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Medical Forum / General / Dentistry / February 2008

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Sensitive teeth update

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Bill Stock - 13 Feb 2008 03:05 GMT
I had my cleaning about a week ago and the hygienist did not mention
anything out of the ordinary, no bleeding, no deep pockets, no cavities,
just one spot where the enamel was worn down. I had mentioned the sore teeth
problem to her and she repeated the problem to the dentist, but he blew it
off. A couple of days ago the pain was back so I stopped to pursue the issue
with the dentist and pointed out to him that there was a crack in one tooth
that I could put my fingernail in. He said something about being an
abfraction and that there was nothing to be filled? He then gave me a
referral for an Orthodontist? WTF?

I went to see another Dentist today who told me I was losing the enamel on
my teeth and that it's no wonder they were sore, as the Dentin was exposed.
He said grinding may be exacerbating the issue, but it is certainly not the
root cause as dentist A indicated. He wanted to know if I'd been sucking
Lemons (LOL), as he'd never seen anything like it before. He suggested a
daily Fluoride rinse and said I should see a root canal specialist to have
the nerves deadened in the more sensitive teeth.

How can two dentists she such different results in the same mouth? I know
dentist A was always after the big jobs (crowns, night guards, etc) and not
too interested in fillings etc. Dentist B was a referral from a friend; she
said Dentist B was also a big Night Guard proponent, but he did not raise it
at all. Although I'm not too keen on his solution, what about protective
coatings, Calcium, etc?

Also, what might be causing this? Diet Soda, Tea, Coffee, medications, acid
reflux, poor nutrition?

TIA
Amatus Cremona - 13 Feb 2008 11:20 GMT
ABFRACTION

Google that word

Signature

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Amatus

/

>I had my cleaning about a week ago and the hygienist did not mention
>anything out of the ordinary, no bleeding, no deep pockets, no cavities,
[quoted text clipped - 25 lines]
>
> TIA
Dartos - 13 Feb 2008 15:10 GMT
Diet soda.......Limited to caffiene increasing tension and clenching
Tea.............ditto
Coffe...........ditto
Acid reflux.....NO, not abfractions
Poor nutrition..NO
Medication......Maybe...some seem to increase clenching episodes.

Many dentist don't seem to have much of an understanding about
clenchers.  "We" were taught that this problem was tooth brush
abrasion.  It was the patient's fault for abusing their teeth.
That was the gospel from the dental schools.

It was wrong.

In a way, it is still 'the patient's fault' because they are doing
the damage to themselves, but it isn't a conscious abusive habit
that you can change on your own.  Limiting caffiene, not chewing gum,
wearing a mouth guard when weight lifting, keeping your teeth apart
while working or tense, etc. can help limit the damage, but much
of the problem is during different stages of sleep.

NTI-TSS!   (plus toothpaste for sensitive teeth, & bonding resin,
            or fillings in the notches)

JMO
D

> Also, what might be causing this? Diet Soda, Tea, Coffee, medications, acid
> reflux, poor nutrition?
>
> TIA
Bill Stock - 14 Feb 2008 01:42 GMT
> Diet soda.......Limited to caffiene increasing tension and clenching
> Tea.............ditto
[quoted text clipped - 22 lines]
> JMO
> D

Thanks,

I'd read about the brushing abuse and thought it was a little odd.

I have been a heavy gum chewer at times, but not so much lately. I don't
seem to clench my teeth when awake, don't know about when I'm sleeping. I
think I'll lay off the diet soda for a while anyway and keep up the Flouride
to see if it helps. I've used Sensodyne (now Pronamel) for a couple of
years. The Arm & Hammer Enamel Care also sounds promising.

I've read/heard a little about the bonding resin, but thought it was only
useful for protecting the Denitn exposed near the gums and not so much on
the biting surfaces. I'll have to ask the dentist more about this.
Dartos - 14 Feb 2008 16:20 GMT
> I've read/heard a little about the bonding resin, but thought it was only
> useful for protecting the Denitn exposed near the gums and not so much on
> the biting surfaces. I'll have to ask the dentist more about this.

Yes, gumline areas primarily.

D
krzysztof polanowski - 14 Feb 2008 09:21 GMT
Heh
The cleaning is not easy. Personnaly I am against :
placing bonding systems on the tooth by hygienists/assistance- The most
stupid thing coz Its the most difficoult step in composite restoration

Similar cleaning. If hygienist adjust scaler tip unproperly ..- You could
been hard a little and sensitivity is the answer. Another mistake to high
power adjust in maschine .

Sometimes is short sensitivity after cleaning BUT the office could place
copaliner to reduce it or laser diode or etc

best regards kris-Polanowski DDS
>I had my cleaning about a week ago and the hygienist did not mention
>anything out of the ordinary, no bleeding, no deep pockets, no cavities,
[quoted text clipped - 25 lines]
>
> TIA

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