Monday, November 16, 2009

Space Growing Between Teeth

Ask the Dental Experts
Our philosophy is to help our patients achieve and maintain exceptional dental health. We work hard to make sure that our level of care is deserving of our patients’ respect and confidence. Our tradition of preventive dentistry is the basis for all service and care in our practice. We welcome all questions and comments regarding dentistry in the hope that we increase your dental "IQ" and help you make better dental health decisions.

What does it mean when your teeth start to shift and space out from where they once were? My teeth use to be close together. Now, they are very sensitive to certain temperatures, and they are now turning yellow. I use to go to the dentist faithfully, but have not been in 10 years. What should I do about this problem? I'm thinking of getting them all pulled. Is this a good idea?
-Pamela

Thanks for the inquiry – obviously you need to go to the dentist for a comprehensive exam. This should include photos, x-rays, and possibly study models or other diagnostic according to your need. Too many questions to have a chance without seeing you personally….but here is some info about your questions:

1. There is some normal movement of teeth over the years on most people – obvious shifting of teeth is not usually good news – periodontal involvement and loss of bony base is often the culprit for what is called pathologic migration.
2. Cold sensitivity can be many things, defective restorations, new areas of decay, dominant grinding of the teeth, soft tissue recession and exposure of root surfaces… long list
3. yellow teeth – sometimes this is surface stain that can be polished off – sometimes it is decay or stain that is not removable
4. You certainly cannot make the decision to pull all your teeth without looking around carefully.

You will find that there are always several options for treatment. If there are some teeth that are hopeless, many times there are others that are strong and can contribute to restorative dentistry. Dental implants is often a consideration in complex situations where strength is lacking. Start with a comprehensive exam and hear the recommendations…

Chuck Campbell, DDS
Dale Brant, DDS
(713) 795-5905

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