Tooth surface wear
I have significant wear on the entire surface of both of my front teeth, which feels rough.
This was caused by brushing too hard in the past.
Should I get dental fillings for this? I am also considering buying over-the-counter whitening strips for teeth whitening.
Zhang Yujun, 10~19 year old female. Ask Date: 2017/05/06
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Chang Yu-Chun,
Hello! Tooth surface wear should generally be addressed by a dentist, and they can help you with it.
Please have your dentist evaluate the whitening strips available on the market to see if they are suitable for you.
Make sure to communicate frequently with your doctor! Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2017/05/06
More Info
When considering whether to get dental fillings for worn teeth before whitening, it's essential to understand the implications of both procedures and how they interact. Worn teeth, especially on the front surfaces like your incisors, can affect not only the aesthetics of your smile but also the overall health of your teeth.
Firstly, the roughness you feel on your worn teeth is likely due to enamel erosion. This can occur from various factors, including aggressive brushing, acidic foods and drinks, or even grinding your teeth. When enamel wears away, it exposes the underlying dentin, which can lead to sensitivity and an increased risk of cavities. If your teeth are significantly worn, it may be advisable to consult with your dentist about the need for fillings or other restorative treatments.
Now, regarding the use of whitening products, such as over-the-counter whitening strips, it's crucial to consider the condition of your teeth. If you have worn areas that are rough or have exposed dentin, applying whitening agents can lead to uneven results. The whitening agent may penetrate the worn areas differently than it does on intact enamel, potentially resulting in a patchy appearance. Furthermore, if your teeth are sensitive due to wear, whitening products can exacerbate discomfort.
In general, it is recommended to address any structural issues with your teeth before proceeding with whitening. This means that if your dentist suggests fillings to restore the worn areas, it would be wise to follow that advice. Fillings can help protect the underlying tooth structure, reduce sensitivity, and provide a smoother surface for whitening agents to work effectively.
Additionally, once your teeth are restored, you can achieve a more uniform and pleasing result with whitening treatments. After the fillings are placed, your dentist may recommend waiting a short period before whitening to ensure that the materials used in the fillings have fully set and bonded with your teeth. This waiting period can vary depending on the type of filling material used.
Moreover, maintaining good oral hygiene is crucial during this process. Continue to brush gently with a soft-bristled toothbrush and use fluoride toothpaste to help strengthen your enamel. Regular dental check-ups and cleanings will also help monitor the condition of your teeth and ensure that any potential issues are addressed promptly.
In summary, while the desire to whiten your teeth is understandable, addressing the wear and tear on your teeth first is essential for achieving the best results. Consult with your dentist to evaluate the extent of the wear and discuss the appropriate restorative options. Once your teeth are in a healthier state, you can confidently proceed with whitening treatments, ensuring a brighter, more uniform smile without compromising the health of your teeth.
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