Do Gum Line Enamel Erosions Need to be Fixed?

Do Gum Line Enamel Erosions Need to be Fixed?

Q: My doctor wants to fill in these deep grooves I have on my teeth that he said are not cavities but need to be done. Is this necessary? Ten of them will run me almost four grand!

A: First: Today’s Secret Word: gargoyle: (n), olive-flavored mouthwash.

Maybe the Egyptians had it right; when getting buried, have some tubs of extra body parts on hand for the afterlife. They have found in tombs large earns filled with livers and kidneys and the like in case the king is short on parts. (However, I don’t believe we should copy their custom of burying your horses and pets with you; that’s just uber nutty.)

If you have a body part that is disintegrating and is needed while you are alive in this life, than I believe it should be replaced.

There are four types of these noncarious cervical lesions (NCCL) which should be restored with composite resin materials (tooth bonding) or in severe cases, crowns:

  • Attrition: the unhealthy loss of tooth structure due to tooth to tooth contact found on the chewing surfaces. A night guard appliance needs to be made, but this only prevents it from getting worse. Left untreated, you could wind up with a full mouth reconstruction with twenty eight crowns!
  • Erosion: Acid dissolving of enamel and dentin from GERD, stomach acids, bulimia, Mountain Dew (Don’t do the Dew!), and heavy citrus use.
  • Abrasion: blowing away your enamel with bad brushing technique, biting nails, fishing line, sewing needles, bobby pins (please explain the last two to anyone under 30.)
  • Abfraction: My favorite one. The word means “breaking away”. Current theories show that clenching and grinding causing bending of the teeth back and forth allows the enamel to splinter away allowing a V-shaped notch to form.

All of these need to be treated to prevent exposure of the nerve canal warranting root canal, cold sensitivity, cracking the tooth off at the gum line, requiring extraction and replacement with an implant and crown, food traps and gum pockets causing periodontal disease, bone loss and tooth loss and esthetic issues of gum line yellowing.

We use an intra oral camera to show patients what these look like I the mouth, magnified 200 times on a color monitor. They will not appear on X-rays until the tooth is ready to fall out. Seek treatment early.

Coming in November will be our fall FREE seminar to the public on How to choose a hi-tech up-to-date dental office for implant, cosmetic and general dentistry for adults. Email or call us if you would like an invitation. Seating is limited.

Book an Appointment

© 2019 Dr. Mitchell Josephs | Privacy Policy | Web Design, Digital Marketing & SEO By Adit