The Necks of My Teeth Have Indentations or Grooves

Look at the necks of your teeth along the gum line. Can you see or feel with your fingernail any grooves on the 'necks' of these teeth? This is caused by mechanical/chemical factors. It is important to repair these defects (abfraction or erosion lesions) as this is in effect a loss of enamel that makes your teeth more suceptable to tooth decay and sensitivity. Cosmetic dentistry can help to restore these lesions by adding 'enamel' to bulk out the thin tissues and rejuvenate your smile.


A) Treatment:
First we will look at the 9 different treatment options  we use in Cosmetic Dentistry, and decide when and what options to apply. Our main goal is to be conservative and minimally invasive. A good teeth cleaning and then possible teeth whitening will be the start before trying to match any possible resin or porcelain work.
Treatment options for teeth with 'open' necks:



These areas are usually very temperature sensitive and patients would often complain that they cannot drink cold water or even brush their teeth around these areas. Avoiding brushing just put the teeth in a vicious cycle as plaque that are left behind here just produce more acid and leads to an increase in tooth sensitivity.


Composite bonding is the first option to fill in these defects and to replace the 'lost' enamel. This is a relative simple procedure that can repair and eliminate tooth sensitivity originating from these areas in just 1 visit. These areas are mainly caused by teeth grinding or clenching. Clenching creates flexing of the teeth that leads to an increase in stress in the neck area that leads to loss of enamel. Wearing a gum guard or night guard at night time protects the teeth against these forces and is a good long term preventative solution.


B) Severe case:


The areas were filled in with composite bonding making use of a mild resin to replace the lost enamel. Other options might mean dental veneers to create a more long term solution. A gum guard to protect the teeth at night time is essential to protect against further damage .
composite Bonding
Composite Bonding cape Town



Composite Bonding cape Town