Tooth Surface Roughness and Its Impact on Dental Health - Dentistry

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Roughness of the tooth surface?


Hello, Doctor.
However, I feel that the rough area is on the surface of my front teeth, not the inner side.
This shouldn't be an occlusion issue, right? I also want to ask if micro-hydroxyapatite can help with enamel regeneration? Additionally, it seems that tooth mousse can also help prevent cavities? Lastly, I want to know if horizontal wisdom teeth can cause misalignment of teeth, because recent studies suggest that they do not cause misalignment, and even if they are extracted, misalignment can still occur.
However, many doctors still say that they do cause misalignment.
I would like to hear your opinion.
Thank you.

yangyu pian, 20~29 year old female. Ask Date: 2023/11/04

Dr. Lin Jiayong reply Dentistry


Hello: 1.
It is recommended to have an in-person consultation to identify the true cause of the illness.
2.
Additionally, discussions related to research or assignments are not within the scope of services provided by this website.

Reply Date: 2023/11/04

More Info


Tooth surface roughness can significantly impact dental health, and understanding its implications is crucial for maintaining optimal oral hygiene. The roughness you are feeling on the surface of your front teeth (incisors) may not necessarily be related to occlusion (bite alignment) but could be due to several factors, including wear, plaque accumulation, or even enamel erosion.


Understanding Tooth Surface Roughness
1. Causes of Roughness: The roughness on the tooth surface can arise from various sources. It may be due to the natural wear and tear of enamel from chewing, abrasive toothpaste, or even dietary factors. Additionally, plaque and tartar buildup can create a rough texture, which can harbor bacteria and lead to dental issues such as cavities and gum disease.

2. Impact on Dental Health: A rough tooth surface can increase the risk of plaque accumulation, making it harder to maintain oral hygiene. This can lead to gingivitis, periodontitis, and cavities. Furthermore, rough surfaces can also contribute to tooth sensitivity and aesthetic concerns, as they may appear less polished and more prone to staining.


Remineralization and Enamel Health
Regarding your question about hydroxyapatite, it is indeed a key mineral component of tooth enamel. Products containing nano-hydroxyapatite can help in the remineralization of enamel, potentially reversing early stages of demineralization. This process can strengthen the enamel and reduce sensitivity.
Tooth mousse, which contains casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), is another product that can aid in remineralization. It works by delivering calcium and phosphate ions to the enamel, helping to repair and strengthen it. Both hydroxyapatite and tooth mousse can be beneficial in maintaining enamel health, especially if you are concerned about roughness or early signs of decay.


Wisdom Teeth and Dental Alignment
As for the impact of horizontal (impacted) wisdom teeth on dental alignment, this is a topic of ongoing debate in the dental community. Recent studies suggest that while wisdom teeth can contribute to crowding in some cases, they are not the sole factor influencing the alignment of other teeth. Factors such as genetics, oral habits (like thumb sucking), and the overall dental arch shape play significant roles in tooth alignment.

Many dentists still advocate for the removal of impacted wisdom teeth to prevent potential complications, such as infection or damage to adjacent teeth. However, the notion that their removal will definitively prevent crowding is not universally accepted. It's essential to have a thorough discussion with your dentist or orthodontist about your specific situation, as they can provide personalized advice based on your dental history and current alignment.


Conclusion
In summary, the roughness of your tooth surface can have various implications for your dental health, and addressing it through proper oral hygiene practices and possibly using remineralization products can be beneficial. Additionally, while the relationship between wisdom teeth and dental alignment is complex, consulting with a dental professional can help clarify the best course of action for your specific circumstances. Regular dental check-ups are crucial for monitoring these issues and ensuring that your oral health remains in optimal condition.

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