Tooth wear
Hello, doctor.
My molars are worn down in the middle, and the outer edges are sharp.
If I don't use sensitivity toothpaste, I feel uncomfortable, and biting down on hard food causes pain.
I'm worried about further wear and the potential high costs involved.
Is there a way to fill my teeth from all sides to prevent excessive wear? Or is there a better solution? After all, natural teeth are better than artificial ones, right? Thank you, doctor.
Taipei Ren, 40~49 year old female. Ask Date: 2022/01/09
Dr. Lin Jiayong reply Dentistry
Hello: If you have a habit of nighttime teeth grinding or clenching due to stress, it is recommended to start using an occlusal splint along with muscle relaxants to alleviate physiological tooth wear.
If you frequently consume acidic foods or have gastroesophageal reflux, it is advisable to rinse your mouth with plain water regularly and use a high-fluoride toothpaste.
If you enjoy eating hard foods, it is suggested to use silver amalgam to fill in the occlusal defects of your teeth.
For further treatment, you may consider a metal inlay or crown for a single tooth, or opt for a more aesthetically pleasing ceramic restoration.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/01/09
More Info
Tooth wear, particularly in molars, can be a significant concern for many individuals. The wear and tear on teeth can lead to sensitivity, discomfort, and even more severe dental issues if not addressed properly. In your case, where you are experiencing wear in the center of your molars and sharp edges on the outer parts, it is essential to take a proactive approach to protect your teeth.
Understanding Tooth Wear
Tooth wear can occur due to several factors, including:
1. Bruxism (Teeth Grinding): Many people grind their teeth at night, often without realizing it. This can lead to significant wear over time.
2. Acidic Foods and Beverages: Consuming acidic foods and drinks can erode enamel, making teeth more susceptible to wear.
3. Improper Brushing Techniques: Aggressive brushing or using a hard-bristled toothbrush can contribute to enamel wear.
4. Dietary Habits: Frequent consumption of hard or crunchy foods can also lead to wear.
Protective Measures
1. Night Guards: If you suspect that bruxism is contributing to your tooth wear, a custom-fitted night guard can help protect your teeth while you sleep. This appliance acts as a barrier between your upper and lower teeth, preventing them from grinding against each other.
2. Fluoride Treatments: Regular fluoride treatments can help strengthen enamel and protect against further wear. Using fluoride toothpaste can also be beneficial.
3. Dietary Adjustments: Reducing the intake of acidic foods and beverages can help protect your enamel. After consuming acidic items, rinsing your mouth with water can neutralize the acid.
4. Proper Oral Hygiene: Using a soft-bristled toothbrush and employing the Bass technique (or modified Bass technique) can help minimize wear while effectively cleaning your teeth. This technique involves placing the toothbrush at a 45-degree angle to the gum line and using gentle circular motions.
5. Regular Dental Check-ups: Regular visits to your dentist for cleanings and check-ups can help monitor the condition of your teeth and catch any issues early. Your dentist can provide professional cleanings and may recommend additional treatments based on your specific needs.
Restorative Options
If you are already experiencing significant wear, restorative options may be necessary:
1. Fillings: If there are cavities or areas of significant wear, dental fillings can restore the shape and function of your teeth.
2. Crowns: For more extensive wear, crowns can provide a protective covering for the tooth, restoring its shape and function while preventing further wear.
3. Bonding: Dental bonding can be used to repair chipped or worn areas of teeth, providing a natural appearance while protecting the underlying tooth structure.
4. Veneers: If the wear is primarily cosmetic, porcelain veneers can be placed on the front surface of the teeth to improve appearance and protect the underlying enamel.
Conclusion
In conclusion, protecting your molars from further wear involves a combination of preventive measures, proper oral hygiene, and potentially restorative treatments. It is crucial to address the underlying causes of tooth wear, such as bruxism or dietary habits, to prevent further damage. Regular dental visits will ensure that any issues are caught early and managed effectively. Remember, maintaining your natural teeth is always preferable to opting for replacements, so taking these steps can help you preserve your dental health for years to come. If you have concerns about your specific situation, it is best to consult with your dentist, who can provide personalized recommendations based on your dental health.
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