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I’m in my early thirties and was diagnosed by two dentists (even though I trust my dentist, I always seek a second opinion) with amelogenesis imperfecta, night time bruxism and decreased vertical dimension.
Since I have a very demanding job and cannot see my dentist for more than half an hour every week at most, my treatment has been going on for years.
I brush my teeth after every single meal, I floss and have my teeth professionally cleaned every year, so hygiene is not an issue for me.
I’ve had root canal treatment done to more than half of my teeth, sometimes because I crack them on my sleep (my dentist makes me use a mouth guard now), sometimes because my pulp starts to expose due to my amelogenesis or bruxism, sometimes because my teeth get abscessed.
My dentist says I don’t need to get root canal treatment in all of my teeth, even though he is going to increase my bite by 1 mm on my lower teeth and 1 mm on my upper ones.
* Is this fine or do I need root canal treatment in all of my teeth before I get the crowns to elevate my bite?
My treatment will consist of a few more root canals on three very sensitive teeth, posts in all of the teeth that have had root canal treatment, porcelain crowns (reinforced with metal) in every single tooth (which will increase my bite) and finally a mouth guard to use at night.
* Does the treatment sound fine?
Since it will cost a lot, I just want to do it once and get it done as good as it can be done.
* Will the new crowns break because of my bruxism and lack of vertical dimension?
* Is 2 mm total of elevation on my bite a lot?
* Is this the best treatment?
My dentist wants to prepare my whole mouth in two sessions. First session upper and lower back teeth and second session the front ones.
* Is this how it’s done, and am I going to be able to eat and talk well?
My dad has teeth as weak as mine and now has a denture, and I don’t want that to happen to me.
Thank you very much for taking the time to answer all of my questions.

2007-02-24 14:14:18 · 1 answers · asked by Anonymous in Health Dental

1 answers

i'm a dentistry student and i juz learn about amelogenesis imperfecta, i think the best treatment for that is ROOT CANAL therapy or EXTRACTION so, the dentist is right,

your tooth is very weak and what makes it worst is you have Bruxism.. because your ENAMEL (outermost covering of your tooth is weak) when you grind your teeth in the night (bruxism) it will be crushed more...

so, i think your dentist did the right thing, he gives you NIGHT GUARD and did root canal... so u still have a teeth... and it will not be sensitive anymore, it's better than having a dentures coz your natural teeth is more stable, you can chew better and smile freely

Actually you can have implants but thats more expensive and no matter what natural teeth is the best eventhou there's no Pulp/nerve anymore inside your teeth ^_^

goodluck^_^

2007-02-24 17:14:24 · answer #1 · answered by wEnNy 3 · 0 0

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