PATIENT INFORMATION RELATED TO GUM DISEASE:
What is Occlusal Wear:
Occlusal Wear is the loss of tooth structure due to the rubbing of tooth against tooth.
Causes of Worn Teeth:
- Parafunctional habits: bruxism (grinding), clenching, or object biting (ice, nails, pens). These can occur for a number of reasons, including:
- Medications: levodopa, fluoxetine, lithium, citalopram, etc.
- Bite interference due to:
- Natural tooth position
- Restorations that are “high” or unpolished porcelain rubbing against natural tooth structure.
- Shifting tooth position from periodontal disease
- Missing teeth – spaces in your dentition will put more pressure than normal on the remaining teeth. This is most noticeable with your molars and other posterior teeth.
- Nuts, ice
- Excessive gum chewing
- Sleep apnea
- Huntington’s disease, Parkinson’s disease
- Down syndrome
- Developmental dental defects –enamel is thin or weak
Symptoms of Tooth Wear:
- Flattening of chewing surfaces
- Trismus (restricted mouth opening)
- Tenderness in the muscles used for chewing
- Headaches, usually near the temples
- Clicking of the temporomandibular joint (TMJ) – where your jaw attaches to the rest of your skull
- Bite doesn’t “feel right”
- Loose teeth
Risks of Attrition:
- Teeth: Tooth sensitivity, fracture of teeth, exposure of tooth nerve, poor esthetics, toothaches
- Functional: Decreased chewing efficiency, pain on chewing
- Temporomandibular joint disorders, or chronic headaches
- Bite equilibration – a procedure done in office where the dentist reduces the area causing the interference, allowing the teeth to come together more naturally
- Occlusal guard to prevent grinding and clenching
- Restorative procedures – fillings or crowns to prevent further wear, decrease sensitivity, or improve aesthetics of worn dentition.
- Orthodontic movement to fix issues with a misaligned bite
- For severe cases, the only treatment is a “full mouth rehab” – necessitating crowns for nearly every tooth.
In an effort to contain and prevent the spread of Covid-19, we adhere to Federal and State regulations, by the ADA, OSHA and by the Ohio State Dental Board. We continue to follow strict guidelines for the way in which we disinfect, what products we use, and how to keep all patient contact fully isolated from staff and other patients.