Abfractions are V-shaped indentations in the tooth structure near, or even under, the gum line, usually on the cheek side of the tooth. This may cause the tooth to be sensitive to cold or when touched at that area of the tooth.
Although all the causes of abfractions are not known, theories include improper forces on teeth caused by a misaligned bite or by grinding and clenching.
Some evidence suggests that using abrasive toothpaste, pressing too hard with a toothbrush while brushing, or not using a soft toothbrush can also be a cause.
Medical conditions such as acid reflex or gastroesophageal reflux disease, also called GERD, may also be contributors.
Abfractions could be caused by the following:
If your bite is off, we may smooth areas down so that chewing forces are evenly distributed among all your teeth.
If tooth grinding or clenching is the problem, we may prescribe a mouthguard to absorb those stresses and protect your teeth.
Only use toothpastes that have been approved by the American Dental Association
Medical conditions If you are experiencing acid reflux or have GERD, it is necessary to indicate this on your medical history. Once the cause of the abfraction is addressed, and depending on the severity of the abfraction, we may restore the tooth by bonding a tooth-colored restoration, or recommend a gum graft or a desensitizing agent for sensitivity.
A mouthguard may be necessary to alleviate the condition from grinding and clenching.
Diagnosing abfractions early can prevent further damage to your teeth and restore your beautiful smile and good health.
Dr. Rehder and the entire staff are friendly and compassionate. They accommodate my needs as a patient and treat me as a personal friend. Professionally, they provide the utmost care and advice, the patient always comes first. I can’t say enough positive comments about this practice.
~Review by Eileen S.
Dr. Rehder is very professional, yet not too serious as he is doing your teeth. He makes it relaxing and is able to keep your mind away from his work (I have never liked going to the dentist, but Dr. Rehder makes the experience as close to pleasant as a dentist visit can be).
~Review by Mary Ellen M.
Thank you Dr. Rehder and Christine for the "always exciting" and "never a dull moment" orthodontist appointment. See you in two weeks to do it all over again. Ok maybe-not ALL over again.
~Review by Elena C.
I had a great experience with Dr. Rehder. He is very informative and professional. All of the staff were so nice and helpful. My overall experience was one of the best I had with a dental office. I would definitely recommend people to come here.
~Review by Paulina C.
Professional staff. Makes you feel at ease, would highly recommend.
~Review by Diane S.
Always wonderful visits at Pinefield Dental. I've been a patient since the very early 90s. The staff is my extended family & takes care of my teeth with the utmost professionalism. This is my dental home.
~Review by Kenneth C.
The doctor and staff were wonderful. My experience is always great. The staff is very caring and always professional. The hours are very convenient as well. They will be able to accommodate anyone's schedule.
~Review by Amanda C.
Richard F. Gittleson, DDS Reviews No one likes/enjoys going to the dentist, but our dentist (Dr. Gittleson) and his staff are so pleasant they help relieve a patient fears.
~Review by Patricia L.
Highly recommended, I’ve been a patient since 1983.
~Review by Charles G.
Excellent.
~Review by Dom J.
