Nighttime tooth grinding or bruxism cause tooth wear
This patient was a heavy bruxer. She guestimated that she had worn at least 25 night guards over most of her adult life. Even though she was faithful with wearing her nightime appliances, she still occasionally would fall asleep without protection and would grind her teeth aggressively. She really wanted a nicer smile but was worried that she would break her dentistry just like she did her natural teeth. Over the years, this patient had many dental procedures done including composite bonding to fix a chip, veneers on her cuspids (eye teeth) to brighten them, and crowns on both the upper right and left posterior teeth. The dental work was all competently done and was capable of lasting for many more years of service. The problem was that the old restorations did not look nice. They did not match and did not compliment her smile. She also wanted the length and feminine tooth shapes back that she had lost many years ago from the nightime bruxism or tooth grinding.
Bruxism Veneers - Replacing lost tooth length
New porcelain technology has an answer for nightime grinders. E Max porcelain can be used in a monolithic form (one layer) that is very strong and unlikely to chip. This resident of Chicago's Gold Coast was referred to Dr. Fondriest by her general dentist for a second opinion and treatment. She wanted very specific tooth shapes and took an active role in designing how her new smile was to look. She also wanted to have little or no tooth structure removed during the process. Her treatment consisted of crowns to replace her old crowns, minimal preparation (Prepless) veneers on her incisors, and normal veneers to replace her old veneers on her eye teeth. Her goals to have a more symmetrical smile with teeth that had more uniformity of color and were not worn. She was happy she chose to get a second opinion. See her portrait.
Can you have veneers if you grind your teeth?
YES!!! Yes you can have veneers if you grind your teeth. Teeth grinding is a condition that plagues many people. If teeth grinding continues for months or years at a time, tooth length can be compromised. At Lake Forest Dental Arts, Dr. James Fondriest provides custom porcelain veneers that can replace tooth length, caused by teeth grinding.
What Causes Teeth Grinding?
Teeth grinding is also known as bruxism, and encompasses the gnashing or clenching, of the teeth. There are causes of teeth grinding. Some include:
- Certain medications.
Many individuals succumb to teeth grinding during their sleep, and awaken to find that the length of their teeth has been diminished. Individuals may also experience pain in the jaw and mouth, due to the pressure that teeth grinding creates.
Damage from Bruxism |Nightime Tooth Grinding
Tooth length can diminish over time, due to constant bruxism. Addressing the causes of bruxism with a dental professional is imperative. Dr. Fondriest can provide porcelain grind proof veneers that can restore teeth to a natural shape as well as length. Your teeth will be thoroughly evaluated, and a porcelain veneer treatment plan will be implemented.
After Dr. Fondriest creates custom porcelain veneers for your teeth, he may recommend a mouth guard to protect your oral health. Regular brushing, flossing, and check-ups will be required to evaluate the condition of your veneers and teeth grinding, ensuring tooth length is maintained.
E Max Monolithic Porcelain is ideal for replacing lost tooth structure due to bruxism (nighttime tooth grinding).
The newest porcelain to enter the dental world is EMax. Normally, like all of the other non-metal ceramic restorations, it comes in two layers, a strong coping substructure that has a tensile strength of 400 megapascals (MPa), and layered on top of the supporting coping is a veneering porcelain that allows custom characterization that averages 85 MPa tensile strength. Normally, 85 MPa porcelain is plenty strong for long term service restorations. Occasionally, this veneering porcelain can chip and fracture when a patient grinds heavily. All of the strongest ceramic non-metal restorations (e.g. Procera, Zirconium, InCeram, etc.) rely on a less attractive supportive ceramic coping simply for strength and not esthetics. The above referenced ceramic choices all rely on the stacked veneering porcelain to cover the unattractive coping substructure and to simulate the optical characteristics of natural teeth. The E Max pressed coping substructure has beautiful natural optical characteristics on its own and does not have to be covered over with the weaker veneering layer. Beautiful and very strong one layer restorations (E Max Monolithic) without the veneering porcelain can be made. Recent studies show that even the most aggressive bruxers do not been break the monolithic coping porcelain. The restorations in the featured case above were created with 95% EMax Monolithic with only a small buccal window of veneering porcelain used.
Learn more about restoring lost tooth length
If you would like to learn more about dental veneers to combat lost tooth length, schedule a consultation with Dr. Fondriest by calling 847-234-0517. We look forward to providing you with quality care, in a welcoming environment.
Dr Fondriest is a Nationally recognized and highly sought after cosmetic dentist serving clients from throughout the United States