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How Can I Reverse Teeth Erosion from Bulemia and Drug Use?

Posted Nov 05 2007 4:21pm
Ask Dr.A
dradental.com



The answers given by Dr.A are intended as non-professional advice, for entertainment only if you will. Please do consult with your dentist of record or your physician before making any decision regarding your dental or medical health.




Hello Dr.A, I had a problem with meth and bulimia. I recently just got help and I needed advice on what to do about my teeth erosion.

My enamel on my teeth; some parts are clear on my teeth on the bottom and I see some of the enamel had come off making my teeth sensitive. I know I can't do much about the chips on my teeth but I was wondering what I could to help repair my enamel and teeth to rebuild them somehow.

I've been using ACT and Crest Pro but I'm not sure if that's enough. Please tell me what I could do, thanks so much for your help!




Dr.A - First off, let me commend you on the confidence and self-respect you must have shown in battling both bulemia and drug abuse. You have already proven your dedication to your health and life.

The erosion of enamel surfaces on teeth can vary depending on the cause. While bulemia and certain drug abuse can result in severe enamel breakdown, over-consumption of acidic foods such as lemons can also result in such breakdown to some extent.

Bulemia usually results in enamel breakdown due to the acidic contents of the stomach as they coat the teeth. Drug abuse can also result in weakend enamel, in addition to skin and hair, because of deleterious nutritional habits and especially grinding, which can leave teeth chipped and broken.

In your case, it is difficult for me to imagine just how badly eroded your enamel is since I have never met you and examined you in person. If your findings are moderate, that is, the sensitivity and chipping of your teeth are not extremely painful and obvious, then I would continue to use ACT flouride rinse, and brush with ProNamel toothpaste by Sensodyne (which I personaly use at home), and evaluate following 2-4 weeks of use.

If the sensitivity is painful and the chipping is extreme, then visit your dentist and ask for high dose flouride treatment. That may result in some reversal of the enamel loss.

However, it is usually necessary in that case to restore your teeth with composite resins (white fillings), or porcelain veneers and crowns to achieve optimal protection from further chipping and for beautiful aesthetics. In your question you stated that you knew you "can't do much about the chips on my teeth", which couldn't be further from the truth. You absolutely can, and should, repair any chips on your teeth as any fracture, no matter how small, can extend itself further and create more fractures, analogous to chipped glass.

You must recognize that if you do decide to not only invest your money but also your time in trying to reverse the damage and restore your white smile you must first be committed to stopping any of your previous drug and bulemic habits. Otherwise, there does not exist any dental restorative material that can withstand constant acidic conditions and forceful grinding.

Do your self a favor; visit your dentist and learn how a new smile can give you confidence in your self, and how this renewed confidence can lead to a brand new you.




The answers given by Dr.A are intended as non-professional advice, for entertainment only if you will. Please do consult with your dentist of record or your physician before making any decision regarding your dental or medical health.






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