Dental Sharpening and Polishing: Your Questions Answered - Dentistry

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Hello Dr.
Tseng: My lower right second molar and lower left first premolar seem to have sharper areas due to long-term wear.
While they do not scrape my tongue, they have a noticeably sharp sensation.
Today, I visited the dental clinic for an evaluation, and the dentist "smoothed" the sharp areas of my lower right second molar; however, the dentist deemed the lower left first premolar did not require treatment.
I would like to ask Dr.
Tseng the following questions:
Q1.
After my visit, I noticed that my lower right second molar no longer has obvious sharp areas, but the surface still feels somewhat rough.
Generally speaking, after a dentist smooths the sharp areas of a tooth, do they always perform a polishing procedure? Or is it possible for the dentist to only smooth the sharp areas and conclude the treatment without polishing?
Q2.
If the dentist smooths the sharp areas of the tooth and then performs a polishing procedure, will the surface still have a somewhat rough sensation, rather than being completely smooth?
Q3.
Regarding the roughness of the tooth surface, does it gradually become smoother over time due to long-term chewing wear?
Q4.
Currently, my lower right second molar has no obvious sharp areas, but the surface still feels somewhat rough.
In your opinion, do I need to return to the dentist for a polishing treatment, or is it acceptable to forgo further treatment as long as there is no discomfort (such as the tooth scraping my tongue)?
Thank you, Dr.
Tseng.

Kris, 40~49 year old female. Ask Date: 2024/04/16

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Kris: 1.
It is recommended to consult a dentist for further examination.
2.
It is possible that long-term irritation from scraping has led to hyperplasia of the tongue tissue.
3.
If you frequently scrape your tongue, it is advisable to have a dentist smooth out any sharp edges of your teeth.
4.
It is recommended to seek further evaluation from a dentist to determine if tooth reshaping is necessary.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2024/04/16

More Info


Hello! Thank you for your questions regarding dental sharpening and polishing. Let's address each of your inquiries based on the information provided and general dental knowledge.


Q1: After the dentist smooths the sharp areas of my tooth, is it standard practice to perform polishing afterward?
In most cases, when a dentist smooths sharp edges on a tooth, they will follow up with a polishing procedure. Polishing helps to create a smoother surface, which not only enhances the aesthetic appearance of the tooth but also reduces the risk of plaque accumulation. However, there are instances where a dentist may choose to stop after smoothing if they believe that the roughness is minimal and not likely to cause any issues. Ultimately, the decision may depend on the dentist's assessment of the tooth's condition and the patient's specific needs.


Q2: If polishing is done after smoothing, will the tooth surface still feel somewhat rough?
Even after polishing, it is possible for the tooth surface to feel slightly rough, especially if the tooth had significant wear or if the polishing technique used was not thorough. Polishing aims to minimize roughness, but achieving a perfectly smooth surface can be challenging, particularly if there are underlying factors such as enamel erosion or surface irregularities. If you still feel roughness after polishing, it may be worth discussing with your dentist to determine if further treatment is necessary.


Q3: Will the roughness of the tooth surface become smoother over time due to chewing?
Yes, over time, the natural process of chewing can lead to some degree of smoothing of the tooth surface. The constant friction from food can wear down minor rough spots. However, this is a gradual process and may not be sufficient to address significant roughness or sharp edges. Regular dental check-ups and cleanings are essential to maintain optimal oral health and address any concerns before they escalate.


Q4: Since my tooth no longer has sharp edges but still feels rough, should I return to the dentist for polishing?
If the roughness of your tooth is not causing any discomfort or functional issues (like scraping against your tongue), it may not be necessary to return for polishing. However, if you are concerned about the texture or if it affects your comfort while eating or speaking, it would be prudent to consult your dentist. They can assess whether additional polishing is needed or if there are other underlying issues that should be addressed.


Additional Considerations
It's important to maintain good oral hygiene practices, including regular brushing and flossing, to prevent plaque buildup on rough surfaces. If you notice any changes in your teeth, such as increased sensitivity, pain, or changes in texture, it’s advisable to seek dental advice promptly.

In summary, while polishing is typically part of the process after smoothing sharp edges, the need for further treatment depends on individual circumstances. Regular dental visits will help ensure that your teeth remain healthy and any issues are addressed in a timely manner. If you have ongoing concerns, don't hesitate to reach out to your dentist for personalized advice. Thank you for your questions, and I hope this information helps clarify your concerns!

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