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Medical Forum / General / Dentistry / March 2007Enamel wear
Are there any definite signs to looks for to determine possible enamel wear? Thanks, Dave > Are there any definite signs to looks for to determine possible enamel > wear? > > Thanks, > Dave Well, yeah--but is there a particular problem? Significant wear will be obvious to your dentist--for example, wear through the enamel into the dentine. Dentine is generally darker-colored than enamel. But you'd want to be aware of it before that, and close direct examination with bright light and preferably magnification is the way to go. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Mar 12, 5:54 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > dmora...@cox.net wrote: > > Are there any definite signs to looks for to determine possible enamel [quoted text clipped - 15 lines] > Brooklyn, NY > 718-258-5001 I know that I used to grind my teeth when I slept when I was younger, but I don't think I still do. My girlfriend or parents don't say that I do now, but I was just concerned because I do have some recession. My dentist recommended a night guard (which he said would be ~$800) and I can't afford this right now so I'm wondering if anything can be done. I've been told if you grind once, you always grind, but I've also been told that's not always true. I've also been told that if you grind in your sleep, you usually have jaw pain in the morning, which I don't. Dave > I know that I used to grind my teeth when I slept when I was younger, > but I don't think I still do. My girlfriend or parents don't say that > I do now, but I was just concerned because I do have some recession. My wife claims the same thing, but my dentist(s) beg to differ. In other words: just watching you a few minutes at night won't determine if you grind your teeth. I don't know if it's any good, but maybe this device will help answering the question before you proceed with more costly treatment : http://www.bitestrip.com/default.asp > My dentist recommended a night guard (which he said would be ~$800) > and I can't afford this right now so I'm wondering if anything can be > done. I've been told if you grind once, you always grind, but I've > also been told that's not always true. I've also been told that if you > grind in your sleep, you usually have jaw pain in the morning, which I > don't. I'm not a dentist, but remember reading that grinding can occur & disappear at various stages of life. $800 sounds too expensive to me. The first night guard I had cost ca. $300 and lasted 5 years. It reduced some of the jaw soreness (for me mostly later in the day, not in the morning). sci.med.dentistry has lots of NTI advocates (do a search to find out what it's about) and this may or may not be a better alternative to a night guard. It's more expensive than a soft mouthguard but has the potential of minimizing any grinding as opposed to just covering the teeth. > sci.med.dentistry has lots of NTI advocates (do a search to find out > what it's about) and this may or may not be a better alternative to a > night guard. It's more expensive than a soft mouthguard but has the > potential of minimizing any grinding as opposed to just covering the > teeth. After using them for over 7 years, there isn't any "may" in my preference of an NTI over a conventional guard (hard or soft)<G>. Parafunctional activity encompasses clenching and grinding (bruxism). Some people clench. Some people grind. Some do both. There may be pain in the TMJs, but not always. Sometimes there are sore/sensitive teeth. Sometimes headaches. Sometimes cracked teeth and restorations. Sometimes there are abfractions, wear facets, worn cusps, worn/chipped incisal edges. It all depends on the duration and intensity of the clenching coupled with the health of the muscles, nerves, bones, joints, tendons, and teeth. JME D Ten years of NTI use, and I would never use a different appliance for these types of problems. Only as a temporary diagnostic and reversible means to open the vertical, would I use a horse-shoe. Signature/ Amatus / > >> sci.med.dentistry has lots of NTI advocates (do a search to find out [quoted text clipped - 19 lines] > JME > D Times flies doesn't it? Webby > Ten years of NTI use, and I would never use a different appliance for these > types of problems. Only as a temporary diagnostic and reversible means to [quoted text clipped - 22 lines] > > JME > > D We were what? 24 years old then ?? :-) Signature/ Amatus / > Times flies doesn't it? > [quoted text clipped - 30 lines] >> > JME >> > D Works for me!! ;-) W > We were what? 24 years old then ?? > [quoted text clipped - 34 lines] > >> > JME > >> > D 8-)) Signature/ Amatus / > Works for me!! ;-) > [quoted text clipped - 45 lines] >> >> > JME >> >> > D > After using them for over 7 years, there isn't any "may" in my > preference of an NTI over a conventional guard (hard or soft)<G>. I remember reading a Norwegian study on the NTI site claiming that there were no statistical differences in treatment results between NTI & horseshoe.. just saying. Just trying to get them through the FDA at that time. Proving they were 'at least as good' as a standard treatment for the same conditions was much less costly than trying to prove superiority. :-) Steve >>After using them for over 7 years, there isn't any "may" in my >>preference of an NTI over a conventional guard (hard or soft)<G>. > > I remember reading a Norwegian study on the NTI site claiming that > there were no statistical differences in treatment results between NTI > & horseshoe.. just saying. > On Mar 12, 5:54 pm, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 27 lines] > > Dave It is difficult to tell if any wear is from current parafunction or from grinding in the past, esp. in the absence of symptoms. I wouldn't necessarily assume that because you don't have jaw pain that you do not grind your teeth (this is much more likely to occur in women)--I've seen severe damage done to teeth with total absence of other symptoms. If the wear is modest (everyone's teeth wear some with age--it's a matter of degree), you might consider having your mouth observed. Sometimes study models or photos are helpful in assessing whether additional wear is taking place, and at what pace. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 |
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