Roughness on Front Teeth: Causes and Solutions - Dentistry

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Rough surface of the teeth?


Is the rough feeling on my front tooth due to enamel wear? Could it be caused by using an electric toothbrush, or is it due to excessive consumption of acidic foods and drinks leading to erosion? However, why is it that only one front tooth is noticeably affected? Additionally, will toothpaste containing micro-hydroxyapatite help in restoring enamel? But brands like Beldent do not contain fluoride; can they still help in preventing cavities? Thank you.

yangyu pian, 20~29 year old female. Ask Date: 2023/11/03

Dr. Lin Jiayong reply Dentistry


Hello: 1.
It may be caused by misalignment of the teeth (anterior-posterior crossbite) or malocclusion (where a particular incisor bears more occlusal load).
2.
Textbooks and literature primarily suggest fluoride products (mouthwash/toothpaste/fluoride varnish) for the prevention of dental caries.

Reply Date: 2023/11/03

More Info


Understanding roughness on front teeth can be a multifaceted issue, and it's great that you're seeking clarity on this matter. The rough sensation you’re experiencing on your front teeth could indeed be attributed to several factors, including enamel erosion, improper brushing techniques, or dietary habits.

Firstly, enamel erosion is a common cause of roughness on teeth. Enamel is the hard, protective outer layer of your teeth, and it can wear away due to various reasons, including acidic foods and beverages. If you consume a lot of acidic drinks, such as sodas, citrus juices, or even certain types of wine, this can lead to enamel erosion. This erosion can make the surface of your teeth feel rough or uneven. It’s also possible that the roughness is localized to one tooth due to its position in your mouth, which may expose it more to acidic substances or abrasive forces.

Regarding your concern about using an electric toothbrush, while these devices are generally effective for cleaning teeth, improper use can lead to enamel wear. If you apply excessive pressure while brushing, or if the brush head is too hard, it can contribute to enamel loss. It’s essential to use a soft-bristled brush and to let the toothbrush do the work without applying too much force.

If you suspect that the roughness is due to enamel erosion, it’s advisable to consult with a dentist. They can assess the condition of your enamel and recommend appropriate treatments. In some cases, professional fluoride treatments or dental sealants may be suggested to help protect the enamel and reduce sensitivity.

As for the use of toothpaste containing micro-particles of hydroxyapatite, this ingredient is known for its potential to remineralize enamel. Hydroxyapatite is a naturally occurring mineral form of calcium apatite and is a significant component of tooth enamel. Some studies suggest that toothpaste with hydroxyapatite can help restore some mineral content to the enamel, potentially improving its strength and appearance. However, it’s important to note that while hydroxyapatite can aid in remineralization, it may not completely reverse significant enamel erosion.

Regarding fluoride, it is a well-established agent in preventing tooth decay. Fluoride helps to remineralize enamel and make it more resistant to acid attacks from plaque bacteria and sugars in the mouth. If you choose a toothpaste that does not contain fluoride, you may want to ensure that you are getting fluoride from other sources, such as fluoridated water or professional dental treatments. While hydroxyapatite can provide some benefits, it may not be as effective as fluoride in preventing cavities.

In summary, the roughness on your front teeth could be due to enamel erosion, improper brushing techniques, or dietary habits. Consulting with a dentist will provide you with a clearer understanding of the underlying cause and the best course of action. Additionally, using toothpaste with hydroxyapatite may help with remineralization, but it is essential to consider the role of fluoride in cavity prevention. Maintaining good oral hygiene practices, including regular dental check-ups, will also contribute to the overall health of your teeth.

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