Fix worn tooth root

This is an automatically translated article.

1. What is tooth root wear?

Corrosion of the roots of the teeth (cervical wear) is the damage to the hard tissues of the teeth, not caused by tooth decay. Characteristic of this condition is localized loss of substance in the cervical area, the outer surface of the tooth - close to the gums. The morphology of loss is in the form of bevel, V-shaped concave, common in premolars, incisors and 6th teeth. Usually, cervical wear occurs in both men and women, the older the age, the higher the wear rate. tooth neck increases.
Abrasion of the tooth root can be a state of wear and tear in the enamel area, more severe can wear down to the dentin layer, destroy the tooth pulp, cause sensitivity when eating hot and cold foods. Even worn tooth roots can lead to pulpitis and tooth loss.
Typical symptoms of tooth root wear include:
Feeling of tooth sensitivity when eating hot or cold food; When the wear of the root of the tooth spreads to the pulp, the patient has persistent pain, pain spreading to the top of the head; If not treated in time, the tooth will be severely lost, possibly broken across the tooth's neck, forcing it to be extracted.

2. Causes of tooth neck wear

There are several groups of causes of root arch wear, including:
Enamel hypoplasia: Many cases have congenital enamel hypoplasia, incomplete mineralization or loss of support of the lateral structural framework. below. Increasingly, the site of enamel hypoplasia loses more and more substance. This lesion is characterized by chalky enamel loss; Long-lasting tartar: When tartar forms and adheres to the teeth for a long time, it will cause the gums to fall from the teeth, leaving the roots of the teeth empty and unprotected. At this time, the teeth are easily attacked by bacteria, acids in food, ... for a long time leading to erosion of the teeth; Improper brushing habits: The habit of brushing horizontally, with strong force, combined with abrasive substances in toothpaste can be the cause of tooth root wear. The collar of the teeth in the 4 - 5 - 6 tooth region is a transition zone, so most people brush with strong force, which can easily cause tooth neck wear. The risk of tooth root wear increases if you use a brush with stiff bristles; No canine guide: Normally, each person's molars only touch when the jaws are closed; When grinding side to side, the molars do not touch each other but only the canines - this is the ideal jaw guide. If the molars touch each other when grinding, the rubbing force on these teeth will be very large, but if only touching the canines, the force of muscle contraction when squeezing to the side will be light. For people who grind to the side and touch their molars, these teeth are easily twisted, causing loss of enamel in the cervical area. If accompanied by a strong horizontal brushing habit, using a hard brush, the damage to the root of the tooth will progress faster; Mechanical trauma, periodontal disease: These conditions can cause receding gums, exposing the cementum layer of the teeth. This is a layer with low hardness, easy to wear when subjected to external impacts; Teeth grinding: When you grind your teeth, your teeth will be easily worn, sensitive in the chewing surface and the neck area. In addition, people with the habit of grinding their teeth often have other symptoms such as neck pain, jaw fatigue, shoulder pain,...; Other causes: Due to the use of acidic foods or chemicals, genetics, diseases related to salivation, ...

3. How to fix tooth root wear?

Depending on the cause and extent of tooth damage, the patient will be prescribed different treatment methods. Specifically:
In case the lesion is still shallow and has not reached the tooth pulp, the doctor only needs to fill in the worn neck area of ​​the tooth. With damage that has spread to the tooth pulp, the doctor needs to treat the pulp and crown the porcelain teeth to ensure that the teeth are maintained for a long time on the jaw frame; In case the patient has worn neck teeth, combined with receding gums, exposing the root cementum layer, the doctor may have to graft connective tissue to cover the exposed root area and erase the cervical erosion; In case of neck wear combined with loss of canine guide, the doctor will create a canine guide to protect the weld; In case the patient has teeth grinding, the doctor may have to make a chewing tray for the patient to wear at night to combat the risk of complications of grinding and rubbing two teeth with continuous force on each other.

4. Measures to prevent tooth root wear

To avoid adverse effects from ankle wear, patients need to actively prevent this disease. Some notes you can refer to and apply are:
Patients need to brush their teeth properly, brush along or in a circle, not horizontally, floss, soft-bristled toothbrush and abrasive toothpaste low wear for oral hygiene; Do not eat foods containing a lot of acid, sweets and stimulants,... because they can cause tooth wear; Rinse mouth immediately after eating to remove bacteria that attack teeth, reducing the risk of enamel wear; Get regular tartar every 3 - 6 months. Worn root collar is a common condition, causing loss of tooth material and weakness. When this situation occurs, you should go to the dentist for treatment as soon as possible because if it lasts, it will cause a lot of trouble and discomfort. The choice of treatment method depends on the extent of damage to the root of the tooth. Patients should follow all instructions of the doctor to keep their teeth healthy and white.
Vinmec International General Hospital is the address for examination, treatment and prevention of diseases, including the specialty of Odonto-Stomatology. When performing the examination process at Vinmec, customers will be welcomed and used modern facilities and equipment along with perfect medical services under the guidance and advice of experts. Good doctors, well-trained both at home and abroad.
In particular, the Dentistry - jaw - facial specialist at Vinmec is equipped with the KAVO dental chair system (Germany), a camera at the tooth chair, a panorama machine of Gendex, an X-ray machine of the in-situ, and a Phosphorus film scanner. Gendex, Dently ultrasound machine, Radii Plus Australia teeth whitening forging, endodontic machine, root canal length meter.... provide maximum support in the examination and implementation of all oral and maxillofacial techniques.

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