I have severe erosion on my upper and lower teeth, left and right. The erosion affects eight teeth. My dentist placed bonding over the erosion 10 years ago. I have since moved to Georgia, and my new dentist replaced the worn bonding. However, the fillings keep popping out. My dentist has replaced the fillings three times. Should I get another dentist to redo them or get porcelain veneers? I have so much responsibility at work and home that fitting in dental appointments has taken up too much time. My anxiety is escalating! Thanks for your suggestions.
What Causes Teeth Notches at the Gumline?
Clenching and grinding your teeth, also known as bruxism, can cause little notches to develop near the gumline. The constant pressure from bruxism flexes your teeth. These notches are called abfraction lesions.
How Can a Dentist Prevent Fillings from Popping Out?
Fillings, especially those near the gumline, can sometimes come loose. Ways that a dentist can prevent the fillings from popping out include:
- Flexible Dental Composite: Your dentist can use a special filling material called flexible dental composite. Brands like Silux Plus and Renamel are more flexible and better suited for areas that experience more pressure. When properly bonded, these fillings can blend seamlessly with your teeth and last for years.
- Avoiding Newer Hybrid Composites: Some newer filling materials are hybrids that may not be as durable, especially near the gumline. Discuss material options with your dentist if you’re concerned about a filling’s longevity.
Is Sedation Dentistry Safe?
Sedation dentistry can be a great option for those with dental anxiety. Here’s a breakdown of its safety:
- Types of Sedation: The level of sedation used depends on your needs. Nitrous oxide, also known as laughing gas, is a mild option that helps you relax during your appointment. In some cases, your dentist might prescribe an anti-anxiety medication to take beforehand.
- Training and Regulation: The training required for dentists to administer sedation varies by state. However, the American Dental Association assures millions of dentists safely perform sedation dentistry yearly.
If your dentist doesn’t have the necessary materials or expertise, consider consulting an advanced cosmetic dentist specializing in long-lasting restorations to determine whether bonding is enough or if you can benefit from porcelain veneers.
Dr. James Gavrilos, a Barrington, Illinois, accredited cosmetic dentist, sponsors this post.