How Long Will My Dental Work Last?

How long will my dental work last? I’ve been asked this question a thousand times. My answer has evolved from years of clinical observations and understanding the biological concept of the Tooth and Body Connection.

I was once told that good dentistry will last approximately 7-12 years before signs of recurrent decay, leakage or fracturing begin to set in. These cause the need to repair and restore the effected dentition. This definition of the life of “good dentistry” may be an average but there is also wide variation in the life of dental work.

How is it that “good dentistry” sometimes lasts less than 2 years before needing replacement? Or conversely, after 20 years, the existing dental work in a patient’s mouth looks better than ever with no signs of failure.

Assuming there are no genetic or mechanical flaws, i.e., enamel or dentin hypoplasia, bond failures, material defects, open margins, grinding or clinching of teeth, what possible explanation could there be?

The message I’ve been communicating for several years is that if there’s an imbalance in the body, a disease condition will result. If the imbalance is present in the oral cavity, an avalanche of problems can erupt.

This is why I feel it’s so important to check our patient’s pH levels each time they come in for their cleaning appointment. A chronic pH level below 6.5 is simply asking for trouble.

If this acidic condition continues in the oral cavity, the crevicular fluids (fluids found within the tooth) will start to reverse the “fluid flow” and travel from the outside – in, rather than from the inside – out. This is not a healthy situation. As this persists, the environment of the mouth becomes compromised.

All too often people who experience “sensitive teeth” to hot and cold temperature changes or even sweets are beginning to encounter these subtle effects of reversed fluid flow, caused by an imbalance in body chemistry.

This acidic environment is like a breeding ground for the accumulation of even more bacteria, plaque, and calculus which will in turn continue to destroy tooth structure, periodontal conditions and yes, even your dental restorations as well.

Impeccable hygiene will certainly help but the key to solving this problem still focuses around your diet and nutritional intake. Become more mindful of the acid forming foods and drinks that are attacking your dentition and eliminate or severely reduce your exposure to these items.

Now that I’m paying more attention to pH levels in patients’ mouths, I’ve found it quite interesting to note that most dental restorations seem to last much longer when the pH readings are near 7.3 – 7.5.

So the next time you’re wondering, “How long will my dental work last?” invest in some pH paper and check your saliva on a daily basis. Dentists can only do so much for their patients. However, as a concerned, health conscious individual, you can take responsibility for your own health and make a difference in your life.

Not only will you be feeling better but, hopefully, you won’t be spending the rest of your life in a dental chair.

About Dr. Michael Rehme, DDS, CCN

Dr. Michael Rehme, DDS, CCN is one of the few Biological (Holistic) Dentists in St. Louis, MO and the U.S. that are Certified Clinical Nutritionists (CCN). He practices Biological Dentistry that includes mercury free, tooth colored fillings; healthy dental materials; balancing body chemistry; and nutritional therapy. For articles and information about Biological Dentistry (also referred to as Holistic Dentistry) and patient success stories visit www.toothbody.com or call his office 314-997-2550. Attend a free monthly presentation and discussion by Dr. Rehme on Biological Dentistry the third Tuesday each month at 6:30 pm and his dentistry office in St. Louis. Please call to verify the date.

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