Enamel loss on front teeth following hyperemesis

[holidayseeker]

I'm in pain everyday at the moment due to my top and bottom front teeth. Since I had my dd's when I suffered hyperemesis my enamel is wearing away more and more so that half of my front teeth look see through. They are now really sensitive as well and I am scared that they are just going to snap .

Does anyone know what can be done? I have discussed it with my dentist at my last check up in February and when I told him my teeth were sensitive he just told me that it was not that cold so should not hurt and to use a sensitive toothpaste. I have tried using pronamel toothpaste even though my teeth are way beyond it helping but I think I am allergic to this as it makes my teeth hurt even more and the insides of my cheeks become sore and swollen so that I keep biting my cheek. This is really getting me down and all I can think about is teeth which is probably making me feel the sensitivity more.

Not sure holidayseeker and sorry for you as sounds horrid .

anything here that might help ?

www.mumsnet.com/Talk/general_health/a1771632-Teeth-and-receding-gums#39745514

or here www.dentalfearcentral.org/ I know you're not afraid ,but they also answer general queries .

Thanks gingeroots I have seen that thread as I also have receeding gums on a couple of molars as well .

I will take a look at the dental forum you've recommended.

Try a range of different sensitive toothpastes until you find the one that works for you
Your dentist may have free sample mini-tubes
Don't rinse with water afterwards, leave it on your teeth to get to work
(If you can't bear not rinsing, rinse then rub a bit more paste back in with your finger)
Avoid drinking water afterwards / during the night
Give it at least a week to start working, longer to be fully effective
Good luck !

Madonna ~ Thanks I'll get buying to try some different types

Would this stuff be any good?

Thanks I'll have a look at site and any reviews.

Your dentist should be able to prescribe extra high-fluoride toothpaste (you may have to pay even on NHS) which as well as protecting from decay also helps a lot with sensitivity particularly on exposed roots.

My mum had said that the dentist can give different toothpaste and I was hoping he would suggest something when I went in February bit it as got worse since then so I probably didn't let him know that it is not just when I eat something cold etc but all the time

I don't want to offend any dentists as I think they're hard pressed and misunderstood .
But....IME they're not very pro active so I think you need to go back and talk it through with your dentist .

Yes ginger I agree but often that's because every time we suggest something or recommend a treatment we get caused of being "bastard profiteering" something or other so often, it's less tiresome to just wait until a patient actively seeks treatment for something rather than suggest it.

Not ideal I know but just how the government and consumer demand have made the profession. Just my humble opinion.

I'm on your side MrsMorton .

I won't pretend I understand the issues but it feels to me as though dentistry ( could that be a word ? ) is a sort of Cinderella profession lacking in respect from patients and other health professionals .

I really don't understand it - it's so important and such a skilled job .

trufacts

mrsmorton my teeth have a lot of enamel loss so can this still be helped by toothpaste.

I agree with mrs Morton (I'm a dentist too). It's impossible to tell you if toothpaste will help without seeing the extent of the erosion.

A few tips to prevent further erosion - cut out fruit juices and fizzy drinks. Don't brush for at least 20 minutes after eating, always brush before breakfast not after.

Brush before breakfast, really? I've been doing it wrong all these years.
When you say fizzy drinks, do you just mean sugary ones? I assume soda water is ok.

Erosion is caused by acidic foods and drinks. Decay is caused by sugary ones. So all fizzy drinks are acidic and can cause erosion.

Thanks AKiss I only drink water apart from the odd glass of wine maybe 3 a month. I also don't brush for around an hour after eating and always brush before breakfast.

Before I had hyperemesis I had no trouble with the enamel on these teeth but since then it seems like the line caused by the enamel wear is gradually moving higher up the tooth to the gum with less healthy looking tooth left.

What is it that can be done to help it, can fillings be done to replace enamel?

Why should we brush before breakfast and an hour after eating? It all seems counterintuitive.

I had quite bad erosion on the front of my two top teeth. I got veneers on each - cost about £250 each - ouch! That was ten years ago - they're still going strong.

Thesunrising thanks for the reply. I had wondered about veneers but is it right they only go on the front? So if I have enamel loss on front and back can you still have them?

Rosh: brushing before breakfast coats your teeth with fluoride which strengthens and protects your teeth. Every time you eat the enamel on your teeth is softened and takes around 30 minutes to remineralise. If you brush in the time when the enamel has been softened then you can brush it away. I'm not sure why you think that advice is counter intuitive.

OP: yes you can have the teeth restored with white filling material. Again whether this is suitable isn't something that can be answered for you without seeing the teeth.

Not sure I'm afraid holidayseeker. The other benefit for me of getting the veneers was that it straightened out a bit of crookedness at the same time so I got a cosmetic benefit too.

Thanks I'll have to speak to my dentist, did you have your veneers at your normal dentist or a cosmetic dentist

My regular dentist did the work. My dad has also got veneers and his have lasted over 20 years without needing fixing.