Treatment of Erosion
Dental Erosion (or Tooth Erosion) is unfortunately becoming a more and more common condition. It is due to many overlapping factors, but mostly involves problems with a person's diet and their saliva quality and quantity. Patients experiencing dental erosion often have a diet high in soft drinks or sports drinks, citrus or other tangy fruits, sour lollies and candies or supplements and vitamins. They also tend to be chronically dehydrated by being very active in sports/exercise, by working outdoors or in hot environments, or by simply not drinking enough water. Though Dental Erosion can effect a person at any age, we are sadly seeing more and more younger people being afflicted by this very damaging disease.
The good news is that Erosion can be treated by a combination of dietary and habit improvements, followed by careful build-up of the affected teeth. The use of adhesive procedures means in many cases we can avoid the need for crowns on many teeth and instead use more conservative procedures like composite buildups instead.
Signs of Erosion
Losing the sides of your teeth !
In this close up photo, the tell-tale signs of erosion can be seen near the gum level where the enamel has been lost and the underlying dentine is now showing through.
Signs of Erosion
Losing the cusps
This close-up photo shows almost all of the enamel on the biting surfaces has dissolved away, leaving the old amalgam filling standing high. The yellow colour is the underlying dentine. These teeth were very sensitive by this stage.
Case 1 - Soft Drink Erosion
Loss of enamel on the incisors
This young lady was only in her twenties. Her habit was to drink several cans of Cola each day. She had been doing this for many years during her University studies.
Total loss of the enamel
Fizzy soft drinks and Colas in particular, are very acidic. As she drank her cola, the front surface of her incisors came into contact with the acid first, leading to these front surfaces being the most damaged.
After Composite Buildups
After discussing the changes she needed to make to her habits and diet, we then were able to restore her teeth very conservatively with composite buildups. No further tooth structure was lost in the process.
Case 2 - Dry Mouth Erosion
This middle-aged lady had a very dry mouth due to the medications she was taking and also due to a high tea/coffee intake. The dry conditions allowed her teeth to become subject to acids which softened them, and then tooth wear of the incisal edges followed.
After Composite Buildups
This photo was taken immediately after the buildup of the affected teeth. The new length and form of her incisors was achieved with composite buildups and the acid-damaged tooth structure was safely covered over by these conservative composite buildups.
Case 3 - Lemon Juice Erosion
This lady was aged in her mid-30s when she came to see us. She had been advised by an Alternative Therapist to drink lemon juice each morning to "improve her digestion and overall health". She had been doing this for many years.
A view of the Damage
Lemon juice is highly acidic and drinking it (or chewing lemon rinds) is very damaging to your teeth. This close-up photo shows the loss of enamel on the sides of the teeth near the gum line, as well as loss of tooth length and overall shape. Her teeth were very sensitive.
After treatment with Porcelain Veneers
This lady sought the best possible cosmetic outcome and so after diet and habit improvements, she was treated with a combination of composite restorations and porcelain veneers.
The finished case
Her final smile is beautiful and shows that careful treatment planning and the use of conservative, adhesive dental procedures can produce a very natural outcome. It is difficult to detect that this person ever suffered from dental erosion.
Case 4 - Severe Reflux
When this gentleman came to see us, he had been complaining of short and sensitive teeth for many years. His significant source of acid was from stomach reflux and heartburn.
The severity of damage
Stomach acid is actually Hydrochloric Acid, and its pH can be as low as 1. It is very damaging to teeth and patients with reflux or who vomit frequently, can do enormous damage to their enamel and dentine.
After Buildups and Porcelain Crowns
In this case, the damage was so severe that some teeth could not be restored with Buildups alone, and so come crowns were needed. In this photo, a combination of porcelain crowns and composite buildups has been used to restore his dentition.
The restored mouth
This patient was treated with diet advice, medication for his reflux and a combination of porcelain crowns, onlays and composite buildups. The final outcome is both functional and very aesthetic.