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Tooth Surface Loss & Grinding Treatments

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"I've been going to the Smile Cliniq for the past couple of years, and the treatment, care and advice from Chetan and his team has been faultless. Highly recommended." - A.S.
"Yet again I have been blown away by Smile Cliniq. After my filling fell out on Sunday night, I was distraught. But I phoned the Cliniq in the morning and got an appointment for the same morning. Dr Kaher put me at ease, even though I was very anxious, and did an amazing job on my..." - Robyn B
"What a great dental clinic! I was having issues with a tooth and Dr Sarita Kotecha was brilliant. Solved my dental issue quickly and explained everything in a way that made me actually enjoy the appointment (!!). They were able to squeeze me in last minute too. Highly recommend t..." - Saya Jones
"The service was so good at Smile Cliniq by Dr Sarita Kotecha, I recommended my wife to change dentist. We've been looking for a good dentist since moving to London 2 and 1/2 years ago and the quality we had received from our previous dentist was sub-standard. That all changed at ..." - Greg Jones
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Fantastic service, professional and top notch technology. Very hygenic and Dr Chetan Kaher has a very steady and experienced hand. Highly recommend." - Amrita Chauhan
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Friendly and helpful manager. Dentist was also friendly and efficient,Gave me lots of advice about dental care showing video." - Filippa Milioto
"Needed an emergency appointment, I was seen the same day! Great service and friendly staff" - Elena Milioto
"I found the the team at smile very professional and friendly, nothing was too much trouble. Chet presented all the options and my selected course of treatment took place over a year. As it involved one of my front top teeth I had some concerns and Chet was always available to ans..." - Irin Wu
"I have a hereditary tendency to get dental cavities, ensuing painful dental treatments, which left me scared of visiting dentists. Now, in my early thirties, I did everything to avoid dental checks. I also gave up on having cavity-free teeth. Two years ago, I was forced to find a..." - Rukmini
"I have just finished my year long lingual brace treatment with Dr Sarita Kotecha which has been a huge success. I'm so happy with the results! The staff at Smile Cliniq have always been friendly, helpful and welcoming; fitting me in for last minute appointments when necessary and..." - Maayan Bianca
"My wife needed to see a dentist on an emergency basis on a Saturday after a bad fall the evening before. We called on Saturday morning and they were able to take us that afternoon. The quality of care, both technically and inter-personally, could not have been better. If we lived..." - Hal N.

Before and After Gallery

Before
After

Tooth Surface Loss Treatment in London

If your teeth are worn down, eroded and are flat, this could be a sign you are grinding your teeth or perhaps have too much acid in the mouth. Your dental practice Smile Cliniq in London offers treatments against tooth surface loss. Call us to book a consultation today on 020 8090 9077

What causes tooth wear?

Tooth wear is caused by damage to the outer layer of the tooth called enamel. When enamel is worn away it exposes the dentine layer underneath which is made up of tubules connected to the nerve of the pulp. Patients suffering from tooth wear may experience symptoms such as sensitivity to cold and hot drinks and air. The dentine layer of the tooth is much softer than the enamel, and wears away at a more rapid rate than enamel. There are various reasons for teeth to become worn.

Grinding
A common cause of tooth wear is teeth grinding (bruxism), or clenching. People who grind their teeth usually do it at night time in their sleep and often do not know they are grinding. Causes of teeth grinding are linked to stress. Bruxism can become a habit and may still occur unconsciously after the source of stress has been addressed
An obvious sign you are grinding your teeth is the appearance of flat, level teeth that appear slightly hollowed and darker in the centre.

Acid erosion
Strong acids constantly and frequently in contact with teeth may also cause teeth to erode and wear away. Acids effecting tooth surface loss maybe from citrus fruits, fruit juices and/or fizzy drinks. People suffering from eating disorders or gastric regurgitation may also exhibit erosion to their teeth.

Brushing too hard
Simply brushing too hard or using a hard toothbrush can cause significant wear to your teeth as well as gingival recession. Many people unintentionally brush their teeth too hard in an attempt to make them sparkly clean when in fact; only slight pressure is required to clean your teeth effectively if the correct technique is being used.

What can I do about my tooth wear (tooth surface loss)?

There are various ways to prevent, stop and resolve tooth wear. The following are ways of dealing with the causes of tooth wear described above.

Leave and monitor
The advantage of this is no treatment and associated costs, but the disadvantage is the tooth wear may become worse, decreasing the prognosis of the eventual tooth restoration (as tooth structure is now poorer).

Splint
A splint is something that covers the biting surface of your teeth. It is made from hard acrylic that is customised to fit your teeth. The splint works by protecting your teeth when grinding, so you wear down the acrylic instead of your own teeth. It is an effective and quick solution but people who heavily grind their teeth may require replacements. Splints may also help resolve any temporomandibular joint pain or discomfort.

An example of a Michigan’s splint provided in London, occlusally balanced to provide smooth excursive movements, reducing stresses on teeth and the temporo-mandibular joint (TMJ).

 

Crowns, composite build-up
Tooth wear causes teeth to look flat, short and discoloured, and not aesthetically pleasing.
Worn down teeth can be built up using composite white filling material, or the placement of crowns or veneers. Specific shades of these restorations are individually selected to match the rest of your teeth, and shaped according to the golden proportion. The best material is used to obtain a natural result, and will give you a beautiful smile. Crowns can also be used to cover and protect a heavily restored tooth from breaking apart. There are various materials with different strengths and characteristics. Your dentist will discuss which one is right for you.

Loss of Canine Guidance

When moving our lower jaw from side to side, normally the canines are incontact, and cause the other teeth to separate and thereby protecting the remaining teeth.  Canines have long roots and are designed to handle these excursive movements. Wear and tear on the tips of the canines, often from tooth grinding (called bruxism) allows the top and bottom back teeth to come into contact. This is called “group function”.  Group function may lead to fracture of posterior teeth in which have large restorations with thin enamel walls.  To treat this, your dentist may recommend building the canines back up with white composite fillings to regain “canine guidance.”  The teeth will initially feel strange as you have been taken back to how the teeth used to be.  The overall effect will be to protect your remaining teeth again and decrease splitting forces on the posterior teeth.

Identifying and dealing with the source of stress

Grinding and eating disorders may be caused by stress and depression. Without finding and resolving the causes of stress, it becomes very difficult to stop tooth surface loss. Possible solutions are to talk to a friend, family member or medical practitioner, meditation, delving in to a hobby that makes you feel happy, taking time off work for travel, or visiting a beauty salon/fashion store and building up self-esteem. Each person is different and so some solutions are suited to one more than another. Stress is an ever increasing problem amongst people in this day and age, but there are many things out there that make life more pleasurable.

Use of correct brush and technique

Many people cause damage to their teeth by simply using the wrong type of brush and technique when brushing. A hard brush will cause trauma to the tooth enamel and gums resulting in tooth wear and recession. Symptoms include hypersensitivity to cold and poor tooth appearance, with cavitation at the tooth-gum interface. It is recommended you use a soft or medium toothbrush, applying a gentle pressure (imagine a force just enough to indent a ripe tomato). Certain electric toothbrushes are also beneficial as they torque out when you are brushing too hard.

The correct technique of tooth brushing can be a little tricky to master at first, but practice makes perfect. Please find the correct technique of tooth brushing by clicking here.

To find out more about any of these options and see which is best suited to your case, please book a consultation at one of our practises in North or Central London and get an assessment from our experienced dentists.

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