An Unusual Hole in Teeth

Hard to believe, but not all holes in teeth are cavities. Some holes can be wear facets, usually caused by clenching, brushing too hard, or having too acidic saliva.

Such is the case with Abfractions. They are usually found on the front surface of teeth by the gum line, and have no decay. Most of the time, they are painless and get ignored. Not a good choice.

If left unattended, they usually create greater problems as the hole gets deeper over time. These teeth are most prone to fracture since there is no support at the base of the crown. One bite into something hard and the cusp will snap right off, creating a sequelae of root canal with post and crown, or a full extraction of the tooth.

Other times the hole collects food, eventually leading to deep cavities, root canal or total loss of the tooth.

Luckily, we can repair these holes using painless Air Abrasion and placing a biocompatible filling.

Even though they are painless cavities with no decay, they need to be filled to prevent further damage.
Here's a quick video that explains this:

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