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Medical Forum / General / Dentistry / May 2004remedy for hollowed-out teeth?
Friend has some molars that have been damaged by grinding and not going to the dentist....to the point that they are basically a pretty thin shell, with large pits that goes all the way to the dentin in the center....can any non-permanent material be applied to that dentin and inside surface of the 'shell' to reduce or eliminate sensitivity? Like some thin filling material that is cured by u.v., or maybe that sealant stuff? Not looking for something that lasts forever, just something that could perhaps be redone when it starts to wear down. The large pits are not really biting surfaces anymore as they are so far down. Full fillings are not an option as have not held. Or is another solution that would save the teeth some other way? How could the teeth be more permanently repaired if this sealing will not work? thanks! > Friend has some molars that have been damaged by grinding and not > going to the dentist....to the point that they are basically a pretty [quoted text clipped - 9 lines] > could the teeth be more permanently repaired if this sealing will not > work? thanks! If it were me, I'd look for a cause: clenching, chemical erosion, etc. I'd want to cover the lesions with a layer of composite resin filling and place an NTI (very small and discreet mouth guard) in the mouth to protect the teeth and fillings. Hope you get some more opinions Choos SP  SignatureTo reply: take out the TRASH... >If it were me, I'd look for a cause: clenching, chemical erosion, etc.>> It was combination of grinding, then not going to dentist for 20 years, fillings being put into them and falling back out. Now status is all teeth are there, just most have either the eroded pits in them or are ground down pretty level but also down to the dentin. Main thing is - will the sealants stick to the dentin to be of good? And no this really is a friend at work and not me, I have the typical fillings and couple of crowns....thanks >>If it were me, I'd look for a cause: clenching, chemical erosion, etc.>> > [quoted text clipped - 4 lines] > the dentin to be of good? And no this really is a friend at work and not me, I > have the typical fillings and couple of crowns....thanks Well dentin is dentin and composite resin will stick to it. I only wonder hoe long this will be when the habit an grinding still is not overcome. This will have to be repeated all the time its worn down. Jochen >>>If it were me, I'd look for a cause: clenching, chemical erosion, etc.>> >> [quoted text clipped - 10 lines] > >Jochen NTI-tss -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > NTI-tss > -- > > W_B Means what? Jochen >> NTI-tss >> -- [quoted text clipped - 4 lines] > >Jochen Nociceptive Trigeminal Inhibitor - tension supression system Google it. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > Friend has some molars that have been damaged by grinding and not > going to the dentist....to the point that they are basically a pretty [quoted text clipped - 9 lines] > could the teeth be more permanently repaired if this sealing will not > work? thanks! How old is the patient? If this is a 60 year old man with wear, it may be feasible to make small preparations into the exposed dentin and place small bonded resin restorations. Consider an appliance to reduce damage due to clenching. The resins may have to be periodically replaced. Sealants are usually unfilled resins and will wear off rapidly. Evaluate if porcelain restorations are chewing against the worn areas--many porcelains are harder than enamel and can cause severe damage to the opposing teeth, particularly in a person who clenches. Besides eliminating the habit or mitigating the damage with an NTI or other bite appliance, a more permanent solution would be placing restorations covering the upper and lower chewing surfaces of affected and opposing teeth with a softer porcelain or resin restoration. Most bite experts are now advocating what is called a "cuspid guided" occlusion which means that as the jaw moves to the side the molars no longer touch. This can be successful, but requires a lot of dentistry, and may also require regular maintenance and repair, esp. if the habits can not be controlled. Steve GERD Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > > > Friend has some molars that have been damaged by grinding and not [quoted text clipped - 30 lines] > > Steve mf101723@aol.com Your friend needs to see a dentist to discuss options. > Friend has some molars that have been damaged by grinding and not > going to the dentist....to the point that they are basically a pretty [quoted text clipped - 9 lines] > could the teeth be more permanently repaired if this sealing will not > work? thanks! |
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