Can Tooth Enamel Be Restored? Facts You Need to Know
Can Tooth Enamel Be Restored? Facts You Need to Know Did you know that your tooth enamel is even stronger than bones? Yes, that’s correct! Primarily made up of minerals and some trace amounts of protein and water, enamel is the strongest tissue in the human body. Does that mean it is indestructible? No! Tooth enamel, the shiny white layer you see on your teeth, is highly vulnerable to sugary foods and drinks. And once that is damaged, are there any ways to regenerate it? Let’s find out. Understanding Enamel Damage vs. Loss: What’s the Difference? Tooth enamel is the first line of defense for your teeth against the outer elements such as acidic foods and beverages, bacteria, plaque, etc. If you see a reduction or altercation in enamel, that can be considered as enamel damage. On the other hand, if there’s a permanent reduction in your tooth enamel, that’s enamel loss. Once the enamel is damaged, it can be repaired with the help of remineralization treatments. However, once lost…that’s gone! It can’t be regrown naturally. Related Blog: What is Tooth Enamel: Protection, Restoration & Care – A Complete Guide Micro-wear vs. Erosion vs. Irreversible Loss The loss of tooth enamel can be the result of multiple factors such as micro-wear, erosion or irreversible loss. Micro-wear is the least bothersome and microscopic wear of enamel that occurs over time. Even basic functions like chewing can be responsible for it. Erosion, on the other hand, is a gradual chemical dissolution of tooth enamel that happens because of acids. It’s irreversible and progressive. Irreversible loss of enamel means it cannot be regenerated by the body. This is the next stage of both abrasion and erosion. It exposes the inner teeth layers (dentin and pulp) to outer elements and increases the risks of potential damage to your oral health. Misconceptions around “restoring” enamel One of the biggest misconceptions around enamel restoration is that it can be regrown. Since the enamel does not contain any living tissue, it cannot be regenerated. Here are some other myths to watch out for: Remineralization isn’t possible You can DIY remineralizing treatments Toothpaste or mouthwash won’t help much There’s no need for professional help What dentists actually mean by “strengthening enamel” In layman’s words, “strengthening enamel” means remineralizing it – restoring the lost minerals through certain ways such as using toothpastes or mouthwashes rich in fluoride. These kinds of dental products push calcium and phosphates into your teeth and strengthen the enamel. Is Tooth Enamel Regeneration Scientifically Possible? No. Tooth enamel cannot be regenerated scientifically. Unlike other body issues, this unique tissue does not have any living cells and thus, it’s unable to repair itself naturally. However, partial restoration or repair is possible through certain treatments. Let’s explore this in detail: Explanation with evidence-based facts Tooth enamel does not have any nerves, living cells or blood supply. Therefore, it’s naturally impossible to regrow. This is confirmed by the NCBI research. Natural remineralization limits Foods/products rich in fluoride and saliva can naturally remineralize the enamel. This refers to the redeposition of calcium and phosphates back into the enamel. However, this process has limitations: It can only happen in the early stages when the cavities haven’t formed yetIt partially repairs the enamel making it resistant to future damageIt cannot restore the lost enamel or its thickness Role of saliva, fluoride, and pH balance Saliva is the natural healer, fluoride is the reinforcer while the pH balance is the deciding factor in this case. Saliva is rich in minerals keeping the enamel healthy with a natural pH around 6.7 to 7.5. Fluoride forms fluorapatite, a stronger substance than hydroxyapatite – making your enamel more acid-resistant. About the pH balance, the demineralization starts when the pH is below 5.5. Certain acidic foods like carbonated drinks, sodas, citrus drinks, and vinegar lead to mineral loss. How Remineralization Works: Can You Do It at Home? Remineralization is restoring lost minerals (calcium and phosphates) back into the tooth enamel. Even though complete enamel restoration is not possible through remineralization, it can strengthen the weakened enamel layer and make it more resistant to prevent further damage. Saliva and fluoride are the best friends of remineralization as they restore lost minerals naturally. You can follow the below-mentioned steps to remineralize your enamel at home: Maintain proper oral hygiene with fluoride toothpaste/mouthwash Eat a mineral-rich diet and stay hydrated Limit acidic foods and beverages Top Causes That Prevent Enamel Restoration Enamel’s non-regenerative nature is the primary reason why 100% enamel restoration is impossible. The absence of blood supply, living cells and nerves restrict it from regrowing. The following are some other considerable factors that hinder enamel restoration: Bad oral hygiene Continuous exposure to acidic foods and beverages Bruxism or teeth grinding Genetic reasons Nutritional deficiencies such as vitamins A, C, D and minerals Specific medications Professional Treatments to Strengthen and Protect Enamel All the professional treatments to strengthen and protect enamel focus on remineralization. Dentists primarily rely on certain medical treatments/products such as veneers, crowns, dental sealants, dental bondings and fluoride treatments to repair the damaged enamel and prevent future damages. Let’s take a look at them in detail: Veneers Made of composite resin or porcelain, veneers are tailored shells that are fit to your teeth. They not only improve the appearance of your teeth but also prevent them from future problems. Fluoride Treatments This is mainly a topical treatment that involves the usage of fluoride-rich toothpastes or mouthwashes. These products help remineralize the enamel and make it more durable. Dental Sealants Dentists apply sealants to the chewing layer of molars to prevent your teeth from enamel erosion and cavities. Dental Bondings Enamel erosion leads to the formation of chips or cracks in your teeth. Dentists use dental bondings to restore your teeth’s appearance and prevent them from further damage. Daily Habits That Support Enamel Preservation You must adopt certain habits related to your oral hygiene, diet and preventive dental care. Here’s a list of some of