedure and avoiding a large meal for up to three hours after your appointment. If you do start to have any of the side effects, Dr. Elizabeth or Dr. Jeff can turn the nitrous oxide level down and by simply breathing more straight oxygen, any adverse side effects diminish quickly.

Interested in Using Laughing Gas at Your Next Appointment?

Laughing gas is a helpful strategy for managing severe pain or dental anxieties. Talk with Dr. Elizabeth or Dr. Jeff if you’re interested in learning more about using nitrous oxide gas at your next appointment. To schedule an appointment, call our office at 651-482-8412.

How to Deal with Dental Anxieties

By: Dr. Elizabeth Eggert

What Is Dental Anxiety and How Do You Know if You Have It? 

According to the Dental Research Journal, as many as 14% of people struggle with dental phobia, and even more people have less severe dental anxieties. The cause of dental anxieties varies by person, but the irrational fears and feelings of terror are present among many people. 

Signs and Symptoms of Dental Anxieties

Many people with dental anxieties dread doing to the dentist. They may avoid scheduling routine dental appointments, or they may skip appointments that they’ve already scheduled. Other signs of dental anxieties can include:

  • Sweating
  • Racing heart or heart palpitations
  • Low blood pressure
  • Fainting
  • Visible distress or crying
  • Using humor or aggression to mask fears

How Eggert Family Dentistry Helps Reduce Dental Anxieties

To help all our clients feel as comfortable as possible, we offer a variety of ways to help during your appointment:

  • Music: Many people feel more comfortable when they’re listening to their favorite music. If you’ll more comfortable with headphones on, please do it. Our team can work around headphones for routine cleanings and most procedures. We ask that you bring your own headphones and music device. 
  • Cable TV: We have cable TVs available in every procedure room. Watch your favorite shows while our team works on your teeth. 
  • Calming techniques: Deep breathing and visualization can help ease your nerves. Not sure what to do? Dr. Elizabeth and Dr. Jeff, and their assistants, Tracy and Heather, can coach you through some mental exercises to help bring you peace. 
  • Hand signals: For some people, the hardest part of a dentist appointment is feeling like they can’t communicate when their mouths are full of other people’s hands. Raising your left hand during your appointment lets us know that you need a break. 
  • Communication: Sometimes, talking about your fears and having them validated is enough to help you feel at ease. Our team is here to listen to your concerns and explain any procedures that are making you nervous. 
  • Medicine: In many situations, these calming techniques are enough to help patients get through their appointments comfortably. However, if you have dental phobia, we also have laughing gas (also called nitrous oxide gas) available and in worst case scenarios, we can talk about some prescriptions that may help. 

How to Manage Dental Anxieties

Many of the calming techniques listed above can help people work through their dental anxieties enough to get through their appointments. Some people have also found relief by using therapy techniques. If you have headphones on during your dentist appointment, listening to a meditation, guided imagery, or progressive muscle relationship can also help lower your heart rate and help you feel more comfortable. There are many apps available for this. Finally, a few short, targeted sessions of cognitive behavior therapy can help people permanently overcome their dental anxieties. 

At Eggert Family Dentistry, Dr. Elizabeth, Dr. Jeff, and our whole dental team will take the time to listen to your concerns, and we’ll work together to help you feel as comfortable as possible. If you’re ready to schedule an appointment, contact our office at 651-482-8412.

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