Tooth Wear: Effective Treatments and Dental Care Concerns - Dentistry

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Tooth wear?


Dr.
Zeng: Hello, during my last visit to the dentist, I was informed that my teeth are severely worn down, with some even having cavities.
The dentist filled them, but it seems ineffective as the filling came out completely in less than two months.
I would like to ask: (1) Are these types of fillings effective? (2) If they are effective, where can I find a skilled dentist? (3) After having my teeth cleaned once, I experienced tooth sensitivity for several months (unable to tolerate acidic or cold foods), which has made me afraid to get my teeth cleaned again.
Is this related to the dentist's technique or is there something wrong with my teeth? I would greatly appreciate your clarification on these matters! Sincerely, Yuan Qingxi.

Yuan, 40~49 year old female. Ask Date: 2009/03/03

Dr. Zeng Guanghui reply Dentistry


Hello Sir:
1.
Severe tooth wear may be due to cervical abrasion or occlusal wear, generally caused by long-term mechanical or chemical irritation, such as improper brushing techniques, chewing habits, or acid erosion.
This type of wear can be treated with a glass ionomer or composite resin filling to prevent or alleviate tooth sensitivity symptoms.
2.
This type of filling adheres to the tooth surface using chemical bonding.
Generally, it is not recommended to place overly hard objects or to brush in a horizontal manner, as this can lead to wear or dislodgment.
3.
After a dental cleaning, tooth sensitivity may persist for a while, possibly due to gingivitis or gum recession caused by the presence of calculus or plaque.
The sensitivity symptoms may arise from the exposure of the tooth root after the removal of calculus or plaque.
Typically, these sensitivity symptoms will gradually improve as the gums return to a healthy state.
Wishing you peace and happiness!

Reply Date: 2009/03/03

More Info


Hello, Yuan Qingxi. Thank you for your questions regarding tooth wear and dental care. It's essential to address these concerns thoroughly, as they can significantly impact your oral health and overall well-being.

1. Effectiveness of Dental Fillings: The effectiveness of dental fillings largely depends on the material used, the skill of the dentist, and the condition of the tooth being treated. Common materials for fillings include composite resin, amalgam, and glass ionomer. If the filling fell out within two months, it could indicate that the tooth structure was too compromised to hold the filling effectively, or the filling material was not adequately bonded to the tooth. It's crucial to have a thorough examination to assess the extent of the damage and determine the best course of action. If the tooth has significant wear or decay, a more extensive restoration, such as a crown, may be necessary.

2. Finding a Skilled Dentist: If you're looking for a dentist with a good reputation for handling cases of tooth wear and restorations, consider seeking recommendations from friends or family, or checking online reviews. Additionally, you can look for dentists who specialize in restorative dentistry or prosthodontics, as they have advanced training in restoring damaged teeth. It's also beneficial to schedule consultations with a few dentists to discuss your concerns and gauge their approach to treatment.

3. Tooth Sensitivity After Cleaning: Experiencing tooth sensitivity after a dental cleaning can be common, especially if you have existing enamel erosion or gum recession. However, prolonged sensitivity lasting several months is not typical and may indicate underlying issues, such as exposed dentin or existing dental problems. This sensitivity can be exacerbated by the cleaning process, especially if the cleaning was aggressive or if your teeth were already sensitive. It's essential to communicate this sensitivity to your dentist, who can evaluate your teeth and gums for any signs of damage or decay and recommend appropriate treatments, such as desensitizing toothpaste or fluoride treatments.

In addition to addressing your specific concerns, here are some general tips for managing tooth wear and maintaining oral health:
- Maintain Good Oral Hygiene: Brush your teeth at least twice a day with fluoride toothpaste and floss daily. This helps remove plaque and prevent further decay.

- Avoid Acidic Foods and Drinks: Foods and beverages high in acidity can erode tooth enamel. If you consume them, rinse your mouth with water afterward and wait at least 30 minutes before brushing to avoid damaging softened enamel.

- Use a Soft-Bristled Toothbrush: A soft-bristled toothbrush is gentler on your gums and enamel, reducing the risk of further wear.

- Consider a Night Guard: If you grind your teeth at night (a condition known as bruxism), a custom-fitted night guard can protect your teeth from excessive wear.

- Regular Dental Check-Ups: Regular visits to the dentist for cleanings and check-ups are crucial for monitoring your oral health and catching any issues early.

- Discuss Treatment Options: If you have significant wear, discuss options such as dental crowns, veneers, or bonding with your dentist to restore the function and appearance of your teeth.

In conclusion, addressing tooth wear and sensitivity requires a comprehensive approach involving proper dental care, regular check-ups, and possibly more advanced restorative treatments. Don't hesitate to seek a second opinion if you're not satisfied with your current dental care. Your oral health is vital, and finding the right dentist can make a significant difference in your treatment outcomes. Thank you for your questions, and I hope this information helps you navigate your dental concerns effectively.

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