Dr. Vicente Arturo Colon Hernandez

31/10/2025

30/10/2025

🦷 Differential Diagnosis of Severe Tooth Wear: Erosion, Abrasion, and Attrition

Severe tooth wear, as seen in the clinical image, can result from multiple etiologies that must be carefully differentiated to ensure proper diagnosis and management. The three main causes—erosion, abrasion, and attrition—may overlap, but each presents distinct clinical and etiological characteristics.

🔹 Erosion

This is the chemical loss of tooth structure caused by acids not involving bacterial activity. It may be extrinsic, resulting from frequent consumption of soft drinks, citrus fruits, or vinegar, or intrinsic, associated with gastroesophageal reflux, bulimia, or chronic vomiting. Erosive lesions appear smooth, shiny, and often affect the facial or lingual surfaces.

🔹 Abrasion

A mechanical process resulting from external physical forces, such as aggressive toothbrushing or the use of abrasive toothpaste. These lesions typically appear at the cervical region of the teeth and have a characteristic V-shaped or notched appearance.

🔹 Attrition

Caused by tooth-to-tooth contact, usually due to bruxism or malocclusion. It presents with flat, polished surfaces and loss of crown height, often accompanied by dentin exposure and increased sensitivity.

👉 Recognizing the origin of the wear—whether chemical, mechanical, or functional—is essential for designing a comprehensive treatment plan. Management may include habit modification, occlusal rehabilitation, night guards, and multidisciplinary collaboration with gastroenterologists, psychologists, or prosthodontists, depending on the underlying cause.

26/10/2025

25/10/2025

🦷 Lo que NO te dijeron del BRUXISMO 😬💤

El bruxismo no es solo “apretar los dientes al dormir”: es un desgaste silencioso que afecta dientes, mandíbula y hasta tu bienestar general.

Lo que pasa al rechinar los dientes:

Presión de hasta 250 kg en la mandíbula, más que al masticar un hueso.

Desgaste del esmalte, fracturas, microfisuras, y daño a implantes o coronas.

Inflamación de la articulación temporomandibular (ATM), causando:
• Dolor de cabeza crónico
• Zumbidos en los oídos
• Dolor al abrir la boca
• Vértigos o mareos

Causas: estrés, ansiedad, problemas respiratorios, incluso en niños.

Señales de alerta:

Encías retraídas

Hipersensibilidad dental

Dolor al masticar

Asimetría facial

Qué puedes hacer:
✅ Usar férula dental nocturna si el dentista lo indica
✅ Técnicas de relajación para el estrés
✅ Evitar cafeína, alcohol y azúcar por la noche
✅ Hacer ejercicios mandibulares
✅ Consultar si hay chasquidos, dolor o rigidez al despertar

El bruxismo es un terremoto silencioso en tu boca: cuanto más se ignore, más daño causa.

🚩 Información con fines educativos y académicos; siempre consulta a tu médico o dentista de confianza.

24/10/2025

Radicular cyst radiology ✅

25/09/2025

23/09/2025

11/09/2025

Missing teeth

29/04/2025

🚫 Teeth Grinding (Bruxism): A Silent Dental Destroyer

Bruxism is the involuntary grinding or clenching of teeth, often occurring during sleep. This condition can lead to serious oral damage, including tooth attrition, enamel wear, gum recession, and abfraction lesions. Over time, it may result in hypersensitivity, tooth fractures, and temporomandibular joint (TMJ) disorders.

Dentists should monitor signs of wear and educate patients on protective solutions like night guards and stress management. Early intervention is key to preserving oral health.