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Dentistry/changing bite


To summarize, I bite so hard that I wear down my teeth. My back teeth have been refilled with fillings more than 4 times each (in the last 8 years), I just keep wasting them away. I have used a bite guard for years and that only seems to slow the process down a little. The more concerning thing is that my front teeth are nearly down to the dentin as well. I want to do something before I need major care.

So my dentist is suggesting that she takes the crowns  (one on each side) that I have and replaces them (just a year or two from needing replacement anyway) and she will raise my bite by replacing them higher than they currently are.

Do you know anything about this idea or have some thoughts about this approach?

Worn dentition is a common problem that need to be addressed by an experienced dentist, or preferably, a prosthodontist.
The treatment might include crowns on all your teeth to stabilize the occlusion. Even after that is done a protective bite guard is needed to protect these crowns even if it means having one every year.

Hope this answers your question.
Dr. Elsafi


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Mohamed Elsafi, DDS, MS, FACP


I am a board-certified Maxillofacial Prosthodontist. I do head and neck prosthetic reconstruction for patients with congenital and acquired defects. This also includes trauma and cancer patients. I can answer questions about prosthetic rehabilitation of the head and neck area. I am also a board-certified prosthodontist and can answer questions about dental reconstruction including crowns, bridges, veneers, partial and complete dentures and implant restorations. I can also answer questions about TMJ problems. I can not answer about surgical reconstruction.


I am a board-certified prosthodontist and maxillofacial prosthodontist and have been practicing denitstry for over 15 years.

American Academy of Maxillofacial Prosthetics. American College of Prosthodontists.

I received my dental degree from University of Southern California. I did my prosthodontics residency at University of Florida and my maxillofacial prosthetics fellowship at MD Anderson Cancer Center in Houston.

Awards and Honors
Chief Fellow at MD Anderson Cancer Center.

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