I am 48 year old with good teeth but upper tooth wear, dentist suggests composite fillings. Is there an alternative?

Q. I am 48 year old with good teeth but upper tooth wear to 3B,4B,6B, through brushing to hard- leaving my teeth worn away in a v shape at the gums. This has been like this for the past 10 years. I can see no change when I look at the wear myself. My dentist has said that I now need to have 3 composite fillings to these teeth as they are nearly at the nerve and I cannot wait any longer. Last year I had my teeth bleached via this dentist with a home treatment that lasted 2 weeks (£300). I completed this treatment without having these teeth filled why if I have no pain, no decay, do I need to have them filled now? I did an overnight bleaching top-up only last week before visiting the dentist for my regular 6 month check without any problems. It is not the cost of the treatment, the fact that I do not want three new composite fillings to my teeth with all that goes with that. My dentist said that I must come in for these fillings as I cant wait any longer. I have no pain nor did I point out any problem to him the wear is the same as it has been for the past 4 years I have an electric toothbrush that stop if you apply to much pressure.So I cant see any change – I had x rays done before having the bleaching done they did not show-up any problems. Is this treatment from what I have said necessary?Is there no other treatment available? I have read about liquid plastic that forms a hermetic seal and seals the nerve. Do you know of this treatment or any other besides composite fillings.

A. The composite fillings are the best way to stop further wear of the teeth, they should be very easy to place as you already have a space for them to go into so there shouldn’t be any preparation. It might be that the abrasion cavitivies are so deep now that without them your dentist feels the teeth may die and need root canal treatment

Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

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