Restorative dentistry in its broadest sense involves the restoration of oral and dental tissues for patients. It includes the following dental disciplines:
Neeraj has a special interest in endodontics and treatment of loss/ wear of tooth structure. Tooth structure loss could be due to Attrition, Erosion, abrasion or a combination of one or all.
Attrition is the loss of teeth structure by mechanical forces from opposing teeth. Attrition initially affects the enamel and, if unchecked, may proceed to the underlying dentin. Once past the enamel, attrition quickly destroys the softer dentin.
The most common cause of attrition is bruxism. Functional habits are those such as chewing and swallowing, which usually puts very little force on opposing teeth.Parafunctional habits, such as clenching and clicking the teeth together nervously, place greater amounts of forces on opposing teeth and begin to wear the teeth. As expected, wear usually begins on the incisal or occlusal surfaces.
Erosion is a very important contributing factor to the loss of tooth substance by excessive intake of acidic food or drinks for example fizzy drinks, fruits like apples or grapes .
Abrasion is normally due to brushing the teeth with excessive force and also using a wrong technique.
Neeraj uses special equipment and techniques to restore the lost tooth structure and to correct the bite which has collapsed due to excessive wear . Please see our smile gallery for some examples of the work done by Neeraj .
This gentleman in his late 40,s had severe attrition of his front teeth. His bite was raised and the worn teeth were built up with composite resins to built back the lost tooth structure and restore his smile before his daughter's wedding.