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Dentistry/Enamel erosion on both sides of teeth

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Question
Hello Doctor, I am experiencing erosion of my enamel. I have sensitivity throughout the day and have already been examined by a dentist. He recommended I try enamel protecting toothpaste before we take more drastic measures like bonding with the composite resin. I still feel pain/sensitivity so will probably be going back to ask for the resin composite bonding. The only thing is he had mentioned that the back side of the teeth cannot be bonded with this resin because he has no way to put it back there. However I do remember having fillings in the backside of my teeth. Why is it that he cannot put resin back there? I ask because I feel sensitivity in the backside as well as the front and the dentin is also very much exposed in the back side of my teeth. What can be done about the backside if he only puts the resin on the front side of my teeth? Will the back side still be sensitive even after he bonds the front side? Thanks for your advice Doctor I am very confused about all of this.

Answer
Dear Arnold:
sorry for the delay in getting to your question. I understand your confusion. Yes, you are right, you can get fillings on the back of the teeth but what your dentist is referring to is bonding at the gum level so that the teeth are not that sensitive. That is a very weak Bond of the composite resin and is very difficult to do. It is essentially impossible to do that when you get to the back of mouth. there is too much saliva and moisture which does not allow the proper bonding of the composite resin.
You  should also have a dentist, or an orthodontist take a look at your tooth alignment. Sometimes when teeth are not aligned properly, people grind and create terrible sensitivity. Using Orthodontics such as Invisalign might be the easiest way to bring your teeth into proper bite and to reduce the sensitivity.
I'm sorry, but this is all that I can give you without any other information.
Best of luck,

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Zev Kaufman, D.D.S.

Expertise

I can answer any question from simple routine dentistry to very complex dentistry with emphasis on reconstructive, cosmetic, and implant dentistry. My expertise is in co-ordination of very complex treatment plans with other dental specialists or as a one-man-team, since I have extensive training in Prosthodontics, Surgical Implantology, and orthodontics.

Experience

Over a decade in private practice of Surgical Implantology and Prosthodontics. Founder and owner of Prosthodontics & Implant Surgery of Manhattan, PC. Clinical Assistant Professor at the Post-Graduate Department of Periodontics & Implant Dentistry at New York University College of Dentistry. Lecture weekly since 1999 on advanced Implant Prosthodontics at New York University College of Dentistry Post-Graduate Program in Periodontics & Implant Dentistry. Former clinical assistant professor of Dental Radiology at the NYU College of Dentistry. Former clinical and lecture faculty at Lincoln Hospital, Dental residency program. Former clinical and lecture faculty at St. Barnabas Hospital (Bronx, NY) dental residency program. Lecture nationally on Prosthodontics and Implant Dentistry.

Organizations
Memeber of the American College of Prosthodontics. Memeber of the Acacdemy of Osseointegration. Member or the Omikron Kappa Upsilon (OKU) Honors Dental Society. Member of the American Dental Education Association.

Education/Credentials
Graduated with Honors from New York University College of Dentistry. Post-Graduate training and certificate in the specialty of Prosthodontics. Post-Graduate training and ceritificate in Surgical and Prosthetic Implant Dentistry. Honors-program in Comprehensive and Applied Practice Management. Honors-program in Orthodontics.

Awards and Honors
NYU Cervice award to the community. OKU honor society. National Dean's List. National Who's Who.

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