Tag: Tooth Decay

What is Tooth Wear? It’s Classification, Issues and Treatment

Article

February 20, 2022
/ Leave a Comment on What is Tooth Wear? It’s Classification, Issues and Treatment

6 min
2 years
1,027 word

Tagged dental caries, GERD, Tooth Decay, tooth wear, Treatment

What is Tooth Wear? It’s Classification, Issues and Treatment

Tooth wear in around 97% of the population is a relatively prevalent problem. It is a natural physiological process that occurs over a lifetime.

Keywords: Tooth Wear, Dental Caries, Treatment

Author: Dr. Saumya Lal

Introduction

Tooth decay or dental caries is a mechanism other than dental caries for the loss of tooth material. Tooth wear in around 97% of the population is a relatively prevalent problem. It is a natural physiological process that occurs over a lifetime. But the frequency of non-carious tooth surface losses has also increased with the increase in personal life and increased retention of teeth. Denture wear varies considerably between persons and societies and is becoming increasingly prevalent in archaeological materials with severe attrition and enamel fractures or erosion.

The typical physiological wear of the tooth after 10 years of human life is around 20-30 micrometers a year or 1 millimeter; especially when a person is older than 30 years. Tooth wear shall be closely managed and monitored if it crosses a particular limit.

Teeth Classification

Attrition is caused by physiological contact between teeth and most frequently occurs on the chewing surfaces and edges of the front teeth. The crushing and grinding of teeth causes stress and anxiety and speeds up tooth deterioration. Teeth and biting surfaces diminish and flatten.

Erosion is another important source of chemical dental deterioration. Intakes of excessive acid food, such as cola drinks, fizzy drinks, and meals, lead to chemical wear of teeth. However, digestive system disorders, such as GERD, allowing acids to flow in from the stomach to the mouth may lead to erosive wear. Erosion causes cupping of the chewing surfaces.

Abrasion occurs when a foreign item regularly comes into contact with tooth surfaces. The item offensive might be brushed with hard teeth that rub strongly the teeth. Not only does overzealous tooth cleaning remove the dirt, but it also destroys the tooth enamel that causes teeth to wear. Biting of the nail, pin, and pencil may also produce abrasive wear of the tooth.

Abfraction or stress corrosion is a particular kind of tooth deterioration involving unfair or eccentric occlusion or biting force on teeth. Teeth areas along the gum line in these situations become weak and fade out.

Tooth Wear Issues

Natural human teeth must be checked and frequent dental consultation should be carried out to overcome the harmful impact of this natural and gradual wear. Worn teeth are viewed as short or decreased in length when the enamel becomes thin or entirely removed with the yellowing of surfaces.

Various issues with tooth surface loss or tooth wear may be categorized as,

Aesthetic impairment,
Compromised smile and appearance,
Short teeth,
Loss of fullness of mouth,
Fractured and unattractive teeth,
Chipping of teeth,
Discoloured teeth,
Multiple restorations,
Fractured restorations,
Inability to chew and bite properly,
Difficulty in proper mouth functioning,
Mastication problems,
Lip and cheek biting,
Tongue biting,
Stress and anxiety,
Bruxism due to grinding and clenching of teeth,
Pain and discomfort,
Hypersensitive teeth,
Failure of bonded restorations,
TMJ pain disorder,
Small mouth opening causes breathing difficulties.

Managing worn-down teeth owing to tooth surface loss only rely on the precise as well as prompt detection of the particular reason. Teeth that are worn down by erosion cannot be controlled by the treatment plan for abrasive tooth wear prevention.

Steps to Diagnose

Different steps to diagnose accurately include,

Complete clinical history,
Comprehensive examination,
Intra-oral radiographs,
Diagnostic mockups,
Sensibility tests,
Salivary analysis,
Well-articulated study models and casts,
Computer imaging

Tooth Wear Treatment

DNA appliance therapy can correct the underlying cause of tooth clenching
Zirconia crowns and metal-free implants
Porcelain Veneers
Occlusal Splint Therapy
Night Guard
holistic removal of root canals teeth if necessary.

To prevent tooth wear, the exact cause of tooth loss is a function. Various actions can be done in this connection, as, Dental density therapy is very beneficial. Not only to lower sensitive and uncomfortable teeth by erosive wear but also to decrease the potentials of low PH cola beverages and erosive juice; in the dissolution of dental enamel that leads to severe tooth surface loss. Therapies like MI paste will harden the face of teeth and reduce the deterioration of the tooth.

It is strongly recommended that teeth brushing should be avoided immediately after acidic challenges such as ingesting cola beverages or after vomiting. Remineralization of toothpastes and gels that can harden acid-exposed areas of the tooth is useful in those with hypersensitive teeth because of worn teeth. The use of a 0.7% fluoride solution in the dental chirurgic, followed by 0.4% stannous fluoride treatment at home, was successful. Not everyone agrees that fluoride use is safe and there are numerous alternatives.

Tooth Mousse ACP (GC) includes an active component of the case that has been demonstrated with characteristics that can stimulate the re-mineralization of used tooth surfaces. Casein (part of a protein found in cow milk)

Prevention

The prevention of wear is useful in dietary advice and modified intake of beverages. Calcium added to some beverages can reduce the erosive impact of drinks. Reduce acidic fruits, fruit juices, carbonated drinks as well as cola beverages in quantities and frequency is good. Cheese containing meals or milk products will also assist to reduce the harmful effects of erosive foods, after acidic beverages.

Tooth wear is greater when the production of saliva in a person is less important. In such individuals measures for the prevention of tooth surface loss to increase the saliva have to be taken. It is important to suggest gums and lozenges that promote saliva production. Habitual modifications like the consumption of acidic drinks through broad bore straw and prevention of swinging drinks in the mouth will certainly assist to reduce the tooth wear rate. It is highly useful to prevent excessively tight teeth brushing, the use of less abrasive toothpaste, and avoid using tooth powders and behaviours like pencil biting;

Hard acrylic spline must be given to avoid attrition of the teeth in nocturnal patients who suffer from night-tooth grinding. Splint therapy is the treatment of these individuals’ choices. Dentine bonding agents and dentine restorations must be provided in eroded chewing surfaces to prevent tooth surface loss. In these fields when patients are suspected of certain systemic conditions like GERD erosive wear or depression as well as anxiety, reference is made to a medical specialist for musculoskeletal treatments.

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Medical

November 12, 2021
/ Leave a Comment on How to Access Tooth Decay Risk

7 min
2 years
1,238 word

Tagged Decay, Oral Health, Tooth, Tooth Decay

How to Access Tooth Decay Risk

Practicing excellent dental hygiene, using fluoride toothpaste, limiting sugary meals and alcohol, and avoiding tobacco products are all things you can manage. Respiratory diseases that dry out your mouth, such as asthma, consuming sugar-containing medications, and, of course, ageing are all factors you can’t control.

Keywords: Tooth, Decay

Author- Dr. Saumya Lal

Some things are under your control, while others are beyond your power. Practicing excellent dental hygiene, using fluoride toothpaste, limiting sugary meals and alcohol, and avoiding tobacco products are all things you can manage. Respiratory diseases that dry out your mouth, such as asthma, consuming sugar-containing medications, and, of course, ageing are all factors you can’t control. When a kid is put to bed with a bottle of milk, juice, or formula, they are at risk of developing baby bottle teeth decay. Sugar nourishes the germs that cause tooth decay in these drinks. The minerals in new teeth are unstable, making it simpler for acids to eat away at the enamel of young children’s teeth.

The enamel of a tooth is harmed by dental decay. This can happen when bacteria in your mouth produce acids that attack the surface of your teeth. These bacteria soften the enamel and dentin of the tooth, generating cavities, which are microscopic holes in the tooth. If left untreated, this can lead to infection and tooth loss.

Early tooth decay has few symptoms, but as it continues, it can produce toothaches as well as sensitivity to sweets, food temperature, and liquid intake. If the tooth becomes infected, an abscess (a pus-filled pocket) might develop. This abscess produces pain, fever, and swelling in the face.

Tooth decay is caused by a mix of microorganisms and the foods and beverages you ingest. Plaque, a transparent sticky material, is constantly developing on your teeth. Plaque is made up of bacteria that feed on the carbohydrates in the food and beverages you consume. The bacteria produce an acid that destroys the enamel of the tooth, causing it to lose minerals. Drinking a carbonated beverage, for example, exposes your teeth to acid on a regular basis, causing a mineral loss in the enamel. Sugary foods and drinks should be taken with other meals so that the acids can be washed away by the healthier nutrients. Foods that adhere to your teeth, like toffee, might raise your risk of dental decay.

Gum recession in older individuals can allow decay-causing bacteria to create root cavities.

Stages

Tooth Decay does not start overnight; germs and acid build up over time and eat away at the surface.

Plaque creation is the first stage.

Stage 2: Enamel degradation and acid production

Stage 3: Destruction progresses toward the tooth’s core.

Stage 4: The infection has progressed to the pulp of the tooth, posing a significant health risk.

Symptoms of Tooth Decay

Symptoms differ depending on the severity of your decay.

Continuous discomfort and toothache, as well as acute pain bursts, are common symptoms.
When drinking, eating hot, cold, or sweet meals, there is tenderness or discomfort.
Breath problems
Spots of colour on the tooth surface (typically grey, black, or brown).
You have a bad taste in your mouth that will not go away.
Teeth with visible holes

The type of symptoms you get is also determined by the tooth’s placement. Symptoms might go unnoticed for a long time if they are near the rear of your mouth. Also keep in mind that the pulp of your tooth, the soft center that houses the numerous nerves and blood arteries, generally does not get infected until it becomes inflamed. However, it is frequently too late to preserve the tooth when this occurs. That is why, even if there are no symptoms, preventative steps and frequent check-ups are critical.

FACTORS INCREASING RISK OF TOOTH DECAY

Dental hygiene is very important.

Sugar and starch are turned into acid by bacteria in your mouth, which causes tooth decay. Your enamel is then attacked by the acid. This wears down the enamel over time, exposing the inner layer of dentin and, eventually, the pulp. The root of the tooth will be attacked as the decay progresses, and blood flow will cease. The tooth is considered to be dead if the nerve is dead, yet a root canal and a crown can still be placed.

Brushing and flossing at least twice a day might help to decrease acidity in your mouth. Snacking should also be avoided because it raises acidity. Of course, going to the dentist on a regular basis will help to eliminate plaque build-up from your teeth.

Diet

It is critical that you think about your nutrition. Snacking less will assist to maintain your teeth healthy by lowering the acidity in your mouth. You must, however, consider the food you consume. Acidic foods, such as those heavy in carbs or sweets, are more harmful to your teeth.

To avoid this, eat a well-balanced diet.

Smoking

It should come as no surprise that smoking is detrimental to your dental health. Cigarette smoke leaves a sticky coating on your teeth, making it easier for germs to adhere to them and produce the acid that causes tooth decay.

MEDICAL CONDITION

You’re more prone to get tooth decay if you have diabetes or Sjogren’s illness. You will have a dry mouth as a result of this. Saliva is necessary for washing out bacteria; but, if your mouth is dry, you won’t be able to do so efficiently. This problem is exacerbated if you have diabetes since your immune system is likely to be compromised. It’s also worth mentioning that, because you’re continuously inhaling through your mouth, respiratory diseases can cause dry mouth.

Dry mouth is a common adverse effect of several medicines. If you have a dry mouth, you can buy a saliva replacement or eat sugar-free chewing gum to help increase saliva flow.

Brushing incorrectly

Brushing your teeth twice a day is necessary, but only if you do it correctly! Gum recession can be caused by brushing too aggressively. This might then reveal the cementum, which is the tooth substance beneath the gum line. This is a considerably softer substance than enamel. You can brush this away over time, leaving your dentin exposed and allowing tooth decay to begin.

Monitoring

It is possible to get your saliva analyzed to determine whether or not it is acidic. If a problem is identified, you can alter your diet and use specific rinses to keep your tongue at the proper pH level.

Seeing your dentist is also crucial because they may utilize advanced x-ray technology to identify deterioration before it becomes evident to the naked eye! This might even stop the cavity from developing!

The most essential thing to keep in mind is that tooth decay can strike anyone at any time, but it does not have to. Regular dental visits and proper oral hygiene can help you keep your teeth for the rest of your life!

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