Rough Edges on Your Front Teeth: Expert Answers to Common Concerns - Dentistry

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Dear Dr.
Tseng,
I have some questions regarding my upper right central incisor and upper right lateral incisor.
Although the incisal edges appear smooth and without any visible chips, they feel rough to the touch.
Here are my questions:
Q1.
Does the rough and uneven texture of the incisal edges of my upper right central incisor and upper right lateral incisor indicate that there may be micro-chips present, or is it normal for the incisal edges to feel rough and uneven?
Q2.
Given that the incisal edges of my upper right central incisor and upper right lateral incisor feel rough and uneven, does this increase the likelihood of these teeth fracturing during chewing? Or does the rough texture not affect the strength of the teeth, meaning they are not more prone to fracture?
Q3.
Will the rough areas on the incisal edges of my upper right central incisor and upper right lateral incisor naturally wear down and become smoother over time as I chew?
Q4.
Can a dentist use dental instruments to polish the incisal edges of my upper right central incisor and upper right lateral incisor (without grinding down the teeth) to make the rough areas smoother?
Q5.
Regarding the polishing of the incisal edges (without grinding down the teeth), will this procedure harm the enamel of the teeth or have any other adverse effects?
Thank you, Dr.
Tseng.

Axiang, 40~49 year old female. Ask Date: 2022/12/01

Dr. Zeng Guanghui reply Dentistry


1.
It is normal for the incisal edges of the upper incisors to be uneven; however, prolonged occlusal wear may cause them to become flat.
2.
If the incisal edges of the upper incisors become thin due to long-term occlusal wear, they are more susceptible to fracture when biting hard objects.
3.
It is possible for the incisal surfaces to become smoother over time due to prolonged occlusion.
4.
Unless there is calculus, plaque, or staining accumulation on the tooth surface, polishing is not recommended, as it may lead to enamel wear and tooth sensitivity.
Dr.
Tseng Kwang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/12/01

More Info


Hello! Thank you for your detailed questions regarding the rough edges on your front teeth. Let's address each of your concerns systematically.

Q1: Is the roughness on the cutting edge of my upper right central incisor and upper right lateral incisor indicative of minor chips, or is it normal?
The roughness you are feeling on the cutting edges of your teeth may not necessarily indicate that there are chips or fractures present. It could be a result of natural wear and tear, plaque accumulation, or even the way your teeth were shaped during development. However, if you notice a significant texture difference compared to your other teeth, it may be worth having a dental professional examine them to rule out any underlying issues.

Q2: Does the roughness increase the likelihood of my teeth breaking or chipping during chewing?
While rough edges can sometimes be a sign of wear, they do not inherently weaken the tooth structure. The strength of a tooth is primarily determined by its overall integrity and health, including the enamel and dentin layers. However, if the roughness is due to a chip or crack, it could potentially make the tooth more susceptible to further damage. Regular dental check-ups can help monitor the condition of your teeth and address any concerns before they escalate.

Q3: Will the rough edges naturally wear down and become smoother over time?
It is possible that with regular use, the rough edges may wear down slightly and become smoother. However, this process can be slow and may not completely eliminate the roughness. Additionally, if the roughness is due to a more significant issue, such as a chip or uneven wear, it may not resolve on its own. Regular dental hygiene practices, including brushing and flossing, can help maintain the overall health of your teeth and gums.

Q4: Can a dentist polish the rough edges without grinding down the teeth?
Yes, a dentist can use specialized dental instruments to polish the edges of your teeth. This process is typically non-invasive and can help smooth out rough surfaces without significantly altering the tooth structure. Polishing can enhance the aesthetic appearance of your teeth and may also make them easier to clean, reducing plaque buildup.

Q5: Will polishing harm the enamel or have other negative effects on my teeth?
Polishing, when performed by a qualified dental professional, is generally safe and should not harm the enamel. The goal of polishing is to enhance the surface of the tooth without removing significant amounts of enamel. However, excessive polishing or improper technique could potentially lead to enamel thinning. It’s essential to have this procedure done by an experienced dentist who understands the appropriate techniques and tools to use.

In summary, while the roughness on your teeth may not be a cause for immediate concern, it is advisable to consult with a dentist for a thorough examination. They can provide you with personalized recommendations based on the condition of your teeth and help you maintain optimal oral health. Regular dental visits are crucial for preventing potential issues and ensuring that your teeth remain strong and healthy. Thank you for your questions, and I hope this information helps you!

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