Erosion

A second major cause of tooth wear is acid erosion. Erosion of the tooth structures by acid occurs when the acid demineralizes the enamel and dentin and then the demineralized and weakened tooth surfaces are rubbed away by the toothbrush, the tongue, the cheek, the opposing teeth, and food.

Erosion of tooth structure is preventable and the dental team can advise patients on how to slow down and stop the erosion process. (For more dental info, visit my website at www.lajolldental.com)

The two sources of acid that causes erosion of the teeth are ingested acids in food and drinks and internal digestive acids that are regurgitated into the mouth. The position on the teeth of the erosion will tell us if it is ingested acid or internal acid. Ingested acid, coming into the mouth from the front, will erode away the fronts of the teeth and the biting surfaces of the teeth. Internal acids by comparison, enter the mouth from the esophagus and cause erosion on the back side of the front teeth and the biting surfaces of the teeth.

Additional Home Care Tips

For more information see my website at www.lajolladental.com

1. Always brush your tongue or use a tongue scraper daily. Your tongue retains approximately 80% of the bacteria in your mouth.
2. Replace your toothbrush or other home care products if they appear worn out. Toothbrushes should not look flattened or spread out. They should be replaced every six to eight weeks.
3. Toothpastes for sensitive teeth or fluorides are very useful for sensitive root surfaces. Use as directed.
4. Prescription fluoride gels are used to prevent decay, reduce sensitivity and decrease microbial (bacteria) count. After brushing, place gel on a dry toothbrush, proxabrush, or rubber tip and use for one minute, followed by swishing remaining gel for one minute. Do not swallow the fluoride as it may upset your stomach. Fluoride rinses (non-alcohol) you can purchase over the counter such as Act, can also help decrease sensitivity and strengthen teeth. Use one to two times a day. Do not eat or drink for thirty minutes after using.

Home Care

Home Care Instructions:
1. Floss twice a day (morning and night). Wrap the dental floss around your middle finger and guide the floss with your index fingers and/or your thumbs as instructed in a “C” shape and scrap up and down.
2. Brush three times a day (morning, lunch, and bedtime). Hold the toothbrush at a 45 degree angle toward the gum line and direct the toothbrush under the gums using a small circular stroke. DO NOT RUSH! Spend 3 to 5 minutes brushing. Dry brushing is fine if it is more convenient. Rinse with water and expectorate.
3. Rubber tip one or two times a day. Using the tip of the stimulator, trace around the gum line of the teeth. Place the rubber tip between the teeth from the inside and outside surfaces and use gentle pressure to massage the gum tissue.
4. Proxabrush one or two times a day if recommended by your dental hygienist. Work the brush between open spaces and around bridgework.
5. If using a water pik, fill the tank with warm water and use medium speed directing the water at the right angle to the long axis of the tooth (never angle the waterjet down into the gum tissue). If you have a heart murmur, heart disease, or an artificial joint, check with your physician before using a water jet device.
6. Use fluoride rinses or desensitizing toothpastes daily if recommended.

For more information visit my website at www.lajolladental.com