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Medical Forum / General / Dentistry / April 2007Upper central incisor chipped (photo attached) - qualified Dentists - your advice please?
Hi I have always had a DMFT of zero I am approx 26 years old I started taking Meds about 2/3 years ago that cause dry mouth (xerostomia). I have also started drinking lots of Pepsi Max (or other 'no sugar' carbonated drinks) - obviously these cause erosion. I first noticed erosion around the cervical surfaces of my Upper central incisors My dentist (at the time - before I moved) advised using a straw (to help reduce the effects of erosion from cola drinks) You can see that my upper (Right) central incisor looks chipped. Should I get a Class 4 composite restoration (or should I just leave it) http://i157.photobucket.com/albums/t56/amit2k7/teeth/a.jpg http://i157.photobucket.com/albums/t56/amit2k7/teeth/d.jpg http://i157.photobucket.com/albums/t56/amit2k7/teeth/b.jpg http://i157.photobucket.com/albums/t56/amit2k7/teeth/c.jpg [UK people - I have moved cities. I no longer have a dentist. It's impossible to find an NHS dentist] Get it bonded, just smooth off the rough edges or get a laminate. It is your choice. Dump the Pepsi. It is a blend of 5 different acids. It will rot your teeth, especially if you have xerostomia. Even diet-Pepsi.  Signature/ Amatus / > > Hi [quoted text clipped - 26 lines] > [UK people - I have moved cities. I no longer have a dentist. It's > impossible to find an NHS dentist] > Get it bonded, just smooth off the rough edges or get a laminate. It is > your choice. [quoted text clipped - 6 lines] > > Amatus Amatus, Thanks for your advice I know - carbonated drinks ruin teeth. Caffeine addiction (early mornings at the office). (Not really fond of coffee). Also vodka & red bull doesn't help. I also drink a glass of wine a day - usually red (sometimes white) Should I avoid wine? Thanks again - appreciate the advice Depends on how big the glass of wine is :-) Figures the Italian living in the USA is addicted to Tea, and the guy in the UK prefers coffee. Signature/ Amatus / >> Get it bonded, just smooth off the rough edges or get a laminate. It is >> your choice. [quoted text clipped - 20 lines] > > Thanks again - appreciate the advice > You can see that my upper (Right) central incisor looks chipped. > Should I get a Class 4 composite restoration (or should I just leave > it) That type of damage looks more like trauma than erosion from acids. Do you bite your fingernails (or pens, pencils, tooth picks, etc.)? Dumping the soft drinks is still a great idea, but a large composite will also likely fail if there is abuse. JMO, D On Apr 10, 10:54 am, amit.si...@inbox.com wrote: > I started taking Meds about 2/3 years ago that cause dry mouth > (xerostomia). [quoted text clipped - 4 lines] > I first noticed erosion around the cervical surfaces of my Upper > central incisors Those pictures are very confusing to me; I've been drinking carbonated beverages for the last two decades, not always diet, and -- while I have indeed had gumline decay when I was not diligent in maintenance -- I have never had such *rapid* erosion (you said eight months?) of the ends of my teeth as shown in your photos. How many cans of soda do you ingest in a day? > You can see that my upper (Right) central incisor looks chipped. > Should I get a Class 4 composite restoration (or should I just leave > it) Whether or not a class 4 filling will work will depend, in part, on your occlusion (both in normal biting and grinding) with the opposing dentition. Only an examination of the occlusion could tell you for sure. Smoothing it off is another option, but would need to see you to tell you how much would need to come off and what the tooth would look like afterwards so you can make a decision if grinding it is even an option. John |
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