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Medical Forum / General / Dentistry / March 2007Enamel
My teeth enamel on a lot of my teeth had started to wear in the mid 80s. So far my dentist opted to deal with this a lot of bonding in the mid 90s which has mostly held up. There is some debate as to the cause of the enamel wear. Some thought it might be acid reflux or all the soda I drank in the mid 80s. Some thought it may be something happened when my enamel formed. I'm wondering if the L-Ornithine powder I took for a brief period as a weightlifting supplement may be a cause? Recently one dentist has suggested that clenching and grinding in my sleep as well as "my bite" are what are causing my enamel to wear. Nobody before had suggested any of this. When I asked him why would this would cause the enamel on the fronts (my term for surface facing the cheek) or backs (my term surface facing the tongue), he said that if I'm clenching this puts pressure on the enamel that is closest to the gumline (or he may have said below it) and causes it to break off. He also said that my teeth are at an angle which contribute to this. Is this true? Thanks, J. Most likely Anyway In this situation There is couple methods of treatment - rebild ooclusion - relaxing bite planes- couple kinds - changing some diets - permanent reconstruction of your teeth- couple methods - prevention goood lack Kris-Polanowski DDS - > My teeth enamel on a lot of my teeth had started to wear in the mid 80s. > So far my dentist opted to deal with this a lot of bonding in the mid 90s [quoted text clipped - 16 lines] > > J. Is the enamel wear on the lip-side of the teeth, the palate-side (tongue-side), the chewing surfaces, or just near the gum-line?  Signature/ Amatus / > My teeth enamel on a lot of my teeth had started to wear in the mid 80s. > So far my dentist opted to deal with this a lot of bonding in the mid 90s [quoted text clipped - 16 lines] > > J. <<Is the enamel wear on the lip-side of the teeth, the palate-side (tongue-side), the chewing surfaces, or just near the gum-line?>> It depends on the tooth. Some needed bonding on 1 surface. Some needed it on 2 or 3. Some have wear nearer the gums while lots of others have wear that extends all the way to the chewing surface. I found some old invoices on what bonding work was done in 96. These show the teeth numbers with what surfaces were done. There were actually 4 more teeth done than shown here (one's not shown are tooth numbers 3,4,5,6) but don't have further info on paper about those. One of the invoices is missing. Wondering what the letters mean. Tth# description # surfaces 10 Composite 2 surf. FI (I as in Irene) 11 Composite 2 Suf DI 12 Composite 3 Surf LOB 13 Composite 3 Surf LOB 14 Composite 2 Surf OB 15 Composite 2 Surf OB 18 Composite 1 Surf O (this looks like a zero and not an O actually) 19 Composite 1 Surf O (this looks like a zero actually) 20 Composite 1 Surf O (this looks like a zero actually) 21 Composite 1 Surf O (this looks like a zero actually) 22 Composite 1 Surf O (this looks like a zero actually) 28 Composite 1 Surf B 29 Composite 1 Surf B 30 Composite 2 Surf OB 31 Composite 2 Surf OB (3,4,5,6 were also done) J. Note: Only 5 of the teeth had "zeros" for a suface description..was that a typo? There were no zeros in any other description, only the letter O. J. > <<Is the enamel wear on the lip-side of the teeth, the palate-side > (tongue-side), the chewing surfaces, or just near the gum-line?>> [quoted text clipped - 30 lines] > > J. Jay, L=Lingual- the tooth surface next to your tongue O=Occlusal-the chewing or grinding surface of the bicuspid and molar teeth B=Buccal- the tooth surface which is next to your cheeks. I am not sure what FI or DI mean. Did you ever purge while you were weight lifting? Purging can cause great damage to the enamel, especially on the lingual surfaces. (Although you show relatively less damage on the lingual surfaces, purging has been uncovered as a "relatively" common practice for many competetive wrestlers and body builders... so I am just asking). Did you take in large amounts of Vit C or sports drinks? These can also cause enamel erosion. I have no idea about L-ornithine but as an alkaline amino acid, perhaps its breakdown products (in saliva) are acidic? In any case, it sounds like you are in good hands. Good luck, Sue (nondentist) I didn't purge. I used to take a 500 mg time released vitamin c pill on a daily basis. I also used to drink a lot of cola. BTW I don't think I clenched my teeth when I lifted weights. J. Did you chew the Vit-C ? Signature/ Amatus / >I didn't purge. I used to take a 500 mg time released vitamin c pill on a >daily basis. I also used to drink a lot of cola. BTW I don't think I >clenched my teeth when I lifted weights. > > J. At this point, I would bet $15 on acid reflux disease. Signature/ Amatus / > <<Is the enamel wear on the lip-side of the teeth, the palate-side > (tongue-side), the chewing surfaces, or just near the gum-line?>> [quoted text clipped - 30 lines] > > J. >At this point, I would bet $15 on acid reflux disease. I'll see your $15 and raise you a dram of Cask 191. I wonder how much a single shot of "191" would cost. Signature/ Amatus / > >>At this point, I would bet $15 on acid reflux disease. > > I'll see your $15 and raise you a dram of Cask 191. >I wonder how much a single shot of "191" would cost. The Balvenie site says that only 83 70cl bottles were made. They sold for £6,000 each in 2002. If you could find one, it would be worth it. Kinda like: Why does divorce cost so much ? Because it's worth it ! They are coming out with some vintage bottles now. 1972 IIRC. > >I wonder how much a single shot of "191" would cost. > [quoted text clipped - 9 lines] > They are coming out with some vintage bottles now. > 1972 IIRC. I used our 1972 IIRC to swish with, as an anesthetic, while awaiting my RCT appointment. I was wondering why my husband was so cranky. I guess I shouldn't have messed with the malt whiskey. One of the worst cases (that I have seen) of erosion/abrasion was on a weight lifter. I think some type of mouth guard should be worn. D > My teeth enamel on a lot of my teeth had started to wear in the mid 80s. So > far my dentist opted to deal with this a lot of bonding in the mid 90s which [quoted text clipped - 16 lines] > > J. Unique diets and forceful clenching during work-outs. The extremes which competitive body-builders go through to get that level of definition between muscles does not seem natural or good for the body. The last minute purging of water from the body immediately prior to a competition was very surprising to me the first time it was described to me by a body-builder patient. I agree with Dartosini. Signature/ Amatus / > > One of the worst cases (that I have seen) of erosion/abrasion was on a [quoted text clipped - 24 lines] >> >> J. |
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