Tooth Grinding and Lumineers

Bruxism (tooth grinding), although a condition associated with the teeth, is categorized as a sleeping disorder (for it primarily occurs during intervals of rest). Patients who suffer from tooth grinding can experience an array of symptoms. Headaches, jaw pain, and occlusual wear are all potential symptoms depending on the severity of the disorder. In the large number of cases, bruxism is not particularly detrimental to the teeth. Many patents with a more destructive variant may be provided mouthguards by their dentist to protect their teeth against nocturnal grinding. The aesthetic side effect of tooth grinding can be profound. The teeth take on a very angular appearance following extended periods of little to no treatment. If sufficient tooth enamel is removed, the teeth also become extremely susceptible to decay, posing an additional health risk. While dental crowns are usually preferred in treating the fallout from this condition, more and more patients are exploring alternative avenues, among them Lumineers.

Lumineers are thin shells of Cerinate (R) porcelain which are affixed to the teeth to remedy misalignment, gaps, discoloration, and a number of other defects. Unlike crowns, they do not encase the entire tooth structure and are not structurally supported by anything beyond the tooth. Crowns, on the other hand, can be fused with metal to further increase durability. This is a major concern as the intense clenching prevalent in some cases of bruxism can place immense strain on the Lumineers, causing them to fracture. There is no easy way to repair this beyond completely replacing the veneer. Porcelain, although a very durable material, will also not withstand the constant grinding effect, again eventually cracking. Now, as far as clenching is concerned, there are very few ways to control the behavior in order to feel safe about going ahead with Lumineers. Botox has shown to be a potential solution, impeding the muscles that are actually responsible for the clenching. The ill-effects of the grinding itself can be mitigated by wearing a mouthguard every night. These are custom-made by your dentist for the modest price of a few hundred dollars. The guard will have to be replaced regularly as it will eventually dilapidate.

Don’t make the mistake of ignoring the maintenance costs associated with choosing Lumineers over crowns. Crowns are initially the more expensive option but they will definitely outlast veneers, especially when bruxism is part of the equation. You will still need to wear the mouthguard with crowns as their outer structure is susceptible to fracturing. As in the case with veneers, this requires complete replacement of the restoration which should be added incentive to commit extra diligently to the mouthguard. Remember that you get extra protection from crowns against cavities, so that’s also something to factor in. The good news in all of this is that your insurance may have to cover some of the costs. Getting crowns in such circumstances is obviously not cosmetic, and there are no cheaper alternatives available to you to prevent your teeth from sustaining any further damage. You will have to talk to your insurance company for further details.

Posted by admin | Uncategorized | Thursday 17 July 2008 2:45 pm