Anterior Teeth Wear - Treat or Ignore?

Anterior teeth wear usually exhibits a classic pattern where the canines will get ground down first, followed by the front four teeth. It is a challenge to restore and maintain this kind of bite profile. If we go by the belief that enamel is sacred and that we should never grind away teeth to restore them with porcelain,  then allowing the teeth to destroy themselves to tiny short stumps goes against this belief.

If we restore early enough and the patient is diligent with night guard wear, then the treatment can be predictable and effective.

Anterior bite problems dictate length, shape, and position of the anterior teeth.  Hence, on occasion where dentists and patients may mistakenly violate the mechanical principle of the bite at the expense of esthetics, then one can expect the bite to fight off anything that is in its pathway.

By choosing not to treat an anterior bite case, the teeth will wear themselves away.  In the case below we can see the actual opening of the nerve canals on the front teeth.  Severe wear cases also leave us with very little tooth structure to work with.  Hence, anterior teeth wear should not be ignored.AnteriorTeethWear1Anterior Teeth Wear 2Anterior Teeth Wear 3

How Much Do Dental Implants Cost?

I recently received this question via email. "My father wants to replace all upper teeth with implants.  He will be paying cash. All the teeth have been removed about a year ago... Do you know around how much it would be? "

My answer to her was a bit lengthy, but basically:

There are many options for replacing teeth with implants.

1. You can have porcelain types of teeth that are fixed on the implants, or

2. Dentures that are retained by the implants. These two options determine how many implants should be placed. However, the patient's bone condition determine how many implants we could place. Therefore the cost depends on a number of things which may include: 1. Bone condition

2. The number of implants

3. The kind of prosthesis

Unless I have all the necessary records such as x-rays, CT scans, study models, and patient clinical exam, then it would be very difficult to estimate the cost.

It is important to understand that replacing one tooth with a dental implant is very different than replacing an entire arch with dental implants.  Hence, you must seek a competent clinician to consult for a thorough understanding from the surgical aspects to the restorative choices.  Cost is the final factor after you have arrived at a comprehensive treatment plan.


Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.