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1600 W Redondo Beach Blvd Suite 203
Gardena, CA 90247

OPEN TODAY Tuesday November 21st

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(Valid until November 25th 2017)
Dental Implants $49 month Invisalign $99 month
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Omid Barkhordar, DDS


Abrasion Lesions: Causes, Symptoms, and Remedies

Tooth decay is the most common way teeth deteriorate, but there are several other issues that impact the health of your teeth, and can lead to damage.

Abrasion lesions are when there has been an abnormal loss of the surface of the tooth. These appear as indentations at the bottom of the tooth. These abrasion lesions occur for various reasons, including the following:

  1. The continuous use of hard-bristle toothbrushes
  2. Brushing teeth with too much force over the years
  3. Improper use of toothpicks or dental floss
  4. Placing pens, pencils, pins, or other hard objects between your teeth
  5. Drinking or eating many acidic food items
  6. A habit of chewing forcefully
  7. Lip piercings that rub against the teeth

Abrasion lesions can also occur from improperly fitted dental clasps on restorations such as dentures that have continuously rubbed on the surface of the tooth, wearing it away, or porcelain teeth that have been improperly fitted. Any former restorations that were improperly fitted may need to be replaced to avoid further damage to the surface of the tooth.

What to Look for: The Symptoms of Dental Abrasions

If you observe a v-shaped groove where a tooth is meeting your gum line, you have a dental abrasion. The softer part of a tooth, under the enamel, is called the dentin. The dentin in a tooth is more easily worn away, whether by forceful brushing or other cause. As a lesion progresses and more of the dentin is affected, the pulp and nerves within the tooth structure can be exposed, leading to severe pain and sensitivity. When the area is touched or probed, it is typically very painful. The surface of the lesion may appear smooth, or even polished. That area of the tooth does not generally have plaque or cavities, and may appear healthy – but isn’t.

Preventing Abrasion Lesions

Taking action by eliminating any habits that are causing lesions can protect against further damage. There are several underlying situations that could be affecting your teeth and leaving you with lesions, including:

  1. Poor brushing technique
  2. Chewing tobacco
  3. Pipe smoking
  4. Poor quality dental restorations
  5. The use of highly abrasive teeth whitening toothpastes

When lesions are not advanced, resolving the problem with a fluoride gel or dental rinse will protect your teeth from decay. Avoid using abrasive toothpaste, as this can exacerbate the condition.

If the abrasion is causing pain, has developed a cavity, or is so deep that the pulp of the tooth is being affected, a restoration process can resolve the condition. At our Gardena offices, we can help you in all areas of dental health, including abrasions, whether minor or severe. You may want to address lesions merely for aesthetic reasons. As one of the most respected dental professionals in the Southland, Dr. Barkhordar can discuss your various treatment options with you in your first appointment.

Treating Dental Abrasions

The treatment for abrasions will vary, based upon the degree to which the tooth has been affected. The most common cause is improper brushing, leaving a “notched” area at the top of the tooth, both unattractive and often painful. This can be resolved with a matching filling that fills in the damaged area. Some people have a surgical procedure to reposition the gums if badly receded. In some cases, the affected tooth has lost the support of the gums, and must be extracted. In these situations, various types of restoration techniques could be used to restore the area completely, and we offer the most advanced techniques available at our Gardena office.

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His staff is super friendly and he’s downtown in a great local. I’m a very happy patient, and love my new dentist. I highly recommend him!

- D.E. Santa Barbara, CA
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Dr. Omid was friendly and courteous. He explained what needed to be done and gave me options. I never felt pressured. I’m glad I found this office.

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