A member asked:
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is there any way to fix teeth worn down by bruxism? the front teeth on the bottom of my mouth have been quite worn down by grinding my teeth. i now have a night guard, so it should at least put a stop to it, but i'm wondering if there's anything i can to

5 doctor answers
Dr. Theodore Davantzis
39 years experience Dentistry
This : This is a great question! and a complicated answer. Yes, your teeth can be restored, but due to all of your grinding over the years, you've probably worn down alot of your back teeth, too. To create some space to make your lower (and possibly upper) front teeth longer, your dentist will also need to make your posterior (back) teeth taller. Dentists call this "opening the bite". Your dentist will be trying to increase your vertical dimension to give him/her room to work. I'm not sure what the condition of your posterior teeth are, but as you can see, your request might involve a bit of restorative work. You may need crowns plus root canals and posts, so an extensive exam with radiographs would be necessary to properly treatment plan you.
Answered on Apr 20, 2017
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Dr. Edmund Lipskis
39 years experience Dentistry
As a final restorative solution, the type of dental work detailed by all the doctors in this post could be valid, however, before having that extensive dental work, you need to see someone who can evaluate why you ground down what started off as a perfectly good set of teeth in the first place. Doctor's who don't understand this and don't know how to figure out what your original problem was, will simply do al lthat work and then give you a night guard to wear. If you don't wear the night guard, it is quite likely you will also destroy all your beautiful new dental work. One of the reasons people grind their teeth is that in their sleep, they have periods where they actually stop breathing. There is an associated brux/grinding with these breathing disturbances. These patients have Sleep Apnea. There are treatments to address this issue. Some of the treatments are fixes, and other treatments don't actually fix your issues but will prevent most or all of the apneas from happening. Other patients have chronic pain issues, sometimes associated with the jaw or jaw joint, but not always. These too can usually be addressed and can reduce or eliminate the bruxing. For these patients, it is sometimes found that the usual biting position contributes to the problem, and before restoration it is sometimes necessary to change the position of the lower jaw so that the damaging forces acting on the joint, leading to an inflammatory response and strains to the structural integrity of the joint, can be eliminated. Also of interest is that for sleep apnea patients, night guards and similar appliances that are "generic", that is not made specifically for the patient to address their particular issues (that is almost all night guards), will make their sleep apnea 50% worse, 40% of the time. Before you have full mouth reconstruction, make sure that it is not just going to be a temporary cosmetic fix, that may actually make your real problem(s) worse.
Apr 2, 2013
Dr. Zev Kaufman
26 years experience Cosmetic Dentistry
Crowns : Crowns are only one method of re-gaining your teeth. However, the more important factor here is whether your teeth have erupted over time to compensate for the attrition. The problem is that as the teeth wore down, they probably grew "up" to meet the upper teeth. In that case, you probably have very "short" looking teeth. You must speak to your dentist about seeing a periodontist for a procedure called: esthetic crown lengthening. In this procedure, the dentist removes some of the front bone covering the teeth and repositions the gum tissues "lower". This will allow your crowns or veneers (which can also be used) to look "normal" in size. Best of luck, dr. Zev kaufman.
Answered on Oct 29, 2017
Dr. Michael Wollock
28 years experience Dentistry
Spokane, The : Spokane, the first concern is to make sure you have fully prevented further damage from grinding and/clenching, and you have. Unfortunately, your teeth will not grow back, but crowns can restore you to your original tooth structure. Unless severe or an esthetic issue, crowning all your teeth is usually not necessary. Your future should be secure with prevention and crowning the occasional tooth that will fracture due your history of grinding/clenching and continued use. Hope this is helpful, michael i. Wollock, dmd, agd fellow dentistry at suburban square 610-649-0313 www.Dentistryatsuburbansquare.Com.
Answered on Jan 2, 2017
Dr. Lance Timmerman
Specializes in Cosmetic Dentistry
Crowns : Crowns can make teeth taller, but the complication is the bite. As the teeth have worn down, the bite has adjusted and the teeth now fit together like a puzzle piece. Making only a few taller will not work, so the minimum one is looking at would be to restore an entire arch to "open the bite". It is possible that both arches (upper and lower) would need to be done, so guidance by your dentist is important. Not all dentists have experience with doing this. The solution is not easy, quick or cheap, but those that have chosen to do it have told me they wish they had done it years ago.
Answered on Dec 8, 2018
Dr. Louis Gallia
44 years experience Oral and Maxillofacial Surgery
Prosthodontist: Yes, Teeth can be restored. BUT, complex problem. Your case should be managed by a board certified prosthodontist (specialist in dental reconstruction).
Answered on Jan 6, 2019

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A member asked:
Dr. Chad Gretzula
Specializes in Oral and Maxillofacial Surgery
Yes : Yes there are option you have. First and foremost see your dentist and discuss this with them because you will probably need a lot of work done to re ... Read More
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A 41-year-old member asked:
Dr. Joseph Capista
Specializes in Cosmetic Dentistry
Probably not: Teeth gringing at night is not a conscious event therefore it is almost impossible to stop somthing you dod nto konw you are doing. If you grind and ... Read More
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A member asked:
Dr. Theodore Davantzis
39 years experience Dentistry
Absolutely! : Absolutely! there are different alternatives using either crowns or laminates. This will depend on how broken down they are, if they need root canal t ... Read More

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