Worn down Front bottom teeth due to Grinding - Dentist want to do filling with composite?

I have over bite and grinding problem too. Because of this my front bottom four teeth have worn down. The top surface of all the 4 teeth is exposing the dentin (yellow stuff) but the enamel is not completely gone either.Dentist said he wants to make some space on the tops surface (Not too much drilling but making it rough so that boding can take place ) and then wants to fill it with composite. Is it good and will it last? He is saying it will last for years and strengthen the tooth.

Doctor Answers 4

Worn down Front bottom teeth due to Grinding - Dentist want to do filling with composite?

I disagree with that recommendation. It might work in the short term, but in the long term I would expect failure.

If your natural teeth have worn down from grinding, then the composite filling will either wear down as well or break off. My opinion is that you would be better off with porcelain veneers, which won't wear down. One of the stronger porcelain veneer materials is EMax porcelain, which I use a lot of the time and would highly recommend to you over composite bonding on your worn down lower front teeth.

Laguna Niguel Dentist

Worn lower front teeth

I see this problem all the time.  There is no one answer for all people because there are a variety of causes and remedies for people who grind their teeth.  To answer your question bonding these teeth with the proper composite will retard the wear process and often strengthen the teeth.  It is not a permanent solution.  Now that people live such long lives this problem and solution becomes even more complex. You might consult a dentist who is an expert in 'occlusion' and explore the causes for your grinding.  In the meantime the bonding will be okay.

Neal Nealis, DDS
Chicago Dentist

Treatment for worn lower front teeth

My concern about focusing on these 4 teeth when it is established that you are a grinder is a lack of context.  Are you 24 years old or 74 years old?  Why are you grinding, is it a byproduct of uncontrolled sleep apnea?  How are the condition of the other teeth in your mouth?  It is easy to suggest simple to complex solutions for what you have described, but I have found that the best long term solution is understanding why a problem has developed and addressing the cause in the solution.  Without more information I am reluctant to suggest you have the treatment done.  I suggest you see someone who will take a more broader diagnostic view.  

Options for teeth with wear into dentin

In todays fast paced and busy world, it is very common to see patients just like you who grind their teeth. There are a few options for correcting worn teeth and protecting them. One option is composite bonding. This is the most conservative and most economical. It will protect the dentin. The limitation of composite bonding is in the aesthetics. The tooth cannot be lengthened or reshaped significantly with this technique due to risk of breaking off the composite. The teeth will be the same length which is usually shorter than ideal in patients who grind. A second option could be porcelain veneers. This would allow the teeth to be protected and can significantly enhance aesthetics to improve contour, length, shade, and alignment issues which are common with patients that grind. Veneers are thus aesthetically superior, but are more expensive and require slightly more tooth structure to be removed. A third option for some patients are crowns. Crowns are recommended to severe grinders who are not candidates for composite or veneers due to the amount of force they place on their teeth from grinding. Crowns are equal to the aesthetics and cost of veneers, but cover the entire tooth.

Regardless of which option is chosen, a nightguard is essential for success. It will protect your teeth and the restorations. It will allow them to predictably last long term and will help to limit future issues.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.