How to restore and strengthen tooth enamel

Author of the article: Goldstein Maria Anatolyevna

Doctor-expert

Specialization: Dentist-therapist

Total work experience: since 2008

Reading time 7-8 minutes

CONTENTS:
About tooth enamel
Compound
Functions
Diseases
Why is tooth enamel damaged?
Indications for strengthening tooth enamel
How to restore tooth enamel in dentistry
Fluoridation
Remineralization
Implantation
How to strengthen teeth enamel at home
Proper diet
Folk remedies
Special means

Enamel is the outer shell of the tooth, which bears the heaviest load (chewing). She is the first to take on the “blows” of active substances contained in food and drinks. In addition, every day, throughout a person’s life, it is the enamel that is subject to friction while chewing food. It is not surprising that over time the question may arise: how to strengthen tooth enamel and what will be required for this? To get a complete answer, you need to learn more about all the features and recovery options.

About tooth enamel

Research shows that enamel is the hardest tissue in the human body. It does not have the ability to regenerate, that is, after destruction it does not recover on its own. Most often, to solve problems with its destruction, the help of dentists is required, although effective resuscitation methods can be used at home.

Compound

The composition of tooth enamel includes the following substances:

inorganic (96.5%): calcium phosphate;
magnesium phosphate;
calcium carbonate.

organic (3,5%):

water;

protein.

It is worth noting that the enamel of temporary (baby) teeth is less mineralized, so their thickness is half as large (they are more susceptible to caries).

Functions

Enamel covers the entire surface of the tooth crown and protects its hard part (dentin) from damaging factors. Within one crown, the thickness of the enamel word varies:

thinner - on the cutting edges;
thicker - on the tubercles of the occlusal surfaces (from the tops of the tubercles to the deep part of the fissure).

As long as the enamel performs its basic functions, a person does not feel discomfort when consuming hot/cold, as well as sweet drinks and food. The appearance of sensitivity to citrus fruits and other products indicates a clear problem with the enamel layer, which needs to be restored and/or strengthened.

Diseases

The most common diseases associated with enamel are:

erosion;
demineralization.

Despite the fact that only a few diseases can be identified, the consequences of their untimely treatment can be much greater.

Erosion

The main cause of erosion is:

regular consumption of foods and drinks containing large amounts of sugar, caffeine and acid;
bruxism (involuntary grinding of teeth at night);
taking certain medications.

Signs that you have enamel erosion include factors such as sensitivity to hot/cold, brittle teeth (chips and cracks), and discoloration. This process of destruction does not stop or slow down on its own. To restore, strengthen and preserve teeth, you will have to go to the dentist.

Demineralization

Strictly speaking, demineralization is not so much a disease as a process in which the enamel loses essential beneficial minerals (mostly calcium) - the very components on which its strength and integrity depend. The main causes of demineralization:

poor nutrition in which the basis of the diet is carbohydrates (they are the main breeding ground for bacteria that destroy enamel);
insufficient and irregular oral hygiene (this results in the proliferation of bacteria that produce acid, which makes tooth enamel loose).

At the first stages, demineralization is imperceptible. It becomes noticeable after whitish spots appear on the teeth, indicating the beginning of caries. At this stage, it is still possible to prevent serious consequences, for example, by saturating the enamel with minerals to strengthen it and increase its resistance to acids.

Is it possible to restore enamel with diet?

In everyday life, it is important to follow an anti-caries diet. It involves limiting the consumption of sweets and, in particular, sugary drinks. The menu should consist of hard, grainy and even fibrous foods.

A diet to maintain enamel also involves increasing the daily proportion of calcium in the menu. If there are no other health contraindications, it is recommended to increase the consumption of milk and dairy products, such as white cheese and natural yogurt. Unfortunately, once lost, enamel cannot be restored.

Why is tooth enamel damaged?

Not only diseases, but also other reasons can lead to damage. To understand how to strengthen tooth enamel, you must first find the root cause of its destruction. It could be:

poor heredity (if cases of thinned enamel are noticed in the family, there is a high risk of this feature manifesting itself in the offspring).
uneven load, which leads to gradual wear of the teeth (for example, due to malocclusion);
various gastrointestinal diseases (those that do not allow the full absorption of nutrients);
thyroid diseases;
diabetes;
incorrectly selected hygiene products (paste and brush);
brushing teeth with excessive pressure;
altered composition of saliva (for example, due to excessive and regular consumption of products with aggressive composition that can destroy the enamel layer);
dry mouth due to insufficient saliva (for example, due to the use of certain medications);
bad habits (in particular, smoking);
lack of the required amount of vitamins and minerals in the diet.

If the destruction is a consequence of a disease, only a dentist can help cope with the consequences. Non-medical causes can be ruled out on your own, while at the same time strengthening and restoring the enamel at home.

Is it possible to save a loose tooth?

If the cause of mobility is pathological processes in the gums (for example, periodontitis, gingivitis), then the doctor determines the infectious or non-infectious etiology, removes plaque and stone, and prescribes a course of therapy. If the cause of unsteadiness is an incorrect bite, they resort to orthodontic treatment (wearing trainers, braces).

Many patients wonder whether a loose molar can be saved with splinting. This is an effective technique that helps strengthen loose teeth by fixing them in one position. It comes in several types:

extracoronary (the structure is applied and fixed with cement);
occlusal (involves the use of an overlay or mouth guard);
intracoronary (includes drilling a hole into which the splinting element is attached).

Most often, during the procedure, the doctor makes a small groove along the dentition into which the splint is placed. It is made of durable fiberglass and is hardly noticeable in the oral cavity. The doctor carefully closes the groove with photopolymer filling material, which allows maintaining aesthetics and functionality.

Splinting is divided into temporary and permanent. Temporary involves fixing structures for a specific period of time so that periodontal tissues have time to recover. The composition of splinting mixtures includes components that allow you to quickly restore stability to the dentition.

Indications for strengthening tooth enamel

The main signs that are a reason to think about how to strengthen tooth enamel are the following:

Hypersensitivity of teeth
. There is an acute reaction to the temperature of food/drinks, mechanical irritants (for example, when biting an apple, using a brush) and the appearance of painful sensations when eating something sweet, spicy or sour.
Diagnosed caries
. Both in a neglected state and at an early stage.
Destruction of hard tissues
. Visually you can notice chips, crumbling, different sizes of notches and depressions.
Bite abnormalities
. Their appearance will inevitably lead to gradual abrasion, which contributes to the rapid destruction of the enamel layer.
Color change
. Teeth lose their natural shine, and pigment deposits appear (including chalky, brown, black or yellow spots). Also, due to thinning, dark dentin may be visible through the enamel.
Orthodontic treatment
. After installing braces, it is difficult to fully care for your teeth, which can result in problems with the enamel. It is better to take care of strengthening it before installing braces and check the condition of the enamel layer throughout the entire time you wear these orthodontic structures.
Pregnancy and lactation
. At this time, it is necessary to pay special attention to the condition of the teeth so as not to lose them. Timely restoration and strengthening of enamel will protect and maintain a healthy and attractive smile.

Long-term drug treatment of serious diseases (including radiation therapy) can also be a reason for visiting dentists.

When is it time to strengthen

It is necessary to carefully monitor the condition of your teeth. If you experience frequent inflammation of the mucous membranes of the oral cavity, think about how to strengthen your gums. Otherwise, there is a risk of developing cervical caries, since the thickness of the enamel at the point of contact between the gum and the crown is minimal.

It’s time to strengthen teeth enamel if one or more signs appear.

The color has changed. As the outer covering wears away, the yellowish layer of dentin begins to show through.
The shape has changed. Wear and tear can cause teeth to become flatter, shorter, and rounder, making it more difficult to bite and chew food.
A white chalky spot has appeared - the initial stage of caries, at which it is easiest to deal with it. The destruction of the layer is just beginning, so its surface remains even and smooth.
Increased sensitivity (hyperesthesia) has appeared - a painful reaction when brushing with a toothbrush, eating sour, sweet, cold or hot foods.
The teeth began to crumble.

How to restore tooth enamel in dentistry

After studying the full clinical picture and, based on an examination of the oral cavity and the condition of the teeth, the dentist will professionally select the optimal treatment method. To obtain the desired result in restoring and strengthening enamel, clinics most often offer one of three options:

Fluoridation.
Remineralization.
Implantation.

The choice of a specific option depends on the condition of the enamel layer, the individual characteristics of the patient and the effectiveness in each specific case.

Fluoridation

It is carried out using fluoride-containing compounds, which the doctor applies after cleaning and preparing the teeth. The method is suitable for restoring the enamel of not only permanent, but also baby teeth. The advantages of the procedure include the following facts:

helps eliminate hypersensitivity;
improves barrier properties in relation to aggressive environments;
is an effective preventative of caries.

Depending on the indications, the dentist performs a simplified procedure (covering only the crown of the tooth) or a complicated procedure (covering the outer and inner parts of the tooth). The recommended frequency of fluoridation is 1-3 times a year.

Remineralization

A procedure that allows you to restore the balance of minerals and thereby strengthen the enamel coating, restoring it. First, professional cleaning of the oral cavity is carried out (including using ultrasonic units). After this, special products enriched with calcium, fluorine and other necessary microelements are applied to the teeth.

Remineralizing therapy, depending on the initial state of tooth enamel, can be a one-time procedure. And sometimes a whole course and 5-10 or more procedures may be needed.

Implantation

The most serious and technically complex method. It consists of implanting an artificial layer onto a natural one in order to restore the integrity of the enamel layer. The organic material used for implantation is as similar as possible to natural material. After application, it reacts with tooth enamel at the cellular level, activating its regeneration.

The result is a strong and reliable layer that perfectly protects the tooth from mechanical damage and destruction under the influence of aggressive environments. A technically complex and expensive operation is fully justified, since in addition to protective functions, it can also restore aesthetic appearance (and this is especially important if the front teeth in the smile area have been affected).

Clinical researches

Conducted clinical studies conducted at the First St. Petersburg State Medical University. acad. I.P. Pavlova proved that regular use of professional toothpaste ASEPTA REMINERALIZATION after 4 weeks improved the condition of the enamel by 64% and reduced tooth sensitivity by 66%.

Sources:

Clinical and laboratory assessment of the influence of domestic therapeutic and prophylactic toothpaste based on plant extracts on the condition of the oral cavity in patients with simple marginal gingivitis. Doctor of Medical Sciences, Professor Elovikova T.M.1, Candidate of Chemical Sciences, Associate Professor Ermishina E.Yu. 2, Doctor of Technical Sciences Associate Professor Belokonova N.A. 2 Department of Therapeutic Dentistry USMU1, Department of General Chemistry USMU2
Report on the determination/confirmation of the preventive properties of personal oral hygiene products “ASEPTA PLUS” Remineralization doctor-researcher A.A. Leontyev, head Department of Preventive Dentistry, Doctor of Medical Sciences, Professor S.B. Ulitovsky First St. Petersburg State Medical University named after. acad. I.P. Pavlova, Department of Preventive Dentistry
Clinical studies of antisensitive toothpaste “Asepta Sensitive” (A.A. Leontyev, O.V. Kalinina, S.B. Ulitovsky) A.A. LEONTIEV, dentist O.V. KALININA, dentist S.B. ULITOVSKY, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry, St. Petersburg State Medical University named after. acad. I.P. Pavlova
The role of anti-inflammatory rinse in the treatment of periodontal diseases (L.Yu. Orekhova, A.A. Leontyev, S.B. Ulitovsky) L.Yu. OREKHOVA, Doctor of Medical Sciences, Prof., Head of Department; A.A. LEONTIEV, dentist; S.B. ULITOVSKY, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry of St. Petersburg State Medical University named after. acad. I. P. Pavlova
Report on determining/confirming the preventive properties of commercially produced personal oral hygiene products: Asepta toothpaste used in combination with Asepta mouthwash and Asepta gum balm Head. Department of PFS Doctor of Medical Sciences Professor S.B. Ulitovsky St. Petersburg State Medical University named after Academician I.P. Pavlova. Faculty of Dentistry. Department of Preventive Dentistry.

How to strengthen teeth enamel at home

Home restoration of tooth enamel can be combined with a professional one, but it can be carried out more often than dental procedures. An integrated approach is encouraged, which takes into account three main areas:

The right diet.
The use of folk remedies.
Use of special means.

Only in isolated cases can one of the three listed methods be effective. But strict adherence to the recommendations in all areas is guaranteed to lead to the desired result.

Proper diet

In this case, diet is not an entirely correct concept, since strengthening and restoring tooth enamel will require not a temporary change in eating habits, but a permanent one. That is, it is necessary to adjust the diet so that it necessarily and regularly includes foods that help strengthen the enamel layer:

seafood;
egg yolk;
fermented milk products (natural, without added sugar);
nuts;
greenery;
fatty river and sea fish;
rice and buckwheat;
fruits (in particular mango and tangerine);
celery;
mushrooms;
legumes (without hot sauce);
red meat;
liver.

The listed products are replete with easily digestible microelements (fluorine, calcium, phosphorus) and vitamins (C, D and B6), which naturally can do everything so that you no longer wonder how to strengthen tooth enamel.

Please note that the diet should consist not only of boiled, baked or steamed vegetables, but also raw ones. In their natural form, they help create an alkaline environment in the mouth, which is harmful to cariogenic bacteria.

Folk remedies

When discussing with your dentist how to strengthen your teeth enamel, be prepared for him to offer you some proven and effective traditional methods. For example:

rinsing
: with a solution of soda (1 tsp per glass of warm water);
propolis solution with the addition of calamus extract (suitable for daily use; effectiveness depends on regularity);
a decoction of sage, chamomile and oak bark (not only strengthens the enamel, but also restores the microflora of the oral cavity, stopping inflammation of the mucous membrane).

sea salt
:

you need to make a solution (4 tablespoons per 1 glass of water) and, using a soft brush, use it for regular brushing of your teeth;

solution at the rate of 3-4 tbsp. per 1 glass of water can be used for lotions - apply to cotton wool and apply to the affected tooth for 15-20 minutes;

To reduce sensitivity, you need to apply salt crystals mixed with oil to the crown of the tooth for 10-15 minutes.

propolis chewing gum
(beeswax or propolis balls) used after meals for:

normalization of salivation;

restoration of oral microflora;

disinfection and strengthening of mucous membranes;

pain relief for enamel hypersensitivity.

brushing teeth with wood ash.

It is very important to understand that maximum effectiveness from traditional methods can only be achieved with prevention or with minor (weak) damage to the enamel. More often they are used as an addition to the main treatment prescribed by the dentist.

Special means

Special products that are commercially available can be both a panacea in case of enamel destruction and a drug that will only aggravate the problem. The fact is that none of the special compounds can be used without a doctor’s prescription, since it will not bring the desired effect, but can only harm, not only the teeth, but also health in general.

As prescribed by your dentist, you can use:

Pastes
: Calcined and fluorinated. Fluoride-enriched pastes are contraindicated if there is inflammation in the oral cavity.
With theobromine. Composition based on cocoa beans. Promotes natural regeneration of hydroxyapatite in enamel.
With amorphous calcium phosphate. By contacting with saliva and hydroxyapatite, the active substance promotes the formation of a protective barrier on the tooth surface. It protects against exposure to aggressive environments and accelerates the remineralization process.

Gels
. Convenient for those cases when it is necessary to apply an antiseptic to the gums and teeth (for a relatively long time). Used for home remineralization. There are several types, for example:

with active components in the form of calcium and phosphorus ions (penetrate into damaged areas of enamel, filling them and effectively restoring the integrity of the tooth coating)

based on potassium nitrate (to reduce sensitivity, eliminate dryness and replenish mineral deficiencies);

with a predominance of propolis (to restore the mineral-vitamin complex).

Kappa . Can be used together with gels or special creams intended for long-term application. The medicinal drug is applied to the inside of the structure, after which the mouthguard is put on the dentition. This method of application is very convenient, since the drug is located between the mouthguard and the teeth and is not washed out by saliva, and the active substances can contact the enamel exactly as much as prescribed according to the instructions for the drug and the dentist.

Knowing how to restore tooth enamel using special means, do not rush to self-medicate. In some cases, formulations with a specific active substance may simply not be suitable for your clinical case. One consultation with a specialist will be enough to find out which paste, cream or gel is best for you.

The first signs of enamel destruction

It is necessary to protect teeth preventively, however, when the very first signs of tooth enamel hypoplasia

, urgent mobilization is required. You can recognize the beginning of the process by the white chalky spots that appear on the surface of the tooth. The second symptom is tooth sensitivity. The so-called reaction to cold and hot. At this stage, it is necessary to replace a simple preventive paste for everyday home hygiene with a therapeutic one, which will strengthen the tooth enamel. However, you should still consult your dentist before use.