My childhood involved much time with illness which has resulted in my now having much degradation of my tooth enamel and exposure of dentine. My front teeth have also hairline cracks present down the front centrally. Dentine exposure has resulted in increasing sensitivity and I hope to rectify some of this in the coming year. What options are open to me for restorative work to provide lasting relief and improve the appearance of my teeth?
This is a particularly difficult question to answer without being able to see the degree of damage or breakdown of your teeth. Firstly, do not be overly concerned about the hairline cracks on the surfaces of the teeth. These generally do not mean the teeth are about to crack in half, but are common, especially when the enamel has been breached.
As for the exposed dentine, if this is minor, then there are several desensitising products and toothpastes that can help provide symptomatic relief. Look for products that contain potassium nitrate (such as Sensodyne toothpaste). My tip is to not only brush with these, but dab some paste onto the exposed areas before bed and leave it there. Your sensitivity will subside after a week or so. If there is visible damage, then composite white fillings can repair the defects quite easily if they are relatively small.
If there is extensive damage and breakdown to the teeth, you may need to opt for rebuilding the affected teeth with porcelain veneers or crowns. Careful assessment and diagnosis is mandatory prior to committing to treatment, so make sure you get some good advice to ensure that you receive treatment that is appropriate for you.
For more information please visit Dr Angelo Lazaris's website.