Dental & Oral Health

Avoiding Dental Abrasions

Written by
Dr. Naveen Thomas
and medically reviewed by iCliniq medical review team.

Published on Nov 28, 2016 and last reviewed on Jun 25, 2019   -  2 min read

Abstract

Abstract

After reaching about 35-40 years of age, many people see a large concavity on the outer side of premolar and canine teeth which involves sensitivity, discoloration and sometimes pain. It is completely avoidable if we adapt a proper brushing habit.

Avoiding Dental Abrasions

Cervical abrasions are seen as deep concavities on the buccal side (outer side of the teeth facing the lips and the cheek) of upper and lower teeth near the gingiva. It is mostly seen in canines, premolars and sometimes involving the first molars too. They usually occur due to our intensive brushing habit where we just grind our brush against the teeth so roughly that along with some plaque and debris we lose the microscopic layer of enamel too. Hence dental abrasions lead to teeth sensitivity (teeth sensitivity might be due to dental erosions also).

Main Causes of Cervical Abrasion

Vigorous and horizontal motion of brushing causing more abrasion of enamel and loss of enamel and dentin, rather than cleansing of teeth.

Using toothbrush with hard bristles thinking that it results in faster cleaning.

Using very old toothbrush with bristles that get hardened overtime due to reaction to the various chemicals present in the oral cavity along with toothpaste.

Brushing properly for more than two times does not serve much help in preventing cavities and periodontal problem, on the other hand it increases the abrasion of the teeth.

Brushing for a long time (more than 3-5 minutes at a time) does you more harm than help. Because, along with removal of plaque from your teeth, it may also result in abrasion of the enamel and dentin at a microscopic level, that you may not even notice for many years.

Treatment of Dental Cervical Abrasions

In cases where the lesion has extended only upto the enamel, no treatment is required. Proper brushing techniques is sufficient enough.

Glass ionomer cement or composite restoration (any tooth colored material with high strength is fine) which could fill the cavity and provide good aesthetics.

If the Gum is visible and creates severe pain and sensitivity,Root Canal treatment(RCT) is prescribed.

Prevention of Cervical Abrasions

Use a vertical or circular motion while brushing and avoid horizontal motion completely. This would reduce the impact on the cervical area of the teeth and will result in slow remineralization of the lost dentin surface.

Change your toothbrush once in every 3 months because, after sometime the bristles get stiffened due to daily wear and tear along with numerous chemicals acting on it while brushing.

Do not use tooth powder since it has more abrasive nature compared to toothpaste.

Make night time brushing compulsory and use mouthwash for bad breath in the morning.

Use toothbrushes with soft or ultra soft bristles because, hard brushes have more friction and abrasive capacity than the softer ones.

Consult a dentist online for queries regarding dental abrasions --> https://www.icliniq.com/ask-a-doctor-online/dentist

Last reviewed at:
25 Jun 2019  -  2 min read

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