The doctor filed down the healthy upper right canine tooth?
Hello, doctor.
Ten years ago, I went to a private dental clinic near my home for a teeth cleaning.
The dentist mentioned that my upper right canine was slightly pointed and expressed concern that it might fracture due to excessive occlusal pressure.
He asked if I wanted to have it rounded off.
At the time, I trusted the dentist's expertise and agreed to have the upper right canine smoothed down.
However, over the past few years, I've realized that out of my four canines, only that one was recommended for modification.
The other three canines are also slightly pointed but were not suggested for alteration, which I now find quite strange.
Is it common dental practice to round off canines to prevent future fractures?
Alan, 30~39 year old female. Ask Date: 2022/04/09
Dr. Lin Jiayong reply Dentistry
Hello: Since everyone's occlusion and habits are different, to avoid occlusal damage or other considerations regarding prosthetic materials, performing appropriate minor adjustments on the teeth is indeed one treatment option! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/04/09
More Info
Sharpening canines, or the intentional smoothing or rounding of canine teeth, is a dental practice that can be employed in certain situations, but it is not universally common for all patients. The decision to modify the shape of a canine tooth typically depends on individual dental anatomy, occlusion (the way teeth come together), and specific concerns regarding wear or potential fractures.
Canine teeth, also known as cuspids, are designed to be pointed and are crucial for various functions, including tearing food and guiding the jaw during lateral movements. Their pointed shape allows them to effectively engage with opposing teeth during biting and chewing. However, in some cases, particularly when a canine is excessively pointed or if there are concerns about occlusal forces leading to potential fractures, a dentist may recommend smoothing or rounding the canine to reduce the risk of damage.
In your case, it seems that the dentist identified a specific concern with your right upper canine, possibly due to its shape or the way your teeth come together. The decision to modify that particular tooth may have been based on an assessment of your bite and the potential for that tooth to experience higher stress during chewing or grinding. It is not unusual for dentists to focus on one tooth if they believe it poses a greater risk compared to others.
However, it is also important to note that not all pointed canines require modification. If the other canines in your mouth are not causing any functional issues or are not at risk of fracturing, a dentist may choose not to intervene. Each tooth's condition and the overall dental health of the patient play significant roles in these decisions.
If you have concerns about the treatment you received or the current state of your canines, it would be beneficial to seek a second opinion from another dental professional. They can evaluate your bite, the condition of your canines, and any potential risks associated with their shape. Additionally, if you are experiencing discomfort or functional issues related to your canines, discussing these with a dentist can help determine if further treatment is necessary.
In summary, while sharpening or rounding canines can be a part of dental care to prevent cracking, it is not a standard procedure applied to all patients. The decision is typically based on individual assessments of dental anatomy and occlusion. If you have lingering questions or concerns, consulting with a dental professional can provide clarity and ensure that your dental health is being appropriately managed.
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