The treatment of dental abfraction is necessary in some cases where there is a situation that has led to a tooth lesion. The meaning of the term includes a lot of the sensitivity issues seen by all dentists’ offices. The location where the teeth meet the gums is sometimes quite sensitive, so complaints about these spots are pretty frequent. Sensitivity to cold is also a regular complaint around the teeth’s necks. These issues were once referred to as “abrasion by toothbrush”, but there is more to the situation than that. It may be caused by teeth flexing during grinding.
In order to identify proper treatment of dental abfraction, it is important to know what can cause it. The force that can cause it can lead to a number of other issues. Among the most common are:
● Teeth sensitivity
● Loose teeth
● Teeth showing significant wear
● Teeth alignment being changed
● Loss or breakdown of bone
● Damaged restorations
● Gingival recession which is not plaque or bacterial related
● Contact openings
There is a spectrum of treatment of dental abfraction procedures depending both on the significance of the problem when found and on the individual patient involved. This practice focuses on managing the forces since this seems to be among the primary concerns.
A minor issue is when there may be slight sensitivity to temperature, and only a little bit of the structure of the tooth is missing from the neck. In this situation there is likely only little, if any, treatment of the teeth required of the practitioner. It might be suggested that the patient take steps to improve his bite, but besides that, it will likely be expected that any further care of this issue will be of a self-care nature. This would include things like fluoride applied to the teeth, specialty toothpaste, and varnishes.
With a step up in significance to a moderate problem, there is going to be a correlating increase in the level of care. Recognizing this level of significance may rely on observation of receding tissue, visible tooth structure loss, and would also likely include fairly significant temperature sensitivities. If someone’s oral health has reached this stage, bite adjustment and self care might not be enough to show improvement or stop deterioration. In this case, the treatment of dental abfraction might include the patient being fitted for a mouth guard to help prevent teeth grinding. The practitioner might also attach bonding resin to the surface of the root for protection.
In advanced cases, there may be root sensitivities which are irreversible. Cosmetic resin might be required for tooth fractures or for crowning the tooth. A root canal might even be called for despite the potential death of the tooth in order to maintain functionality in the tooth.
There are a few different bonding materials used in the treatment of dental abfraction. Which one will be used depends on how advanced the problem is and the preferences of the practitioner. There are two kinds of composite resins, flowable and then there are glass ionomers. Whichever resin the practitioner uses to fix the immediate problem, the patient needs instruction on how to have better oral health future.
Please call us locally in the Houston area at 713-795-5905 or toll-free at 888-790-0309, A qualified member of our staff will get with you momentarily and assist you with any need you may have.