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Cosmetic Dentist Troy Michigan MI Implants
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Ara Nazarian, DDS
Enamel Replacement
1857 East Big Beaver Rd
Michigan Dental Center
Troy MI 48083
(248) 457-0500
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Troy Tooth Enamel Erosion Dynamics

Common Factors and Treatment Options

Enamel Erosion is a dental condition or result that has a seemingly infinite number of causes.

Meth Acid Enamel Eroding
Meth - Acid Damage
The actual "process" of enamel breakdown is essentially similar. Basic chemistry and molecular principles that operate in the "enamel environment" become disturbed.... unbalanced. Most of us practice the basic interventions for correcting these inbalances on a daily basis.

Key Variable: Saliva

Brushing out teeth after each meal (not too soon), brushing in the morning when we get up.... and before we go to bed. Basic teeth brushing serves to remove food particles and flush the oral cavity, which stimulates saliva production.

Extreme Long Term Acidity Troy
Comprehensive - Cumulative Tissue Breakdown
When saliva production and it's presence is not routinely overwhelmed with highly acidic foods, tooth enamel can endure a lifetime, given routine dental care. Since tooth structures and enamel are not self-regenerating... any perceived changes in saliva production (the experience of xerostomia - dry mouth) should not be overlooked or disregarded.

Acidity Environments

Highly acidic conditions in the oral cavity occur for two reasons, encompassing a variety of causes:
Enamel Erosion Troy MI
Overclosing Bite Destruction

Excess consumption of acidic foods

  • Sugared candies
  • Sour candy (often worse than sugared)
  • Soft Drinks (soda pop)
  • Sports Beverages
  • Energy Drinks
  • Energy Bars
  • Lime - Lemon sucking (citrus fruits)
  • Processed snacks with high sugar content
  • Coffee and tea beverages flavored with sugar

Xerostomia - Reduced levels saliva (also known as dry mouth)

  • Feature of an existing syndrome (e.g., Sjogren's Syndrome)
  • Diabetic medications
  • Post chemotherapy medications
  • Congenital Xerostomia
  • Amphetamine abuse (cotton mouth - meth mouth)
  • Alcohol based mouth rinses
  • Allergic reactions to restorative dentistry components
Meth Mouth Amphetamine Abuse
Acidic - Unbalanced Ph Tissue Destruction

Early Intervention

Enamel destruction is cumulative. Patients should not assume that early signs of enamel deterioration will be reversed with mere changes in habits or eating-drinking preferences.

Many dentists, like Dr. Nazarian, can provide a variety of medications or treatments that increase saliva production, including Salanium, Sensodyne toothpaste products, Oasis (saliva substitute) and a wide variety of Biotene products... some of which contain salivary enzymes (Lactoperoxidase, Lactoferrin, Lysozyme) that boosts and replenishes saliva's own defenses.

MI Paste is also available which helps to aid the natural remineralization process. In-office and at-home treatment programs can be developed for many patients.

Enamel Rehabilitation

In situations where enamel deterioration is becoming more evident, enamel resurfacing or replacement can be achieved through a choice of lamination technologies (porcelain veneers) or entire tooth replacement via cemented crowns, porcelain jackets or implant supported crowns.

New Teeth Enamel
Successful Eroded Enamel Reconstruction

Representative Treatment Example

The last picture in our photo series is a representative treatment of an actual enamel replacement and reconstruction need for an adult patient. Combinations of porcelain crowns, removable prosthetics, veneer laminates and dental implants can be used to recreate what Mother Nature once provided for patients with varying degrees of tissue loss and bite damage.


Contact Dr. Nazarian and his staff at (248) 457-0500 to arrange a consultation for determining what options are available for different degrees of xerostomia symptoms. Learn more about teeth and enamel replacement technologies that are now available.

Or, you can use our on-line Ask The Dentist form to send any specific questions related to the material on this page directly to Dr. Nazarian. He will respond to you directly with the information you are seeking.

MI Reconstructive Implant Dentistry
Ara Nazarian, D.D.S.
1857 East Big Beaver Road
Troy MI 48083
(248) 457-0500 - Fax: (248) 457-0501
Serving Oakland County areas of Birmingham Bloomfield Hills Clawson and Southfield