Tooth Surface Loss and Bruxism Management
Tooth surface loss (TSL) can occur due to acid erosion of teeth, abrasion from hard substances – nuts, ice, or aggressive toothbrushing, and attrition-the wear caused by parafunctional tooth contact Bruxism is the umbrella term for grinding or clenching the teeth which causes attrition of the teeth, fractures and is a leading cause of cracked tooth syndrome. It is usually an unconscious act, happening during sleep.
Management of these condition requires the correct diagnosis of the problem and the causes. Treatment is aimed at stopping the cause of the fractures and tooth surface loss, and repairing the damage when necessary.
Prevention of TSL allows you to keep your teeth healthy and functioning for longer. It also helps to maintain the aesthetics of your dentition, as TSL can be quite damaging to the appearance of your teeth. It is also hoped that by identifying, treating, and preventing further loss, that you may avoid the more severe consequences such as tooth fracture, root canal treatments and even tooth loss.
The first part of managing this group of conditions is correct diagnosis and identification of the cause. This may involve x-rays and special tests.
Our dentist will then work with you to formulate a plan which will cover 3 areas:
First, stopping the habits that lead to the TSL. This could range from looking at methods to mitigate stress, to learning a new toothbrushing technique.
Second, preventing further damage where the habit is unconscious. This may take the form of nightguards or splints.
Third, treating the damage already caused to bring the dentition back to full function. These interventions span everything from fillings to onlays for cuspal coverage, to root canal treatments and even implants. Treating the results of TSL requires complex multifaceted care and the commitment of our patients.
Complex, multipronged treatment such as for managing TSL varies widely depending on treatment choices. Our dentist is happy to work with you to determine your treatment needs and priorities. We encourage you to meet with our dentist for a consultation, and discussion of your particular needs and treatment costs.
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Other Restorative Services
Crowns & Bridges
Crowns are a great solution for teeth that have been broken, or weakened by large fillings, or fractures; and, ridges are a method of replacing a missing tooth by using the adjacent teeth to provide the support.
Inlays & Onlays
Inlays and onlays are fabricated in the lab. Inlays act as stronger, more durable versions of fillings, especially when restoring particularly large cavities. Onlays are a way to protect the occlusal surface of a tooth in situations where a full crown is not necessary.
Removable dentures are a solution to replace missing teeth. They may be placed in a jaw where some teeth remain, or fully replace all the teeth in an arch. They are either an interim treatment in preparation for bridging or implants, or can be the final treatment itself.
Tooth Surface Loss / Bruxism
Tooth surface loss (TSL) can occur due to acid erosion of teeth, abrasion from hard substances – nuts, ice, or aggressive toothbrushing, and attrition-the wear caused by parafunctional tooth contact.